Tina Jones Cardiovascular Shadow Health

Tina Jones Cardiovascular Shadow Health

Education & Empathy: 4 of 5 (80.0%)

During the patient interview, there are various opportunities to offer patient education and empathy. The following opportunities have been identified by nursing experts as particularly important for this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

• Opportunities marked as Not Encountered are situations that did not arise during the interview.
• Opportunities marked as Not Followed Up are instances where there were missed opportunities in the interview, but no statements were made.
• Opportunities marked as Followed Up were addressed by students and include the dialogue between the student and the patient.

1 Symptoms
Followed Up

Description: Tina describes the symptoms bothering her.

Question 10:45 PM MDT
Tina Jones

“I’ve been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don’t want to ignore heart stuff, I guess.”

Model Statement: “I’m sorry to hear you’re experiencing those symptoms; they can be very uncomfortable. I’ll ask you some questions to learn more about your symptoms, and we will try to determine what’s causing you to feel this way.”

NURS 6512n Week 3 – Digital Clinical Experience Orientation – Patient: Tina Jones

2 Hypertension
Not Followed Up

Description: Tina shows signs of hypertension and has a strong family history of the disease but hasn’t taken any action.

Question 10:51 PM MDT
Tina Jones

“…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.”

Model Statement: “A family history of hypertension means that you may be at risk for developing it too, and you’ve had some high blood pressure readings. Keeping your blood pressure low is important to avoid health problems in the future with your heart and other organs.”

3 Stress
Followed Up

Description: Tina describes being busy, anxious, and stressed out.

Question 12:38 AM MDT
Tina Jones

“Oh, geez. This whole year has been… I mean, it’s been the most stress I’ve had in my life. Right now our biggest worry is money since, you know, this whole year we haven’t had Dad’s income. School can be stressful too. Well, I guess it keeps me busy, but it’s only bad when I have a lot of tests, like mid-terms or finals.”

Model Statement: “Sounds like you’re working really hard. I’m sorry you’re dealing with so much stress.”

4 Caffeine
Followed Up

Description: Tina consumes a high level of caffeine and doesn’t stay hydrated with water.

Question 12:37 AM MDT
Tina Jones

“I’ve been having one every morning over the past month or so. A few times I’ve had two.”

Model Statement: “Drinking high levels of caffeine can make you feel stressed or anxious and can dehydrate you. Over time, lots of caffeine can make you experience ‘crashes’ during the day, too. Let’s talk about healthy alternatives.”

5 Exercise
Followed Up

Description: Tina does not engage in regular exercise.

Question 12:54 AM MDT
Tina Jones

“I’m pretty exhausted by the end of the day, so I don’t have the energy to do any extra exercise. But I’m on my feet all the time at work, so I feel like that’s a little bit of exercise most days at least.”

Model Statement: “I understand being busy and having very little free time. However, exercise is healthy for you and can even relieve stress. Even small amounts of exercise, such as taking a short walk, can improve your health.”