NSG 516 Gastrointestinal Completed Shadow Health 1 (NSG516)

Exam (elaborations) NSG 516 Gastrointestinal Completed Shadow Health 1 (NSG516) Gastrointestinal Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Your Results Reopen Lab Passss This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 84.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Patient: Tina Jones Digital Clinical Experience Score 99.3% Beginning Developing Proficient Subjective Data Collection 30 out of 30 Objective Data Collection 17 out of 18 Education and Empathy 2 out of 4 Interaction with patient 59 minutes Post-exam activities 8 minutes Time 67 minutes total spent in assignment Student Performance Index 49 out of 52 Proficiency Level: Proficient Students rated as “proficient” demonstrate an entrylevel expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient practitioner. Started: Mar 09, 2019 | Patient Exam Time: 59 min Transcript Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Self-Reflection Student Survey Experience Overview Allll Liiness (()) IIntterrvviiew Quessttiionss ((7733)) Sttattementtss ((1133)) Exxam Acttiionss ((5599)) Greet 03/09/19 9:51 AM EST Question 03/09/19 9:51 AM EST Empathize 03/09/19 9:52 AM EST Question 03/09/19 9:52 AM EST Question 03/09/19 9:52 AM EST Question 03/09/19 9:52 AM EST Empathize 03/09/19 9:53 AM EST Question 03/09/19 9:53 AM EST Hii Tiina,, II am JJulliiana,, tthe nurrsse prracttiittiionerr ssttudentt.. II wiillll iintterrvviiew and exxamiine yyou ttodayy.. Niice sseeiing yyou agaiin.. Hey. Whatt brriingss yyou iin? I've been having this stomach pain for awhile. It keeps coming back, and it really is starting to bother me. Sorrrryy tto hearr yyou arre havviing ttrroublle wiitth ssttomach paiin.. Lett;;ss ssee iiff we can fifigurre outt whatt tthe prrobllem iiss.. Thanks for saying that. When diid tthe ssttomach paiin ssttarrtt? Probably at least a month ago. Maybe longer. It started out really minor so it took me awhile to realize it was getting bad. Can yyou desscrriibe tthe ssttomach paiin? Um, it feels like heartburn. But sometimes, if it's bad, it's sharper than that. Doess anyytthiing makke tthe paiin worrsse? Eating seems to cause it. Oh,, whatt a burrden!! Hopeffullllyy yyou arre nott exxperriienciing iitt allll tthe ttiime!! I appreciate you telling me that. Do grreassyy ffoodss makke tthe paiin worrsse? Question 03/09/19 9:53 AM EST Question 03/09/19 9:53 AM EST Question 03/09/19 9:54 AM EST Question 03/09/19 9:54 AM EST Empathize 03/09/19 9:54 AM EST Question 03/09/19 9:55 AM EST Question 03/09/19 9:55 AM EST I don't think so. Whatt makkess tthe paiin worrsse? Eating seems to cause it. Whatt makkess tthe ssttomach paiin betttterr? I feel the best in-between meals. And sitting up on the couch seems to help. And sometimes I take an antacid. How offtten do yyou ttakke anttaciidss? I take them every few days. Just if the heartburn gets bad. How much do anttaciidss hellp? Yeah, they help. I try to only take them when the pain seems worse than usual. II am gllad tto hearr yyou arre ablle tto gett ssome rrelliieff ffrrom tthe anttaciidss Thanks. Doess tthe ssttomach paiin rradiiatte? No, it's right in the center of my stomach, like between my belly button and my ribs. How offtten do yyou gett ssttomach paiin? It started really gradually, so I didn't notice for awhile that it was happening more and more often. Now it's like, every day. Empathize 03/09/19 9:55 AM EST Question 03/09/19 9:55 AM EST Question 03/09/19 9:56 AM EST Question 03/09/19 9:56 AM EST Empathize 03/09/19 9:56 AM EST Question 03/09/19 9:57 AM EST Question 03/09/19 9:59 AM EST IItt musstt be harrd tto havve tto deall wiitth ssttomach paiinss daiillyy.. I appreciate you saying that. How llong doess tthe paiin llasstt? For a few hours after I eat. How woulld yyou rratte tthe ssttomach paiin ffrrom 0--10? Right now, it's like a 1 or 2. But after I eat, it's like a. . . 5? How llong doess tthe ssttomach paiin llasstt? For a few hours after I eat. A daiillyy paiin off 5//10 iiss a llott tto deall wiitth.. Thanks for understanding. Doess tthe paiin iintterrfferre wiitth yyourr lliiffe? ((Cllarriifified tto Hass tthe paiin affffectted yyourr ussuall acttiivviittiiess?..)) Not too much. I'm still able to do everything with work and school. But it affects the way I eat -- I haven't wanted to eat much, because I feel like it's gonna hurt if I eat the wrong thing, or if I eat too much at one time. (Clarified to if my pain has affected my activities.) Whatt ffoodss makke iitt worrsse? Question 03/09/19 9:59 AM EST Empathize 03/09/19 10:00 AM EST Question 03/09/19 10:00 AM EST Empathize 03/09/19 10:01 AM EST Educate 03/09/19 10:01 AM EST Question 03/09/19 10:01 AM EST Question 03/09/19 10:02 AM EST Definitely spicy food. I stopped eating anything spicy. And any really big meal makes it hurt worse. How doess tthe ssttomach paiin affffectt yyourr appettiitte? Yes. Every time I eat it hurts. I've been eating less because I don't like being in pain. II am ssurrprriissed yyou havventt llosstt morre weiightt.. Lettss come up wiitth a pllan tto addrressss iitt Thanks for saying that. Hass tthe ssttomach paiin caussed weiightt llossss? Yeah, I've been trying to eat really little meals. I haven't been that hungry, and I don't want to have the pain of eating a big meal. II compllettellyy underrssttand.. Thanks for understanding. Eattiing ssmallllerr meallss and makkiing ssome diiett modiifificattiionss can hellp wiitth tthesse ssyympttomss.. That makes sense. Havve yyou llosstt weiightt? No, I don't think so. Havve yyou been burrpiing llattellyy? Yeah, that's been happening after I eat. Question 03/09/19 10:02 AM EST Question 03/09/19 10:02 AM EST Question 03/09/19 10:02 AM EST Question 03/09/19 10:02 AM EST Question 03/09/19 10:02 AM EST Question 03/09/19 10:03 AM EST Question 03/09/19 10:03 AM EST DO yyou havve anyy allllerrgiiess? Yeah, I'm allergic to cats. Whatt iiss yyourr rreacttiion tto catt allllerrgiiess? Whenever I'm around cats, I start sneezing, my eyes get itchy. . . and my asthma starts to act up. Do yyou havve mediicattiion allllerrgiiess? Yeah, I'm allergic to penicillin. Whatt iiss yyourr rreacttiion tto peniiciilllliin? 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. Do yyou havve anyy ttrroublle brreatthiing? Well, I have asthma, but I haven't had much trouble with it. With my inhaler, it's under control. Whatt mediicattiionss do yyou currrrenttllyy ttakke? I have a daily inhaler. And I've been taking antacid chews sometimes for my stomach, too. Do yyou ttakke anyy ottherr ovverr tthe countterr mediicattiionss? No, the only thing lately has been those antacid chews. How offtten do yyou usse tthe anttaciid chewss Question 03/09/19 10:03 AM EST Question 03/09/19 10:04 AM EST Question 03/09/19 10:04 AM EST Question 03/09/19 10:04 AM EST Question 03/09/19 10:05 AM EST Empathize 03/09/19 10:05 AM EST Question 03/09/19 10:05 AM EST I take them every few days. Just if the heartburn gets bad. Do yyou drriinkk allcoholl? Not lately, but I do every so often. How much allcoholl do yyou drriinkk perr montth? I only go out 2 or 3 times a month at the most. I haven't been out in a couple weeks. How manyy drriinkkss do yyou havve perr montth? We're talking, like... maybe twice a month, I meet up with friends and have 2 to 3 drinks. That's like, 6 a month. And I haven't had a drink in at least 2 weeks. DO yyou ssmokke? No, I've never smoked a cigarette in my life. Good fforr yyou!! Thanks. Do yyou usse rrecrreattiionall drrugss? Yeah, in high school and a little after that I smoked pot sometimes. But I haven't done anything like that in a long time. Question 03/09/19 10:05 AM EST Question 03/09/19 10:06 AM EST Question 03/09/19 10:06 AM EST Question 03/09/19 10:06 AM EST Question 03/09/19 10:06 AM EST Question 03/09/19 10:07 AM EST Question 03/09/19 10:07 AM EST Do yyou havve a hiissttorryy off gassttrroiinttessttiinall prrobllemss? I don't have a history of gastrointestinal problems. I've never experienced this before. [AUDIO COMING SOON] Arre yyou conssttiipatted? I don't have that problem. Do yyou havve rregullarr bowell movvementtss? Um, I don't go every day... I probably go every two days. That's normal for me. Do yyou havve rregullarr urriinattiion? Well. . . I would say I've been peeing a lot more lately. When diid yyou ssttarrtt peeiing a llott morre? I guess it started. . . maybe a few months? But I've been drinking a lot more water, too. Havve yyou been morre tthiirrssttyy? You know, I did notice lately that I've been really thirsty. When diid yyou llasstt havve a bowell movvementt? I haven't gone yet today, but I did last night. Question 03/09/19 10:07 AM EST Question 03/09/19 10:08 AM EST Question 03/09/19 10:08 AM EST Question 03/09/19 10:08 AM EST Question 03/09/19 10:08 AM EST Question 03/09/19 10:08 AM EST Empathize 03/09/19 10:09 AM EST Question 03/09/19 10:09 AM EST Do yyou havve lloosse ssttoollss? No. Do yyou havve bllood iin tthe ssttoollss? Um, no. Havve yyou had diiarrrrhea? No. Havve yyou had a llott off gass? ((Cllarriifified tto Do yyou ffeell gassssyy?..)) No. (Clarified to if I am gassy.) Do yyou ffeell nausseouss? No, I'm fine. Do yyou ffeell diizzzzyy? No, I'm not dizzy but I feel pretty crappy. II am ssorrrryy tto hearr yyou ffeell tthiiss wayy!! I appreciate you saying that. Do yyou havve rregullarr perriiodss? Question 03/09/19 10:09 AM EST Question 03/09/19 10:09 AM EST Question 03/09/19 10:09 AM EST Question 03/09/19 10:10 AM EST Question 03/09/19 10:10 AM EST Question 03/09/19 10:10 AM EST