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Advanced Health Assessment Simulations - Fall 2024, MSNF-685
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Overview
Transcript
Transcript
Started: Sep 28, 2024 | Total Time: 146 min
Subjective Data Collection
All Lines (557) Interview Questions (145) Statements (59) Exam Actions (353)
Objective Data Collection
Documentation G
Hi Tina I'm Allison how are you today
09/28/24 1:28 PM
Program Competency Progress
Video Tutorial Hey.
Ques
So what brings you into the clinic today
09/28/24 1:28 PM
I came in because I'm required to have a recent physical exam for the health
insurance at my new job.
Empat
Great I understand
09/28/24 1:28 PM
Thanks.
Ques
Do you have any current health complaints
09/28/24 1:28 PM
I don't have anything specific going on today. I mean, I still have asthma and
diabetes, but both of those are under control. I'm taking good care of my
health these days.
Empat
That's great news
09/28/24 1:28 PM
Thanks.
Ques
Can you tell me more about your medical history
09/28/24 1:28 PM
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All of my health stuff is a lot better now. I feel like my diabetes is in control, I'm in better shape. . . I'm
eating healthier. I'm less stressed. Things are going really well.
That's fantastic news
Thanks.
Are you taking any medications
I'm taking metformin now, that's every day. I'm taking birth control now, too, plus I'm on a daily inhaler
and a rescue inhaler when I need it.
Do you know the names of your medications
I'm taking metformin now, that's every day. And I take drospirenone / ethinyl estradiol, for birth control.
I'm on a daily inhaler, Flovent, and a rescue inhaler, Proventil, when I need it. [AUDIO COMING
SOON]
Do you know the dosages of the medications (Clarified to Do you know the dose of Yaz?.)
I can't remember the dose off the top of my head. I take one pill a day. [AUDIO COMING SOON]
(Clarified to if I know the dose of Yaz.)
What is the dose of your metformin
It's 850 mg. And I take one pill, twice a day.
It's very good to know the dosage of your medications
Thanks for telling me.
What is the dosage on your inhaler
I do two puffs of the albuterol inhaler when I need it, but that rarely happens. [AUDIO COMING SOON
That's good you're not needing it as often
Thanks.
When did you start the birth control
About four months ago. I went to the gynecologist, and she prescribed it.
Are you taking it to prevent birth (No matching questions found.)
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What are you taking the birth control for
The gynecologist said I have PCOS, and I should be on birth control, so she prescribed drospirenone /
ethinyl estradiol. [AUDIO COMING SOON]
Birth control can help with PCOS symptoms so that is good to hear
Thanks for telling me.
Are you having any side effects from your medications
I've never really had anything severe. . .
That's good to hear but anything that you can think of
Thanks.
Any side effects from your metformin (Clarified to Do you have side effects with metformin?.)
Last time I took it I felt sick and gassy all the time, and it happened again when I started taking it, but
now I eat yogurt every day and it seems to have helped. (Clarified to if I have experienced side effects
from metformin.)
That's good sometimes when you start metformin it takes about 2 weeks for the medication side effect
to go away
Thanks for telling me.
Do you have any allergies
I'm still allergic to cats, though I've really been trying to avoid them since I came in with those asthma
problems.
That's good to hear
Thanks.
Any medication allergies
Yeah, I'm allergic to penicillin.
What reaction do you get to penicillin
I don't remember that well because the last time I had penicillin I was pretty little. . . I think I got a rash,
like, hives. The doctor told me not to take it again after that.
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