Abigail Harris Depression shadow health transcript
Abigail Harris Depression shadow health transcript
Hell. I am xxxx, I will interview you and later conduct a physical exam
Greet
06/02/22 7:44 AM EDT
Hey.
What brings you here today?
Question
06/02/22 7:47 AM EDT
My son brought me in today on account of my exhaustion. I’ve been feeling very weak and very tired. Most mornings I don’t really feel like getting out of bed.
Am sorry about that
Empathize
06/02/22 7:48 AM EDT
I’m grateful for that.
How long have you had your symptoms?
Question
06/02/22 7:49 AM EDT
I’ve lived with my diabetes for 36 years.
How long have you been feeling exhausted and weak? (Clarified to How long have you been feeling fatigued?.)
Question
06/02/22 7:50 AM EDT
I’ve been tired for quite a while, but I’ve always been able to go about my day alright until about a month ago. It’s been getting worse this last week too… some mornings I just stay in bed. I guess I’m just slowing down more and more, should be expected at my age I suppose Abigail Harris Depression shadow health transcript . (Clarified to how long I have been fatigued.)
Do you feel fatigued everyday? (Clarified to When are you most tired?.)
Question
06/02/22 7:54 AM EDT
I’ve been exhausted in the morning for almost every day for the past month. This week I’ve been feeling more tired with every day. I do feel a bit more lively in the afternoon, though. (Clarified to when I am most tired.)
What worsens your symptoms?
Question
06/02/22 8:04 AM EDT
It’s worse in the morning, I suppose but there’s nothing that specifically makes me feel more tired, I just am. From the moment I open my eyes, I’m spent.
Have you lost interest in daily activities? (Clarified to Do you take interest in activities?.)
Question
06/02/22 8:05 AM EDT
My interests haven’t really changed, I just haven’t really felt like doing any of them. (Clarified to if I take interest in activities.)
Do you take pleasure in things that you typically would? (Clarified to Do you not find pleasure in things you used to like?.)
Question
06/02/22 8:12 AM EDT
Yes, I no longer feel like really enjoy too much anymore. Going to church, seeing my friends, even family dinner hasn’t seemed as nice as it used to. I’m not sure why, it’s just how I feel. (Clarified to if I do not find pleasure in things I used to like.)
What relieves your symptoms?
Question
06/02/22 8:13 AM EDT
All I want to do when I feel tired is just lie down. It’s what feels best when I get like that.
Do you feel depressed?
Question
06/02/22 8:16 AM EDT
Well, I’ve been diagnosed with depression, but I wouldn’t really say I feel particularly sad. I just can’t seem to get interested in anything anymore, and the more I think about it the worse I feel about myself. Some days, I feel like I’d be better off just not waking up one morning.
Any sleep problems?
Question
06/02/22 8:16 AM EDT
I’ll generally have a little trouble falling asleep and staying like that. I think my doctor called it mild insomnia.
How often do you experience low energy?
Question
06/02/22 8:17 AM EDT
I’ve been exhausted in the morning for almost every day for the past month. This week I’ve been feeling more tired with every day. I do feel a bit more lively in the afternoon, though.
How is your appetite?
ORDER SHADOW HEALTH OR ASSIGNMENT HELP HERE
Question
06/02/22 8:18 AM EDT
My appetite has been quite small lately, I’ll usually just have something small more days than not.
Do you feel guilty?
Question
06/02/22 8:19 AM EDT
Well I feel guilty for not really making it out to church… or anywhere for that matter. It’s quite embarrassing to think what it must seem like to all of them.
Do you feel bad about yourself?
Question
06/02/22 8:19 AM EDT
Frankly, I feel guilty. Guilty and embarrassed, hiding away from the world like I do, stuck in bed.
Any changes in your concentration?
Question
06/02/22 8:20 AM EDT
Yes, I’ve been having quite a hard time concentrating actually.
Any changes in speed with moving or eating?
Question
06/02/22 8:21 AM EDT
Not that I’ve noticed, no.
Any suicidal ideation?
Question
06/02/22 8:21 AM EDT
No, no. It’s not like that. I’ve never wanted to hurt myself before, it’s just. . . if this is it, then I don’t want to have to live with it year in and year out. It’s exhausting.
Am sorry about that
Empathize
06/02/22 8:23 AM EDT
Its nice to hear you get it.
Any other health problems?
Question
06/02/22 8:25 AM EDT
I don’t really have anything else. Just the diabetes, depression, and my thyroid.
Any allergies?
Question
06/02/22 8:25 AM EDT
I’ve never had any trouble with allergies, no.
Any medication allergies?
Question
06/02/22 8:26 AM EDT
I don’t have medication allergies.
I have a little farsightedness, but Doctor Williams told me that was normal for someone my age. I have some glasses I use for reading to take care of it anyway.
Any hearing problems?
Question
06/02/22 8:57 AM EDT
My hearing definitely isn’t as good as it used to be, but my doctor says that’s normal.
Any cough?
Question
06/02/22 8:57 AM EDT
I haven’t been coughing more than normal, no.
Any shortness of breath?
Question
06/02/22 8:57 AM EDT
No, I don’t feel like I have any breathing problems right now. But if I walk for too long or go too fast, I’ll get a little short of breath.
Any chest pain?
Question
06/02/22 8:58 AM EDT
No, I haven’t had any chest pain.
Any palpitations?
Question
06/02/22 8:58 AM EDT
I don’t have to worry about palpitations. I never have had them.
I’ve been constipated occasionally for the past month. I’ve only been able to go once every two or three days, and even then I have to strain.
Any joint pain?
Question
06/02/22 9:09 AM EDT
It doesn’t seem all that serious to me but my joints have been a bit achy. I’m not taking any medication for them, but I do try to rest them when I can.
Any recent injury?
Question
06/02/22 9:10 AM EDT
No, no recent injuries. I’ve been taking it as easy as I can for the most part these days.
How would you describe your joint pain?
Question
06/02/22 9:11 AM EDT
It’s just an aching pain in my joints. It’s gotten a little worse over the last few weeks… I haven’t taken anything for it though.
Any dizziness?
Question
06/02/22 9:11 AM EDT
I wouldn’t say I’m particularly dizzy right at this moment, but I have been lately. I usually feel it in the mornings when I get up. Abigail Harris Depression shadow health transcript
How do you manage your diabetes?
Question
06/02/22 9:12 AM EDT
I have an insulin regimen that my son helps me with. I usually take some of it with meals, but I haven’t been very hungry so I just take it around those times.
To better manage your diabetes, you need a proper diet, medication, and exercise
Educate
06/02/22 9:15 AM EDT
Oh, okay. Thank you.
Do you think your age has contributed to your symptoms? (No matching questions found.)
Question
06/02/22 9:17 AM EDT
Are your symptoms associated with your age? (No matching questions found.)
Question
06/02/22 9:18 AM EDT
Assessed vitals
Exam Action
06/02/22 9:18 AM EDT
Assessed IV bag
Exam Action
06/02/22 9:36 AM EDT
Assessed IV pump Abigail Harris Depression shadow health transcript
Exam Action
06/02/22 9:40 AM EDT
Assessed IV site
Exam Action
06/02/22 9:45 AM EDT
Assessed blood glucose: preprandial and hypoglycemic
Exam Action
06/02/22 10:05 AM EDT
Assessed urine quality
Exam Action
06/02/22 10:05 AM EDT
Do you feel safe in your house?
Question
06/02/22 10:06 AM EDT
I feel quite safe at home. My son and his family treat me well, and I love being so close with my grandkids.
Inspected eyes
Exam Action
06/02/22 10:06 AM EDT
Inspected mouth
Exam Action
06/02/22 10:06 AM EDT
Inspected front of neck
Exam Action
06/02/22 10:06 AM EDT
Inspected abdomen
Exam Action
06/02/22 10:07 AM EDT
Inspected front of right hand
Exam Action
06/02/22 10:07 AM EDT
Inspected front of left hand Abigail Harris Depression shadow health transcript
Exam Action
06/02/22 10:07 AM EDT
Inspected front of legs
Exam Action
06/02/22 10:07 AM EDT
Inspected feet: Skin intact on dorsal and plantar surfaces bilaterally, no evidence of breakdown
Exam Action
06/02/22 10:07 AM EDT
Inspected left shoulder and neck
Exam Action
06/02/22 10:07 AM EDT
Inspected top of left hand
Exam Action
06/02/22 10:07 AM EDT
Inspected left leg
Exam Action
06/02/22 10:07 AM EDT
Inspected left foot: Skin of left foot intact, no evidence of breakdown
Exam Action
06/02/22 10:07 AM EDT
Inspected upper back and neck
Exam Action
06/02/22 10:07 AM EDT
Inspected lower back
Exam Action
06/02/22 10:07 AM EDT
Inspected left palm
Exam Action
06/02/22 10:07 AM EDT
Inspected right palm
Exam Action
06/02/22 10:07 AM EDT
Inspected back of legs
Exam Action
06/02/22 10:08 AM EDT
Inspected back of feet: Skin intact on heels bilaterally, no evidence of breakdown
Exam Action
06/02/22 10:08 AM EDT
Inspected right shoulder and neck
Exam Action
06/02/22 10:08 AM EDT
Inspected top of right hand
Exam Action
06/02/22 10:08 AM EDT
Inspected right leg
Exam Action
06/02/22 10:08 AM EDT
Inspected right foot: Skin of right foot intact, no evidence of breakdown
Exam Action
06/02/22 10:08 AM EDT
Inspected back of feet: Skin intact on heels bilaterally, no evidence of breakdown
Exam Action
06/02/22 10:08 AM EDT
Auscultated carotids
Exam Action
06/02/22 10:09 AM EDT
Auscultate breath sounds
Exam Action
06/02/22 10:09 AM EDT
Auscultate heart sounds
Exam Action
06/02/22 10:09 AM EDT
Palpated thyroid: No palpable abnormalities and no tenderness reported
Exam Action
06/02/22 10:10 AM EDT
Tested fine motor skills
Exam Action
06/02/22 10:10 AM EDT
Tested grip strength
Exam Action
06/02/22 10:10 AM EDT
Tested skin turgor
Exam Action
06/02/22 10:10 AM EDT
Tested capillary refill
Exam Action
06/02/22 10:11 AM EDT
Tested gait: no hesitancy, steps are continuous, no sway, heels set apart, and less than 12 seconds to complete
Exam Action
06/02/22 10:11 AM EDT
Assessed general appearance: No eye contact, upright posture, clean clothing, and demonstrates appropriate level of grooming.
Exam Action
06/02/22 10:11 AM EDT
Assessed attitude toward medical staff: open and cooperative
Exam Action
06/02/22 10:12 AM EDT
Assessed speech: expected rate of speech, soft speech volume, and no appreciable issues with articulation
Exam Action
06/02/22 10:12 AM EDT
Assessed mood and affect: stable mood, but affect is blunted or flat
Exam Action
06/02/22 10:12 AM EDT
Assessed thought process: no presence of thought disturbances
Exam Action
06/02/22 10:12 AM EDT
Assessed thought content Abigail Harris Depression shadow health transcript
Exam Action
06/02/22 10:12 AM EDT
Confirmed orientation
Exam Action
06/02/22 10:13 AM EDT
What is your name and date of birth?
ORDER SHADOW HEALTH OR ASSIGNMENT HELP HERE
Question
06/02/22 10:13 AM EDT
Abigail Harris and my date of birth is . . . [Ms. Harris reports her correct date of birth.] Abigail Harris Depression shadow health transcript
What building are you in now?
Question
06/02/22 10:14 AM EDT
We’re in the hospital — Shadow General.
What is the date and year?
Question
06/02/22 10:14 AM EDT
Yes, it’s . . . [Ms. Harris reports the correct date and year.]
Assessed cognition
Exam Action
06/02/22 10:14 AM EDT
Count backwards from 100 by 7 until you get to the 60s.
Question
06/02/22 10:15 AM EDT
Goodness. Well … 100, 93, 86, 79… [Ms. Harris finishes the sequence]
Assessed cognition
Exam Action
06/02/22 10:16 AM EDT
How are apples and oranges alike?
Question
06/02/22 10:17 AM EDT
Those are both fruits.
How are a lake and ocean alike?
Question
06/02/22 10:17 AM EDT
Those are both bodies of water.
How are a trumpet and a flute alike?
Question
06/02/22 10:18 AM EDT
Those are both instruments.
Assessed cognition
Exam Action
06/02/22 10:18 AM EDT
Repeat and remember burger, tulip, nose, and tea
Question
06/02/22 10:19 AM EDT
Burger, tulip, nose and tea. OK.
How did you celebrate your last birthday? Abigail Harris Depression shadow health transcript
Question
06/02/22 10:19 AM EDT
I celebrated with my son’s family — my daughter-in-law prepared a nice meal and baked a lovely cake with my grandchildren.
Repeat the four words from before.
Question
06/02/22 10:20 AM EDT
Burger, tulip, nose, and tea.
Copy the shapes exactly as you see them.
Question
06/02/22 10:21 AM EDT
OK, I’ll try.
Assessed insight: demonstrates awareness of illness and willingness to seek treatment
Exam Action
06/02/22 10:21 AM EDT
Assessed judgment: demonstrates good judgment
Exam Action
06/02/22 10:21 AM EDT
What would you do if you found a stamped envelope on the sidewalk?
Question
06/02/22 10:22 AM EDT
Well, if anyone was around, I suppose I would ask if they dropped the envelope. If not, I would try to find a post box.
