Eric Ford Schizophrenia Shadow health
Eric Ford Schizophrenia Shadow health
Transcript
Started: Jun 04, 2022 | Total Time: 294 min
All Lines (97)Interview Questions (65)Statements (12)Exam Actions (20)
Hello. My name is xxx. I will interview and examine you
Greet
07/02/22 4:36 AM EDT
Hey there.
While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford Schizophrenia Shadow health
Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
What brings you to the hospital today?
Question
07/02/22 4:41 AM EDT
Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
Can I ask who is telling you that your life is almost over?
Question
07/02/22 4:44 AM EDT
I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
Question
07/02/22 4:45 AM EDT
Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
Question
07/02/22 4:46 AM EDT
I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
.
Educate
07/02/22 4:48 AM EDT
That’s an interesting way of putting it, but yeah, I agree.
.
Educate
07/02/22 4:48 AM EDT
OK, I’m following.
.
Educate
07/02/22 4:48 AM EDT
Yeah. I think that should be good.
.
Educate
07/02/22 4:48 AM EDT
Let’s do it.
hello
Greet
07/02/22 5:01 AM EDT
Hey there.
Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
What brings you to the hospital today?
Question
07/02/22 5:12 AM EDT
Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
Can I ask who is telling you that your life is almost over?
Question
07/02/22 5:24 AM EDT
I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
Question
07/02/22 5:26 AM EDT
Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
Question
07/02/22 5:27 AM EDT
I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
When did your symptoms begin?
Question
07/02/22 5:32 AM EDT
This week they’ve been loud, and harsh. They kept telling me to do things I didn’t want to. I just wanted to make them stop so badly, it’s scary when it’s your own head, you know? I just wanted to make them stop… I got help before and the voices quieted down. But they got worse over this past week.
Can you describe your symptoms??
Question
07/02/22 5:33 AM EDT
I hear voices, like people talking to me and whispering at me. They were under control for a while, really, but they got louder and louder so my mom brought me in here to get some help, that’s all I really want.
What makes your symptoms worse?
Question
07/02/22 5:37 AM EDT
Solitude. Being alone in my brain train.
What are your coping strategies?
How often do you drink?
Question
07/02/22 9:07 AM EDT
Not regularly, and only if I’m with my friends.
Assessed vitals
Exam Action
07/02/22 9:08 AM EDT
Auscultated breath sounds
Exam Action
07/02/22 9:09 AM EDT
Auscultated heart sounds Eric Ford Schizophrenia Shadow health
Exam Action
07/02/22 9:09 AM EDT
Inspected interior of arms and wrists: no visible abnormalities
Exam Action
07/02/22 9:16 AM EDT
Inspected facial and oral movements: normal
Exam Action
07/02/22 9:48 AM EDT
Inspected upper extremities for involuntary movement: normal
Exam Action
07/02/22 9:48 AM EDT
Inspected lower extremities for involuntary movement: normal
Exam Action
07/02/22 9:49 AM EDT
Inspected torso for involuntary movement: normal
Exam Action
07/02/22 9:50 AM EDT
Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care
Exam Action
07/02/22 12:23 PM EDT
Assessed attitude: suspicious, guarded, or evasive
Exam Action
07/02/22 12:23 PM EDT
Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation
Exam Action
07/02/22 12:23 PM EDT
Assessed mood and affect: stable mood, but affect is blunted or flat
Exam Action
07/02/22 12:24 PM EDT
Assessed thought process: “word salad” or clanging associations present
Exam Action
07/02/22 12:24 PM EDT
Assessed thought content: presence of suicidal ideation and auditory hallucinations
Exam Action
07/02/22 12:24 PM EDT
Confirmed orientation
Exam Action
07/02/22 12:24 PM EDT
What is your name and date of birth?
Question
07/02/22 12:26 PM EDT
My name is Eric Ford and my date of birth is . . . [Mr. Ford reports his correct date of birth.]
What building are you in now? Eric Ford Schizophrenia Shadow health
Question
07/02/22 12:27 PM EDT
We’re in the hospital.
What is the date and year?
Question
07/02/22 12:28 PM EDT
It’s . . . [Mr. Ford reports the correct date and year.]
Assessed cognition
Exam Action
07/02/22 12:31 PM EDT
Count backwards from 100 by 7 until you get to the 60s.
Question
07/02/22 12:31 PM EDT
100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)
Assessed cognition
Exam Action
07/02/22 12:32 PM EDT
How are apples and oranges alike?
Question
07/02/22 12:36 PM EDT
Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health
How are a lake and an ocean alike?
Question
07/02/22 12:36 PM EDT
You can swim in both of them.
How are a trumpet and a flute alike?
Question
07/02/22 12:37 PM EDT
You have to blow into both of them.
Assessed cognition
Exam Action
07/02/22 12:37 PM EDT
Repeat and remember burger, tulip, nose, and tea.
Question
07/02/22 12:39 PM EDT
Burger, tulip, nose and tea.
How did you celebrate your last birthday?
Question
07/02/22 12:41 PM EDT
I went to a concert with some friends.
Repeat the four words from before.
Question
07/02/22 12:41 PM EDT
Burger, tulip, nose, and tea.
Copy the shapes exactly as you see them.
Question
07/02/22 12:42 PM EDT
OK . . .
Assessed insight: demonstrates awareness of illness and willingness to seek treatment
Exam Action
07/02/22 12:42 PM EDT
Assessed judgment: demonstrates good judgment
Exam Action
07/02/22 12:43 PM EDT
What would you do if you found a stamped envelope on your sidewalk?
Question
07/02/22 12:44 PM EDT
I would put it in the mail box.
It is evident that you have trouble coping with schizophrenia
Educate
07/02/22 1:38 PM EDT
That’s an interesting way of putting it, but yeah, I agree.
We will discuss the resources you can use to better your mental health
Educate
07/02/22 1:40 PM EDT
OK, I’m following. Eric Ford Schizophrenia Shadow health
