Tina Jones Health History shadow health transcript

May 30, | nursing, med, NURS, Paper

Tina Jones Health History shadow health transcript

Hello, I am xxxxx. I will be interviewing you and later perform a physical examination

Greet

Tina Jones Health History shadow health transcript

Hey.

What is your name?

Question

03/21/21 8:33 AM EDT

Tina Jones.

ORDER A PLAGIARISM-FREE PAPER OR SHADOW HEALTH HELP HERE

What brought you here today?

Question

03/21/21 8:33 AM EDT

I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me!

Am sorry to hear that

Empathize

03/21/21 8:34 AM EDT

Thanks for saying that.

When did you get the scrape?

Question

03/21/21 8:34 AM EDT

Well, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.

Sorry Ms. Tina

Empathize

03/21/21 8:35 AM EDT

I appreciate you telling me that.

How severe is the pain?

Question

03/21/21 8:35 AM EDT

It’s really bad.

Sorry about the pain

Empathize

03/21/21 8:35 AM EDT

Thanks for understanding.

How would you rate the pain in a scale of 10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.)

Question

03/21/21 8:36 AM EDT

I’d say a 7. It hurts a lot, and the pain pills haven’t kicked in yet. (Clarified to how I would rate my pain on a scale.)

Does the pain radiate?

Question

03/21/21 8:36 AM EDT

The pain’s worse in my foot, but I feel it moving up into my ankle, too.

Ohh, sorry about that.

Empathize

03/21/21 8:36 AM EDT

Thanks.

Can you describe the pain?

Question

03/21/21 8:37 AM EDT

It’s throbbing and like, sharp if I try to put weight on it.

Did you hurt any other part? (Clarified to Do you have any other injuries?.)

Question

03/21/21 8:38 AM EDT

No, I caught myself on the railing so I didn’t fall on the ground. Only my foot got hurt. (Clarified to if I have other injuries.)

how has the pain changed over time?

Question

03/21/21 8:38 AM EDT

At first, it seemed like it was healing up fine and it didn’t give me a lot of pain. But the last two days, the pain got way worse.

How painful is the ankle? (Clarified to How is your foot getting worse?.)

Question

03/21/21 8:38 AM EDT

It just hurts more and is kind of throbbing now. (Clarified to how the foot pain is getting worse.)

Is it possible to stand on your foot? (Clarified to Can you manage to stand on your right foot?.)

Question

03/21/21 8:39 AM EDT

No, I can’t put weight on my foot without really sharp pain. (Clarified to if I can stand on my right foot.)

Sorry abiout that

Empathize

03/21/21 8:39 AM EDT

I appreciate you saying that.

Where is the location of the pain?

Question

03/21/21 8:40 AM EDT

It feels like the pain is just centered around the scrape, like around the ball of my foot. That’s where it hurts the most, but my whole foot feels some pain.

which foot did you injure?

Question

03/21/21 8:40 AM EDT

My right foot.

Were you wearing shoes?

Question

03/21/21 8:40 AM EDT

No, I was barefoot.

Did you have alcohol before the injury?

Question

03/21/21 8:41 AM EDT

No, I was stone-cold sober. It was the middle of the day.

did you use home remedies on your foot?

Question

03/21/21 8:42 AM EDT

Yeah, I made sure to clean it and keep it bandaged.

what did you use to clean it?

Question

03/21/21 8:42 AM EDT

Since it happened, I’ve been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off.

when did you go to the ER?

Question

03/21/21 8:42 AM EDT

I went about an hour after I fell, I think.

dID YOU GET MEDICATION AT THE ER?

Question

03/21/21 8:43 AM EDT

Yes, they wrote me a prescription for some pain pills.

What is the name of the pain medication?

Question

03/21/21 8:43 AM EDT

It’s called tramadol.

what dosage of tramadol?

Question

03/21/21 8:43 AM EDT

I’m not 100% sure, but I think they’re 50 milligrams.

How often were you taking tramadol?

Question

03/21/21 8:44 AM EDT

I’ve been taking the Tramadol morning, noon, and night. [AUDIO COMING SOON]

Did tramadol relieve pain?

Question

03/21/21 8:45 AM EDT

I’ve only been taking the pain pills the ER gave me and staying off it. . . and keeping the wound clean.

Has your foot bled since the injury?

Question

03/21/21 8:45 AM EDT

It’s not bleeding anymore. It only bled right after I scraped it.

Good to hear that

Empathize

03/21/21 8:46 AM EDT

Thanks for saying that.

What happened after you scrapped the foot?

Question

03/21/21 8:46 AM EDT

I got the scrape to stop bleeding, and then I started to worry that I had sprained my ankle, so Mom and I decided better safe than sorry, and so we went to the ER.

It is good to seek medical attention

Educate

03/21/21 8:47 AM EDT

Alright, thanks for letting me know.

how effective is the pain medication?

Question

03/21/21 8:47 AM EDT

They only help for a few hours at a time.

am sorry to hear that

Empathize

03/21/21 8:47 AM EDT

I appreciate you saying that.

how have you cared for the scrape?

Question

03/21/21 8:48 AM EDT

I made sure to clean it and just keep it bandaged. And I put Neosporin on it.

good to hear

Empathize

03/21/21 8:48 AM EDT

I appreciate you telling me that.

What happens after applying neosporin?

Question

03/21/21 8:48 AM EDT

I got the scrape to stop bleeding, and then I started to worry that I had sprained my ankle, so Mom and I decided better safe than sorry, and so we went to the ER.

how effective was the neosporin?

Question

03/21/21 8:49 AM EDT

Well, I had to come back to get my foot checked out even though I used the ointment. [AUDIO COMING SOON]

how often have you been cleaning the scrape?

Question

03/21/21 8:49 AM EDT

Since it happened, I’ve been washing it with soap and water, and if it seemed irritated, I would put some peroxide on there and then rinse it off.

its good to keep it clean

Educate

03/21/21 8:49 AM EDT

Thanks for telling me.

Is the wound swollen

Question

03/21/21 8:50 AM EDT

Yeah, it looks swollen around the scrape.

does your scrape have odor?

Question

03/21/21 8:50 AM EDT

Um, no, not that I know of… That sounds gross.

does the scrape have pus?

Question

03/21/21 8:51 AM EDT

Yeah, there’s definitely pus.

what is the color of the pus?

Question

03/21/21 8:52 AM EDT

It’s… white or maybe off-white.

any temperature change around the scrape?

Question

03/21/21 8:52 AM EDT

No.

are you having trouble getting around?

Question

03/21/21 8:53 AM EDT

Yes! I mean, I literally can’t put weight on my foot, the pain is so sharp.

sorry to hear that

Empathize

03/21/21 8:53 AM EDT

Thanks for understanding.

who has been helping you since you hurt your foot?

Question

03/21/21 8:53 AM EDT

I’m lucky living at home because my mom is around to help me, and my sister too.

that is great

Empathize

03/21/21 8:55 AM EDT

Thanks.

Do you work?

Question

03/21/21 8:55 AM EDT

I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up.

Has the injury prevented you from going to work?

Question

03/21/21 8:55 AM EDT

Well, I tried to go in two days ago but I couldn’t walk well enough, so I just went home after a couple hours. And I didn’t go in yesterday. My boss was understanding, but I need to be able to work!

seem you really love your work

Empathize

03/21/21 8:56 AM EDT

Thanks for saying that.

Do you have other health problems?

Question

03/21/21 8:56 AM EDT

Um, the only things I know I’m diagnosed with are diabetes. And asthma.

when were you diagnosed with asthma?

Question

03/21/21 8:56 AM EDT

My doctor told me when I was pretty little… I think I was about two and a half? I used to have a lot of trouble with asthma attacks back then.

sorry about that

Empathize

03/21/21 8:57 AM EDT

Thanks.

when was your last asthma attack?

Question

03/21/21 8:57 AM EDT

It’s really rare for me to have an attack now. Three days ago I had some breathing problems, but I guess probably my last full attack was in high school.

how was your asthma in high school? (No matching questions found.)

Question

03/21/21 8:58 AM EDT

what happens when you have an asthma attack?

Question

03/21/21 8:59 AM EDT

I haven’t had an asthma attack in a while, but I used to get them growing up, and my chest would feel really tight, like I couldn’t take in air, and I would wheeze really bad and get all sweaty. It was way worse than now, especially because I would use my inhaler and it wouldn’t help. It was really scary.

sorry about that Ms. Tina

Empathize

03/21/21 9:00 AM EDT

I appreciate you saying that.

do you get tight chest?

Question

03/21/21 9:02 AM EDT

Well. . . when my asthma gets bad my chest feels pretty tight, like I can’t take in air.

sorry about that

Empathize

03/21/21 9:02 AM EDT

I appreciate you telling me that.

Do you have breathing difficulties? (Clarified to Do you have breathing problems?.)

Question

03/21/21 10:13 AM EDT

Well, my breathing’s been fine the last few days. But I do get short of breath sometimes, because of my asthma. (Clarified to if I have breathing problems.)

how is your wheezing?

Question

Tina Jones Health History shadow health transcript

I’m not wheezing right now . . . But I did wheeze a little bit a few days ago at my cousin’s house. I had to use my inhaler.

I understand. probably an allergy triggered the breathing problems

Educate

03/21/21 10:14 AM EDT

OK, I understand.

what do you use for your asthma?

Question

03/21/21 10:15 AM EDT

It’s just a regular Proventil inhaler.

how many times do you use the inhaler?

Question

03/21/21 10:15 AM EDT

I don’t use it every day. Maybe two or three times a week. Although I guess lately, once I have to use it once, sometimes I need it again that day.

what dose of proventil?

Question

03/21/21 10:16 AM EDT

I usually use two puffs from my albuterol inhaler — it’s 90 micgrograms a spray — but lately sometimes I need three puffs. [AUDIO COMING SOON]

always adhere to the prescribed dose

Educate

03/21/21 10:16 AM EDT

Sure, I think I understand what you mean.

have you been hospitalized because of asthma?

Question

03/21/21 10:17 AM EDT

I went a bunch of times when I was little, for asthma attacks. Tina Jones Health History shadow health transcript

Sorry about that

Empathize

03/21/21 10:27 AM EDT

Thanks for understanding.

what triggers your asthma attacks?

Question

03/21/21 10:28 AM EDT

Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven’t had a full asthma attack in years, though. Tina Jones Health History shadow health transcript

what happens when you are around cats?

Question

03/21/21 10:28 AM EDT

Whenever I’m around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up.

do you have latex allergies?

Question

03/21/21 10:28 AM EDT

Nope.

do you have food allergies?

Question

03/21/21 10:28 AM EDT

Nope, no food allergies that I know of. Tina Jones Health History shadow health transcript

Do you have medication allergy?

Question

03/21/21 10:29 AM EDT

Yeah, I’m allergic to penicillin.

are you allergic to dust?

Question

03/21/21 10:29 AM EDT

Well. . . I don’t know if it’s allergies, but sometimes my asthma acts up around dust. Tina Jones Health History shadow health transcript

are you allergic to pollen?

Question

03/21/21 10:29 AM EDT

Not that I’ve noticed.

are you allergic to mould? (Clarified to Are you allergic to bee stings?.)

Question

03/21/21 10:30 AM EDT

No, not that I know of. (Clarified to if I am allergic to bee stings.)

It is good to stay away from allergens

Educate

03/21/21 10:30 AM EDT

That makes sense.

what type of reaction do you have to penicillin?

Question

03/21/21 10:31 AM EDT

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. Tina Jones Health History shadow health transcript

what reaction do you have to dust?

Question

03/21/21 10:31 AM EDT

If I’m around a lot of dust, I can get sneezy, or I can start wheezing. Sometimes I get itchy eyes.

what other allergies do you have? Tina Jones Health History shadow health transcript

Question

03/21/21 10:31 AM EDT

Well, besides cats, I’m allergic to penicillin.

when were you diagnosed with diabetes?

Question

03/21/21 10:32 AM EDT

I was diagnosed when I was 24. Tina Jones Health History shadow health transcript

how do you treat diabetes?

Question

03/21/21 10:32 AM EDT

I just watch what I eat and try to stay away from sweets.

what type of diabetes do you have?

Question

03/21/21 10:33 AM EDT

It’s type 2.

what medication do you take for diabetes?

Question

03/21/21 10:33 AM EDT

I don’t take medicine for it anymore.

why did you stop taking diabetes medication?

Question

03/21/21 10:33 AM EDT

I just got sick of dealing with it!

it is not advisable to stop taking medication without consulting your physician

Educate

03/21/21 10:37 AM EDT

Alright, thanks for letting me know. Tina Jones Health History shadow health transcript

what diabetes medication were you taking?

Question

03/21/21 10:37 AM EDT

It was Metformin.

what dose of metformin?

Question

03/21/21 10:38 AM EDT

Honestly, I don’t remember what the dose was when I was taking it.

Did you have issues affording the metformin?

Question

03/21/21 10:38 AM EDT

I haven’t had trouble affording medication . . . Cost wasn’t really the issue with the metformin. I just got really sick of having to take it, and I hated the side effects. [AUDIO COMING SOON] Tina Jones Health History shadow health transcript

And it is good to know the prescribed dose

Educate

03/21/21 10:39 AM EDT

That makes sense.

how many times were you taking metformin?

Question

03/21/21 10:39 AM EDT

I think it was one pill, twice a day.

when did you stop taking metformin?

Question

03/21/21 10:39 AM EDT

About three years ago, honestly.

when did you start taking the metformin?

Question

03/21/21 10:40 AM EDT

When I was 24, right after I was first diagnosed.

how old are you now? Tina Jones Health History shadow health transcript

Question

03/21/21 10:40 AM EDT

I’m 28.

how do you mange your diabetes now?

Question

03/21/21 10:40 AM EDT

I just watch what I eat and try to stay away from sweets.

Great. diet plays a big role in managing diabetes

Educate

03/21/21 10:41 AM EDT

OK, I understand.

Describe your diet

Question

03/21/21 10:41 AM EDT

It’s pretty good, I think. I’m not a huge health nut or anything.

what did you have for dinner?

Question

03/21/21 10:41 AM EDT

Mom made baked chicken and mashed potatoes.

what did you have for lunch?

Question

03/21/21 10:42 AM EDT

I haven’t had lunch yet, it’s still the morning!

what is your typical dinner?

Question

03/21/21 10:42 AM EDT

The usual stuff. . . meatloaf, chicken, casseroles, pasta. . . stuff like that.

what is your typical breakfast?

Question

03/21/21 10:42 AM EDT

I’ll usually have a muffin or pumpkin bread from the cafe near my house.

It is good to have high intake of fruits and vegetables and avoid high caloris foods. Tina Jones Health History shadow health transcript.

Educate

03/21/21 10:45 AM EDT

Thanks for telling me.

Do you check your sugars?

Question

03/21/21 10:46 AM EDT

I have a monitor at home, but to be honest I don’t really use it that often. It’s such a hassle to check my blood sugar, and my diabetes is under control right now so I don’t really need to.

how often do you check your sugar levels?

Question

03/21/21 10:47 AM EDT

I don’t check it very often, honestly. . . I think the last time was about a month ago.

it is important to regularly monitor your sugar levels

Educate

03/21/21 10:47 AM EDT

Sure, I think I understand what you mean.

Do you take sodas? (Clarified to Are you currently on the pill?.)

Question

03/21/21 10:47 AM EDT

I used to take it when I was with my last boyfriend, but I don’t use it anymore. (Clarified to if I am on the pill.)

do you know how to use a monitor?

Tina Jones Health History shadow health transcript

Yeah, the doctor showed me how.

do you feel thrifty often?

Question

03/21/21 10:49 AM EDT

Not so great… My foot really hurts right now.

do you take a lot of water? (Clarified to Do you drink a lot of water?.)

Question

03/21/21 10:49 AM EDT

Yeah, I’ve been drinking tons of water lately. (Clarified to if I drink a lot of water.)

are you very thirsty? (Clarified to Do you get excessive thirst?.)

Question

03/21/21 10:49 AM EDT

You know, I did notice lately that I’ve been really thirsty. (Clarified to if I have been really thirsty lately.)

Do you have frequent urination?

Question

03/21/21 10:50 AM EDT

Yeah, but I’ve been drinking more water. Tina Jones Health History shadow health transcript

how many times do you urinate?

Question

03/21/21 10:50 AM EDT

I don’t know. Every hour or two when I’m awake?

does your urine seem different?

Question

03/21/21 10:51 AM EDT

I’ve been noticing I’ve been having to pee a lot more recently, but I think that’s just because I’m drinking more water than normal.

how many times do you urinate at night?

Question

03/21/21 10:51 AM EDT

I probably have to get up two or three times a night.

do you sweat at night?

Question

03/21/21 10:51 AM EDT

I don’t get sweaty, but sometimes I wake up hot and have to kick off my sheets.

high water intake and excessive thrist may indicate diabetes. have your sugar levels checked

Educate

03/21/21 10:52 AM EDT

That makes sense.

how is your appetite?

Question

03/21/21 10:52 AM EDT

My appetite’s been huge lately. . . I feel like I’m hungry all the time.

Any weight changes?

Question

03/21/21 10:52 AM EDT

Yeah, I’ve lost some weight recently.

what triggered weight loss?

Question

03/21/21 10:52 AM EDT

I don’t know what caused it, I just lost weight.

It is good to have your physical health checked

Educate

03/21/21 10:53 AM EDT

Thanks for telling me. Tina Jones Health History shadow health transcript

Do you have hypertension?

Question

03/21/21 10:53 AM EDT

No, I’ve never been diagnosed with blood pressure problems.

do you check your blood pressure regularly?

Question

03/21/21 10:54 AM EDT

I almost never check it. I mean, maybe twice a year I might? It’s not something I think about.

do you know your blood pressure range?

Question

03/21/21 10:54 AM EDT

It’s . . . oh, I don’t remember exactly because I never write it down. Let me try to remember . . . I feel like it’s usually around 140. And the bottom number is 80 or 90. I do know the last time in the ER it was something like 141/92. They said it was on the high side. [AUDIO COMING SOON]

The normal reading is 120/80. Yours is on hgiehr side and you need it monitored

Educate

03/21/21 10:54 AM EDT

Alright, thanks for letting me know.

Teen suicide contemporary issue essay

May 30, | nursing, med, NURS, Paper

Teen suicide contemporary issue essay
In a 500-word teen suicide contemporary issue essay paper, discuss how teen suicide is a contemporary issue in todays teens. Include the following in your submission:
Describe the contemporary issue and explain what external stressors are associated with this issue.

1.Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian. Teen suicide contemporary issue essay.

2.Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.

3.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Teen suicide contemporary issue essay.
 
Assessing Suicide Ideation and External Stressors in Today’s Teens and Exploring the Available Support Options
Introduction
Suicide among teens is one of the contemporary mental health issues that are facing society today. In fact, according to Jameson et al. (2018) it is (together with homicide and accidents) one of the “leading causes of age-specific mortality” in teens 15 to 19 years old (p. 26) Teen suicide contemporary issue essay. There is a multiplicity of factors that drive teens to want to commit suicide. These are the external stressors operating within the teens’ socio-economic environment (Cincinnati Children’s Hospital Medical Centre, 2019). This essay briefly looks at how to assess for this issue, the environmental stress factors causing it, and support measures that are available.
Assessment Strategies and External Stressors for Teen Suicide
Suicidal ideation is not something that the clinician can see and recognize just by looking at a teenager. Therefore, in order to discover these teenagers with these suicidal ideas some sort of screening has to be in place. Currently, there are several screening tools available to the psychiatric-mental health nurse practitioner (PMHNP) for this task. Some of the most prominent and commonly used of these tools are the Suicidal Ideation Questionnaire, Suicide Behaviors Questionnaire, Columbia Suicide Severity Rating Scale, and the Patient Health Questionnaire (PHQ-9) amongst others (Conn et al., 2017). These screening tools are normally comprehensive enough to ascertain whether the patient is at significant risk of suicide or not. However, there are also other additional supplemental questions that the PMHNP can ask to solidify the findings. These aim at finding out suicidal tendencies – both current and past. Some of these questions are like: “Have you attempted to end your life before? Did you halt the attempt yourself or someone stopped you? Do you currently have any plan for committing suicide? Teen suicide contemporary issue essay. Have you ever attempted to utilise the method you intend to use now before? What do you think will be the result of your actions?” and so on (Conn et al., 2017). After the findings of these screening measures are obtained, there are some ethical parameters that govern disclosure of the information to the parents as these are usually mostly minors. Some of these bioethical principles are beneficence, nonmaleficence, and justice (Encyclopedia.com, 2016). Beneficence dictates that whatever we disclose to the teen’s parents must bring only good, while nonmaleficence says that the disclosure should not bring the teen any ‘harm’ (like being denied some favors by the parent). If the disclosure will help in preventing the teen from committing suicide (harm), it will also fall under nonmaleficence. Lastly, the principle of justice requires that the teen be treated fairly and be assisted to find inner peace.
Some of the external stress factors that may lead the teen to feel like committing suicide are the day-to-day socio-economic situations and tests in life. These include peer push to conform, pressure by parents to do well in school, dysfunction in the family like domestic violence or divorce, fiscal challenges at home, sexual abuse or molestation (like bullying) amongst others (Cincinnati Children’s Hospital Medical Centre, 2019). Teen suicide contemporary issue essay.
Support Alternatives Available for Teen Suicidal Ideation and Planning
            There are several support avenues available for teens that suffer from suicidal ideation and planning. These include hotlines that one can call if they suspect a teen of being suicidal, or are suicidal themselves. A counsellor is normally on the other end to offer support. Others are group psychotherapy with teens with a similar problem. In group psychotherapy, the therapeutic factor of universality (knowing that they are not alone with the problem) is important. Then there are also resources for educating the family on how to cope (Conn et al., 2017). However, specific measures for teen suicide include existential counselling and Dialectical Behavior Training or DBT (Corey, 2017).

References
Cincinnati Children’s Hospital Medical Centre (2019). Common pressures that can cause stress in teens. Retrieved 4 September 2019 from https://www.cincinnatichildrens.org/service/s/surviving-teens/stressors
Conn, B.M., Sherer, S. & Yohan, T. (2017). Suicide risk and assessment among adolescents and young adults.  Retrieved 4 September 2019 from Teen suicide contemporary issue essay
Corey, G. (2017). Theory and practice of counselling and psychotherapy, 10th ed. Boston, MA: Cengage Learning.
Encyclopedia.com (2016). Principlism. Retrieved from https://www.encyclopedia.com/science/encyclopedias-almanacs-transcripts-and-maps/principlism
Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., & Loscalzo, J. (Eds) (2018). Harrison’s principles of internal medicine, 20th ed. New York, NY: McGraw-Hill Education. Teen suicide contemporary issue essay