Tina Jones Respiratory Shadow Health Transcript

Transcript
Started: Jul 22, 2022 | Total Time: 168 min

Your Avatar:
Hello, Ms. Jones, I’m xx, and I will be conducting your examination today.

Greet
07/22/22 1:55 PM MDT

Tina Jones:
Hey.

Your Avatar:
Can you please confirm your name and date of birth?

Question
07/22/22 1:55 PM MDT

Tina Jones:
My name is Tina Jones, and my birthday is February 17th.

Your Avatar:
What brings you here today?

Question
07/22/22 1:56 PM MDT

Tina Jones:
I came in because I’ve been experiencing breathing problems, and my inhaler doesn’t seem to be as effective as usual.

Career Goals: Strengths and Challenges Related to Nursing Practice Competencies

Your Avatar:
I’m sorry to hear that.

Empathize
07/22/22 1:56 PM MDT

Tina Jones:
Thanks for understanding.

Your Avatar:
Can you please describe what’s happening with your inhaler?

Question
07/22/22 1:57 PM MDT

Your Avatar:
Could you describe the breathing difficulties you’re facing?

Question
07/22/22 1:57 PM MDT

Tina Jones:
It feels like it’s been difficult to breathe, my chest feels tight, and I’ve been wheezing. I’ve had to use my inhaler frequently, but it doesn’t provide complete relief.

Your Avatar:
Do you know what triggered your recent asthma problems?

Question
07/22/22 1:58 PM MDT

Tina Jones:
This all began at my cousin’s house. She has cats, and I’m allergic to them, so my asthma typically flares up when I’m there.

Your Avatar:
When did your most recent asthma exacerbation occur?

Question
07/22/22 1:59 PM MDT

Tina Jones:
The last time I had significant trouble breathing was early this morning, but it’s been ongoing for the past two days.

Your Avatar:
How many puffs of your inhaler do you use when your asthma symptoms worsen?

Question
07/22/22 2:01 PM MDT

Tina Jones:
Sometimes I need to take three puffs of the 90 mcg albuterol inhaler instead of two, and for the past couple of days, it’s always been three.

Your Avatar:
How often are you around cats?

Question
07/22/22 2:01 PM MDT

Tina Jones:
Not often, just at my cousin’s house, and I’m only there a few times a year.

Your Avatar:
What other triggers besides cats worsen your asthma?

Question
07/22/22 2:01 PM MDT

Tina Jones:
For the past two days, it seems worse at night when I’m lying down or when I’m too active. Usually, it’s things like cats or dust that affect me.

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Do you have any other respiratory illnesses?

Question
07/22/22 2:02 PM MDT

Tina Jones:
No, just asthma.

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How long have you had asthma?

Question
07/22/22 2:02 PM MDT

Tina Jones:
I’ve had asthma since I was very young.

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How do you typically manage your asthma?

Question
07/22/22 2:03 PM MDT

Tina Jones:
I try to avoid asthma triggers, but when my symptoms worsen, I rely on my inhaler.

Your Avatar:
How is your breathing right now?

Question
07/22/22 2:03 PM MDT

Tina Jones:
At the moment, my breathing feels okay, but I’ve been experiencing issues recently.

Your Avatar:
How severe would you say your asthma is?

Question
07/22/22 2:03 PM MDT

Tina Jones:
My asthma used to be quite severe. I haven’t had a full-blown attack in years, and I would have said it wasn’t that bad anymore. However, in the past couple of days, I’ve had significant breathing difficulties.

Your Avatar:
Apart from trouble breathing, have you experienced any other symptoms?

Question
07/22/22 2:04 PM MDT

Tina Jones:
Other than what I’ve mentioned, I don’t believe so. I’ve mainly needed my inhaler a lot, and I’ve had this persistent cough.

Your Avatar:
Tell me more about your cough.

Question
07/22/22 2:05 PM MDT

Tina Jones:
Um, I would describe it as a small, dry cough.

Your Avatar:
When did this cough start?

Question
07/22/22 2:05 PM MDT

Tina Jones:
It began two days ago, shortly after I first experienced these asthma problems.

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Do you produce any sputum with this cough?

Question
07/22/22 2:05 PM MDT

Tina Jones:
No, nothing is coming up.

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How often do you cough?

Question
07/22/22 2:06 PM MDT

Tina Jones:
I’ve been coughing pretty consistently.

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What are your allergies?

Question
07/22/22 2:06 PM MDT

Tina Jones:
I’m allergic to cats.

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Are you allergic to anything besides cats?

Question
07/22/22 2:06 PM MDT

Tina Jones:
Yes, I’m allergic to penicillin.

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Have you ever had an allergic reaction to penicillin?

Question
07/22/22 2:07 PM MDT

Tina Jones:
Yes, but it was a long time ago when I was little. The doctor advised me not to take it again after that.

Your Avatar:
What symptoms did you experience when you took penicillin?

Question
07/22/22 2:08 PM MDT

Tina Jones:
I don’t remember very well because it happened when I was quite young. I think I developed a rash, like hives. The doctor told me not to take penicillin again, so I haven’t.

Your Avatar:
How severe was your reaction to penicillin?

Question
07/22/22 2:08 PM MDT

Tina Jones:
It was a long time ago, so I don’t recall it clearly, but I don’t believe it was very serious. I mostly remember getting a rash, like hives, and then the doctor told me to avoid penicillin.

Your Avatar:
Do you have any environmental allergies?

Question
07/22/22 2:09 PM MDT

Tina Jones:
No, unless you count cats.

Your Avatar:
Can you describe what happens when you’re around cats?

Question
07/22/22 2:09 PM MDT

Tina Jones:
Whenever I’m near cats, I start sneezing, my eyes become itchy, my nose runs, and my asthma tends to worsen.

Your Avatar:
How do you manage your cat allergy?

Question
07/22/22 2:10 PM MDT

Tina Jones:
I try to avoid being around cats entirely, but when I can

‘t, I take antihistamines, which help with the sneezing and itching. I also use my inhaler more when I’m near cats.

Your Avatar:
Are you currently taking any medications?

Question
07/22/22 2:10 PM MDT

Tina Jones:
I use my albuterol inhaler for asthma when needed. Other than that, I don’t take any regular medications.

Your Avatar:
Do you have any known drug allergies other than penicillin?

Question
07/22/22 2:11 PM MDT

Tina Jones:
No, penicillin is the only one I’m aware of.

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Have you ever been hospitalized for your asthma?

Question
07/22/22 2:11 PM MDT

Tina Jones:
No, I haven’t.

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Have you ever been intubated for your asthma?

Question
07/22/22 2:11 PM MDT

Tina Jones:
No, thankfully it’s never been that severe.

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Do you have a family history of respiratory conditions?

Question
07/22/22 2:12 PM MDT

Tina Jones:
Not that I’m aware of.

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Do you smoke or use tobacco products?

Question
07/22/22 2:12 PM MDT

Tina Jones:
No, I’ve never smoked or used tobacco.

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Do you drink alcohol?

Question
07/22/22 2:12 PM MDT

Tina Jones:
I drink occasionally, but not excessively.

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Do you use any recreational drugs?

Question
07/22/22 2:12 PM MDT

Tina Jones:
No, I don’t.

Your Avatar:
Do you have any concerns about your breathing or other health issues?

Question
07/22/22 2:13 PM MDT

Tina Jones:
Well, I’m just worried about these recent asthma symptoms. It’s been a while since it was this bad.

Your Avatar:
I understand your concern. We will conduct a thorough examination and discuss the next steps.

Empathize
07/22/22 2:13 PM MDT

Tina Jones:
Thank you.

Your Avatar:
Now, let’s move on to the physical examination.

Transition
07/22/22 2:14 PM MDT

Tina Jones:
Okay.

Your Avatar:
I’ll start by examining your respiratory system. Please sit up straight, and I’ll listen to your breath sounds.

Transition
07/22/22 2:15 PM MDT

Tina Jones:
Sure.

Your Avatar:
I’ll use a stethoscope to listen to your breath sounds. Please take deep breaths in and out as I listen.

Transition
07/22/22 2:16 PM MDT

Tina Jones:
Okay, I’ll do my best.

Your Avatar:
Thank you.

Acknowledgement
07/22/22 2:16 PM MDT

Your Avatar:
I’ve completed the examination of your respiratory system. Everything seems fine at this point. However, we will need to discuss your symptoms further and consider additional tests to determine the best course of action.

Your Avatar:
Is there anything else you’d like to add or any questions you have at this time?

Question
07/22/22 2:17 PM MDT

Tina Jones:
No, not right now. I’m just hoping to find out what’s causing these symptoms.

Your Avatar:
I completely understand. We will work to identify the cause and develop a plan to manage your symptoms effectively. Thank you for providing me with this information.

Your Avatar:
Now, let’s move on to the next steps in your assessment and diagnosis.

Transition
07/22/22 2:17 PM MDT

Tina Jones:
Okay, sounds good.

Your Avatar:
We’ll start with some additional questions and then proceed with the examination. Please continue to be honest and thorough in your responses, as it helps us make an accurate diagnosis.

Transition
07/22/22 2:18 PM MDT

Tina Jones:
I will, thank you.

Your Avatar:
You’re welcome. Let’s begin with some questions about your medical history and any medications you’re currently taking.

Transition
07/22/22 2:18 PM MDT

Tina Jones:
Okay.

Your Avatar:
Do you have any medical conditions or take any medications that may affect your respiratory system?

Question
07/22/22 2:18 PM MDT

Tina Jones:
No, not that I’m aware of.

Your Avatar:
Have you ever been diagnosed with any heart conditions?

Question
07/22/22 2:18 PM MDT

Tina Jones:
No, I haven’t.

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Have you had any recent illnesses or infections?

Question
07/22/22 2:18 PM MDT

Tina Jones:
No, I haven’t been sick recently.

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Are you currently experiencing any fever or chills?

Question
07/22/22 2:19 PM MDT

Tina Jones:
No, I don’t have a fever or chills.

Your Avatar:
Have you noticed any changes in your appetite or weight recently?

Question
07/22/22 2:19 PM MDT

Tina Jones:
No, my appetite and weight have been stable.

Your Avatar:
Have you ever had a history of mental health conditions, such as anxiety or depression?

Question
07/22/22 2:19 PM MDT

Tina Jones:
I have had some anxiety in the past, but it’s not a current issue for me.

Your Avatar:
Thank you for sharing that. Now, let’s discuss your lifestyle and any factors that may contribute to your symptoms.

Transition
07/22/22 2:20 PM MDT

Tina Jones:
Sure.

Your Avatar:
Do you work in an environment where you may be exposed to any respiratory irritants or allergens?

Question
07/22/22 2:20 PM MDT

Tina Jones:
No, I work in an office, so I don’t think there are any specific irritants there.

Your Avatar:
Do you use any household cleaning products or chemicals that could potentially worsen your asthma?

Question
07/22/22 2:20 PM MDT

Tina Jones:
I don’t use any strong cleaning products, just basic stuff like detergents and cleaners.

Your Avatar:
Have you made any recent changes in your living environment, such as moving to a new home or renovating?

Question
07/22/22 2:21 PM MDT

Tina Jones:
No, my living situation has been the same for a while.

Your Avatar:
Are you aware of any mold or mildew in your home or workplace?

Question
07/22/22 2:21 PM MDT

Tina Jones:
No, I haven’t noticed any mold or mildew issues.

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Do you have any pets at home, aside from the cats at your cousin’s house?

Question
07/22/22 2:21 PM MDT

Tina Jones:
No, I don’t have any pets of my own.

Your Avatar:
Thank you for providing that information. It helps us understand potential environmental factors.

Your Avatar:
Now, I’d

like to discuss your diet and exercise habits. Do you have any specific dietary restrictions or preferences?

Question
07/22/22 2:22 PM MDT

Tina Jones:
I don’t have any dietary restrictions, but I try to eat a balanced diet.

Your Avatar:
That’s good to hear. How about your physical activity? Do you engage in regular exercise?

Question
07/22/22 2:22 PM MDT

Tina Jones:
I do my best to stay active. I go for walks and do some light exercises a few times a week.

Your Avatar:
Maintaining a balanced diet and staying active are important for overall health. Now, let’s move on to discussing your sleep patterns.

Transition
07/22/22 2:23 PM MDT

Tina Jones:
Okay.

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How many hours of sleep do you typically get per night?

Question
07/22/22 2:23 PM MDT

Tina Jones:
I aim for 7-8 hours of sleep per night, but it varies.

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Do you ever experience difficulty falling asleep or staying asleep?

Question
07/22/22 2:24 PM MDT

Tina Jones:
Sometimes, yes. Especially when I’m stressed.

Your Avatar:
Stress can certainly affect sleep patterns. We’ll keep that in mind as we continue our assessment.

Your Avatar:
Is there anything else you think I should know about your lifestyle or habits that may be relevant to your health?

Question
07/22/22 2:24 PM MDT

Tina Jones:
I think we’ve covered everything for now.

Your Avatar:
Great, thank you for providing all of this information. It helps us build a comprehensive picture of your health.

Your Avatar:
Now, let’s proceed with the physical examination. I’ll start by examining your cardiovascular system.

Transition
07/22/22 2:25 PM MDT

Tina Jones:
Okay.

Your Avatar:
I’ll begin by measuring your blood pressure. Please roll up your left sleeve, and I’ll get the cuff ready.

Transition
07/22/22 2:26 PM MDT

Tina Jones:
Sure, let me do that.

Your Avatar:
Thank you. I’ll place the cuff around your upper arm. This may feel a bit tight, but it’s necessary to measure your blood pressure accurately.

Transition
07/22/22 2:26 PM MDT

Tina Jones:
I understand.

Your Avatar:
I’ll now inflate the cuff to measure your blood pressure. Please remain still and relaxed during this process.

Transition
07/22/22 2:27 PM MDT

Tina Jones:
Okay, I’ll stay still.

Your Avatar:
Thank you for your cooperation. Let me check your blood pressure.

Acknowledgement
07/22/22 2:27 PM MDT

Your Avatar:
Your blood pressure appears to be within the normal range. That’s a good sign.

Your Avatar:
Next, I’ll check your pulse. I’ll use a stethoscope to listen to your heartbeat. Please remain still.

Transition
07/22/22 2:28 PM MDT

Tina Jones:
Sure, go ahead.

Your Avatar:
Thank you. I’ll place the stethoscope on your chest to listen to your heartbeat. Please breathe normally.

Transition
07/22/22 2:28 PM MDT

Tina Jones:
Okay, I’m breathing normally.

Your Avatar:
I’ve listened to your heartbeat, and it sounds regular. Now, I’ll check your pulse at your wrist.

Transition
07/22/22 2:29 PM MDT

Tina Jones:
Alright.

Your Avatar:
I’ll use two fingers to find your pulse on your wrist. This helps me assess your heart rate.

Transition
07/22/22 2:29 PM MDT

Tina Jones:
Got it.

Your Avatar:
Your pulse rate is within the normal range as well. That’s reassuring.

Your Avatar:
Next, I’d like to check your lungs. Please take deep breaths as I listen to your breath sounds.

Transition
07/22/22 2:30 PM MDT

Tina Jones:
Alright, I’ll take deep breaths.

Your Avatar:
I’ll use the stethoscope to listen to your breath sounds in different areas of your chest. Please take a deep breath in and out as I move the stethoscope.

Transition
07/22/22 2:31 PM MDT

Tina Jones:
Okay, I’m ready.

Your Avatar:
Thank you. Let’s begin.

Acknowledgement
07/22/22 2:31 PM MDT

Your Avatar:
I’ve completed the examination of your lungs, and your breath sounds appear to be clear. There are no signs of wheezing or abnormal sounds.

Your Avatar:
Now, I’ll move on to the abdominal examination. Please lie back and relax.

Transition
07/22/22 2:32 PM MDT

Tina Jones:
Sure, I’ll lie back.

Your Avatar:
I’ll gently press on different areas of your abdomen to check for any tenderness or abnormalities. Let me know if you feel any discomfort.

Transition
07/22/22 2:33 PM MDT

Tina Jones:
I will.

Your Avatar:
I’ll start by pressing lightly on your upper abdomen. Please take deep breaths and relax.

Transition
07/22/22 2:33 PM MDT

Tina Jones:
Okay.

Your Avatar:
Thank you. I’ll continue the examination.

Acknowledgement
07/22/22 2:33 PM MDT

Your Avatar:
I’ve completed the abdominal examination, and everything seems normal. There are no signs of tenderness or abnormalities.

Your Avatar:
Now, I’d like to check your reflexes. Please sit up, and I’ll perform a quick test.

Transition
07/22/22 2:34 PM MDT

Tina Jones:
Alright, I’ll sit up.

Your Avatar:
I’ll use a reflex hammer to tap your knee and check your knee-jerk reflex. Please relax your leg.

Transition
07/22/22 2:34 PM MDT

Tina Jones:
Got it, I’m relaxed.

Your Avatar:
Thank you. Here we go.

Acknowledgement
07/22/22 2:34 PM MDT

Your Avatar:
Your knee-jerk reflex appears to be normal. That’s a positive sign.

Your Avatar:
Overall, the physical examination has shown no significant issues. However, we will discuss your symptoms further and consider any necessary tests to determine the cause of your asthma symptoms.

Your Avatar:
Is there anything else you’d like to add or any questions you have at this point?

Question
07/22/22 2:35 PM MDT

Tina Jones:
No, I don’t have any questions right now.

Your Avatar:
Alright, thank you for your cooperation during the examination. Your health is our priority, and we’ll work together to address your asthma symptoms.

Your Avatar:
Now, let’s discuss the next steps in your assessment and treatment plan.

Transition
07/22/22 2:35 PM MDT

Tina Jones:
Okay, I’m ready.

Your Avatar:
First, we will review the findings from today’s examination and discuss potential triggers for your asthma

symptoms. We will also consider additional tests to gather more information.

Transition
07/22/22 2:36 PM MDT

Tina Jones:
Sounds good.

Your Avatar:
Based on your history of asthma and your recent symptoms, it’s possible that exposure to cat allergens triggered your asthma exacerbation. We’ll explore this further and discuss strategies to manage your cat allergy.

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Additionally, we may recommend pulmonary function tests to assess your lung function and rule out any other underlying respiratory conditions.

Transition
07/22/22 2:36 PM MDT

Tina Jones:
I’m willing to do whatever is necessary to get to the bottom of this.

Your Avatar:
That’s the right approach, Tina. We’ll work together to determine the best course of action for your health.

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In the meantime, I would advise you to continue using your inhaler as prescribed, especially when you experience asthma symptoms. Avoiding triggers, such as cats, is also important.

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Once we have more information from the tests, we’ll formulate a comprehensive treatment plan to manage your asthma effectively.

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If you have any questions or concerns in the coming days, don’t hesitate to reach out to us.

Empathize
07/22/22 2:37 PM MDT

Tina Jones:
Thank you for your help and guidance.

Your Avatar:
You’re welcome, Tina. We’re here to support you on your journey to better respiratory health. If there’s nothing else for now, we can conclude our session.

Acknowledgement
07/22/22 2:37 PM MDT

Your Avatar:
Thank you for your cooperation, and I wish you a speedy recovery. If you ever need assistance or have questions in the future, please don’t hesitate to contact us.

End
07/22/22 2:37 PM MDT

Tina Jones:
I appreciate that. Goodbye for now.

Your Avatar:
Goodbye, and take care, Tina.