Summary Shadow Health Pain Transcript

hello, how are you feeling? Greet 07/21/20 12:03 PM PDT Edward Carter Hello. Your avatar my name is Tim, i'll be your nursing today Question 07/21/20 12:04 PM PDT Edward Carter Hello there. It is nice to meet you. [AUDIO COMING SOON] Your avatar can you tell me what's going on? Question 07/21/20 12:04 PM PDT Edward Carter I woke up with this terrible pain in my hips and knees this morning, then it was like my joints just gave out on me and I fell. I hit my back when I fell too. Your avatar what is the pain feel like to your (Clarified to Can you describe your pain?.) Question 07/21/20 12:05 PM PDT Edward Carter It was a deep, aching sort of pain. And occasionally it feels like my joints are grating. (Clarified to what the pain is like.) Your avatar does it radiate any where else? Question 07/21/20 12:05 PM PDT Edward Carter The pain doesn't seem to be radiating, no. Your avatar how would you rate your pain Question 07/21/20 12:05 PM PDT Edward Carter Right now, it's more of a 1. Thank God for the medication. Your avatar how long has this been Question 07/21/20 12:06 PM PDT Edward Carter I started noticing the pain get worse gradually over the last month. It was more subtle then, but this morning it was unbearable. Your avatar do you know where you are now Question 07/21/20 12:06 PM PDT Edward Carter I'm at Shadow General Hospital. Your avatar Assessed vitals Exam Action 07/21/20 12:06 PM PDT Your avatar Assessed IV bag Exam Action 07/21/20 12:07 PM PDT Your avatar Assessed IV pump Exam Action 07/21/20 12:08 PM PDT Your avatar Assessed IV site: Dressing dry and intact Exam Action 07/21/20 12:09 PM PDT Your avatar what medication did you get in the ER Question 07/21/20 12:09 PM PDT Edward Carter They gave me OxyContin when I was in the ER. Your avatar are you comfortable now? Question 07/21/20 12:10 PM PDT Edward Carter I'm comfortable. Your avatar where is the pain right now Question 07/21/20 12:10 PM PDT Edward Carter The pain was mostly in my hips and knees, but my back is sort of tender from when I hit it on the bed frame as I fell. Your avatar is there any non-medication that relieve the pain (Clarified to Does anything help the pain?.) Question 07/21/20 12:11 PM PDT Edward Carter Sometimes rest helps. The doctor also told me to try applying a warm, damp washcloth if I have morning stiffness in my hips. They also have me do some exercises for my knees, and I've got these elastic supports on both knees to help. If none of those things help, I take Aleve, but that didn't help this morning. The pain was unbearable. (Clarified to if anything helps the pain.) Your avatar what causes the pain to be worse Question 07/21/20 12:12 PM PDT Edward Carter It was probably my damn arthritis. I woke up with terrible pain in my hips and knees. I've never fallen like this before though. Your avatar what is the aggravating factors of pain Question 07/21/20 12:13 PM PDT Edward Carter I have had a little pain every morning for the past month or so -- just walking around seemed to trigger it. I chalked it up to morning stiffness, getting old, that kind of thing. Sometimes it even feels like weather changes causes it. This morning was a game changer though. I fell in my bedroom and hit my back on the bed frame. Your avatar Inspected head and face Exam Action 07/21/20 12:13 PM PDT Your avatar do you feel safe in your home? Question 07/21/20 12:13 PM PDT Edward Carter Yes, absolutely. I feel very safe. Your avatar Has anyone taken advantage of your finances? Question 07/21/20 12:13 PM PDT Edward Carter Oh, no. I've never had any problems with that. Your avatar Has anyone withheld food or care from you? Question 07/21/20 12:14 PM PDT Edward Carter No, no one has ever prevented me from receiving the proper care. Cynthia and Randi would never do that to me. Your avatar is there any abuse or neglect you would like to tell me about? Question 07/21/20 12:14 PM PDT Edward Carter No, I am not being abused or neglected. I think my family takes very good care of me. Your avatar Tested left pupillary reaction with penlight Exam Action 07/21/20 12:15 PM PDT Your avatar Tested right pupillary reaction with penlight Exam Action 07/21/20 12:15 PM PDT Your avatar Inspected mouth Exam Action 07/21/20 12:15 PM PDT Your avatar Inspected front of hips: visible edema Exam Action 07/21/20 12:16 PM PDT Your avatar Inspected left hip: visible edema Exam Action 07/21/20 12:16 PM PDT Your avatar Inspected back of hips: visible edema Exam Action