Eric Ford Schizophrenia Shadow health

Eric Ford Schizophrenia Shadow health

Transcript
Started: June 04, 2022 | Total Time: 294 minutes

Your Avatar: Hello, my name is xxx. I will interview and examine you.

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Greet
July 2, 2022, 4:36 AM EDT
Eric Ford: Hey there.

Character Avatar: While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford’s Schizophrenia Assessment on Shadow Health

Character Avatar: 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.

Your Avatar: What brings you to the hospital today?

Question
July 2, 2022, 4:41 AM EDT
Eric Ford: Look, I’m not crazy, okay? 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.

Character Avatar: Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.

Your Avatar: Can I ask who is telling you that your life is almost over?

Question
July 2, 2022, 4:44 AM EDT
Eric Ford: 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?

Character Avatar: Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in a way that does not diminish the patient’s experience.

Your Avatar: I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.

Question
July 2, 2022, 4:45 AM EDT
Eric Ford: Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.

Character Avatar: 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.

Your Avatar: I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.

Question
July 2, 2022, 4:46 AM EDT
Eric Ford: I guess that’s true. Not everything these voices tell me is true, and maybe the medication would help get rid of them.

Your Avatar: When did your symptoms begin?

Question
July 2, 2022, 5:32 AM EDT
Eric Ford: 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.

NURS 6630 Week8 Assignment 2: Evaluation and Treatment of Patients With Sleep/Wake Disorders

Your Avatar: Can you describe your symptoms?

Question
July 2, 2022, 5:33 AM EDT
Eric Ford: 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.

Your Avatar: What makes your symptoms worse?

Question
July 2, 2022, 5:37 AM EDT
Eric Ford: Solitude. Being alone in my brain train.

Your Avatar: What are your coping strategies?

How often do you drink?

Question
July 2, 2022, 9:07 AM EDT
Eric Ford: Not regularly, and only if I’m with my friends.

Your Avatar: Assessed vitals

Exam Action
July 2, 2022, 9:08 AM EDT
Your Avatar: Auscultated breath sounds

Exam Action
July 2, 2022, 9:09 AM EDT
Your Avatar: Auscultated heart sounds

Exam Action
July 2, 2022, 9:09 AM EDT
Your Avatar: Inspected interior of arms and wrists: no visible abnormalities

Exam Action
July 2, 2022, 9:16 AM EDT
Your Avatar: Inspected facial and oral movements: normal

Exam Action
July 2, 2022, 9:48 AM EDT
Your Avatar: Inspected upper extremities for involuntary movement: normal

Exam Action
July 2, 2022, 9:48 AM EDT
Your Avatar: Inspected lower extremities for involuntary movement: normal

Exam Action
July 2, 2022, 9:49 AM EDT
Your Avatar: Inspected torso for involuntary movement: normal

Exam Action
July 2, 2022, 9:50 AM EDT
Your Avatar: Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care

Exam Action
July 2, 2022, 12:23 PM EDT
Your Avatar: Assessed attitude: suspicious, guarded, or evasive

Exam Action
July 2, 2022, 12:23 PM EDT
Your Avatar: Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation

Exam Action
July 2, 2022, 12:23 PM EDT
Your Avatar: Assessed mood and affect: stable mood, but affect is blunted or flat

Exam Action
July 2, 2022, 12:24 PM EDT
Your Avatar: Assessed thought process: “word salad” or clanging associations present

Exam Action
July 2, 2022, 12:24 PM EDT
Your Avatar: Assessed thought content: presence of suicidal ideation and auditory hallucinations

Exam Action
July 2, 2022, 12:24 PM EDT
Your Avatar: Confirmed orientation

Exam Action
July 2, 2022, 12:24 PM EDT
Your Avatar: What is your name and date of birth?

Question
July 2, 2022, 12:26 PM EDT
Eric Ford: My name is Eric Ford, and my date of birth is . . . [Mr. Ford reports his correct date of birth.]

Your Avatar: What building are you in now?

Question
July 2, 2022, 12:27 PM EDT
Eric Ford: We’re in the hospital.

Your Avatar: What is the date and year?

Question
July 2, 2022, 12:28 PM EDT
Eric Ford: It’s . . . [Mr. Ford reports the correct date and year.]

Your Avatar: Assessed cognition

Exam Action
July 2, 2022, 12:31 PM EDT
Your Avatar: Count backward from 100 by 7 until you get to the 60s.

Question
July 2, 2022, 12:31 PM EDT
Eric Ford: 100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)

Your Avatar: Assessed cognition

Exam Action
July 2, 2022, 12:32 PM EDT
Your Avatar: How are

apples and oranges alike?

Question
July 2, 2022, 12:36 PM EDT
Eric Ford: Uh, they both grow on trees.

Your Avatar: How are a lake and an ocean alike?

Question
July 2, 2022, 12:36 PM EDT
Eric Ford: You can swim in both of them.

Your Avatar: How are a trumpet and a flute alike?

Question
July 2, 2022, 12:37 PM EDT
Eric Ford: You have to blow into both of them.

Your Avatar: Assessed cognition

Exam Action
July 2, 2022, 12:37 PM EDT
Your Avatar: Repeat and remember burger, tulip, nose, and tea.

Question
July 2, 2022, 12:39 PM EDT
Eric Ford: Burger, tulip, nose, and tea.

Your Avatar: How did you celebrate your last birthday?

Question
July 2, 2022, 12:41 PM EDT
Eric Ford: I went to a concert with some friends.

Your Avatar: Repeat the four words from before.

Question
July 2, 2022, 12:41 PM EDT
Eric Ford: Burger, tulip, nose, and tea.

Your Avatar: Copy the shapes exactly as you see them.

Question
July 2, 2022, 12:42 PM EDT
Eric Ford: Okay…

Your Avatar: Assessed insight: demonstrates awareness of illness and willingness to seek treatment

Exam Action
July 2, 2022, 12:42 PM EDT
Your Avatar: Assessed judgment: demonstrates good judgment

Exam Action
July 2, 2022, 12:43 PM EDT
Your Avatar: What would you do if you found a stamped envelope on your sidewalk?

Question
July 2, 2022, 12:44 PM EDT
Eric Ford: I would put it in the mailbox.

Your Avatar: It is evident that you have trouble coping with schizophrenia.

Educate
July 2, 2022, 1:38 PM EDT
Eric Ford: That’s an interesting way of putting it, but yeah, I agree.

Your Avatar: We will discuss the resources you can use to better your mental health.

Educate
July 2, 2022, 1:40 PM EDT
Eric Ford: OK, I’m following.

Transcript

Started: Jun 04, 2022 | Total Time: 294 min
Your Avatar.
Hello. My name is xxx. I will interview and examine you

Greet
07/02/22 4:36 AM EDT

Eric Ford.
Hey there.
Character avatar.
While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford Schizophrenia Shadow health
Character avatar.
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.
Your Avatar.
What brings you to the hospital today?

Question
07/02/22 4:41 AM EDT

Eric Ford.
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.
Character avatar.
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
Your Avatar.
Can I ask who is telling you that your life is almost over?

Question
07/02/22 4:44 AM EDT

Eric Ford.
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?
Character avatar.
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.
Your Avatar.
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

Eric Ford.
Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
Character avatar.
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.
Your Avatar.
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

Eric Ford.
I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
Your Avatar.
.

Educate
07/02/22 4:48 AM EDT

Eric Ford.
That’s an interesting way of putting it, but yeah, I agree.
Your Avatar.
.

Educate
07/02/22 4:48 AM EDT

Eric Ford.
OK, I’m following.
Your Avatar.
.

Educate
07/02/22 4:48 AM EDT

Eric Ford.
Yeah. I think that should be good.
Your Avatar.
.

Educate
07/02/22 4:48 AM EDT

Eric Ford.
Let’s do it.
Your Avatar.
hello

Greet
07/02/22 5:01 AM EDT

Eric Ford.
Hey there.
Character avatar.
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.
Your Avatar.
What brings you to the hospital today?

Question
07/02/22 5:12 AM EDT

Eric Ford.
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.
Character avatar.
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
Your Avatar.
Can I ask who is telling you that your life is almost over?

Question
07/02/22 5:24 AM EDT

Eric Ford.
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?
Character avatar.
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.
Your Avatar.
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

Eric Ford.
Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
Character avatar.
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.
Your Avatar.
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

Eric Ford.
I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
Your Avatar.
When did your symptoms begin?

Question
07/02/22 5:32 AM EDT

Eric Ford.
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.
Your Avatar.
Can you describe your symptoms??

Question
07/02/22 5:33 AM EDT

Eric Ford.
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.
Your Avatar.
What makes your symptoms worse?

Question
07/02/22 5:37 AM EDT

Eric Ford.
Solitude. Being alone in my brain train.
Your Avatar.
What are your coping strategies?

 

How often do you drink?

Question
07/02/22 9:07 AM EDT

Eric Ford.
Not regularly, and only if I’m with my friends.
Your Avatar.
 Assessed vitals

Exam Action
07/02/22 9:08 AM EDT

Your Avatar.
 Auscultated breath sounds

Exam Action
07/02/22 9:09 AM EDT

Your Avatar.
 Auscultated heart sounds Eric Ford Schizophrenia Shadow health

Exam Action
07/02/22 9:09 AM EDT

Your Avatar.
 Inspected interior of arms and wrists: no visible abnormalities

Exam Action
07/02/22 9:16 AM EDT

Your Avatar.
 Inspected facial and oral movements: normal

Exam Action
07/02/22 9:48 AM EDT

Your Avatar.
 Inspected upper extremities for involuntary movement: normal

Exam Action
07/02/22 9:48 AM EDT

Your Avatar.
 Inspected lower extremities for involuntary movement: normal

Exam Action
07/02/22 9:49 AM EDT

Your Avatar.
 Inspected torso for involuntary movement: normal

Exam Action
07/02/22 9:50 AM EDT

Your Avatar.
 Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care

Exam Action
07/02/22 12:23 PM EDT

Your Avatar.
 Assessed attitude: suspicious, guarded, or evasive

Exam Action
07/02/22 12:23 PM EDT

Your Avatar.
 Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation

Exam Action
07/02/22 12:23 PM EDT

Your Avatar.
 Assessed mood and affect: stable mood, but affect is blunted or flat

Exam Action
07/02/22 12:24 PM EDT

Your Avatar.
 Assessed thought process: “word salad” or clanging associations present

Exam Action
07/02/22 12:24 PM EDT

Your Avatar.
 Assessed thought content: presence of suicidal ideation and auditory hallucinations

Exam Action
07/02/22 12:24 PM EDT

Your Avatar.
 Confirmed orientation

Exam Action
07/02/22 12:24 PM EDT

Your Avatar.
What is your name and date of birth?

Question
07/02/22 12:26 PM EDT

Eric Ford.
My name is Eric Ford and my date of birth is . . . [Mr. Ford reports his correct date of birth.]
Your Avatar.
What building are you in now? Eric Ford Schizophrenia Shadow health

Question
07/02/22 12:27 PM EDT

Eric Ford.
We’re in the hospital.
Your Avatar.
What is the date and year?

Question
07/02/22 12:28 PM EDT

Eric Ford.
It’s . . . [Mr. Ford reports the correct date and year.]
Your Avatar.
 Assessed cognition

Exam Action
07/02/22 12:31 PM EDT

Your Avatar.
Count backwards from 100 by 7 until you get to the 60s.

Question
07/02/22 12:31 PM EDT

Eric Ford.
100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)
Your Avatar.
 Assessed cognition

Exam Action
07/02/22 12:32 PM EDT

Your Avatar.
How are apples and oranges alike?

Question
07/02/22 12:36 PM EDT

Eric Ford.
Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health
Your Avatar.
How are a lake and an ocean alike?

Question
07/02/22 12:36 PM EDT

Eric Ford.
You can swim in both of them.
Your Avatar.
How are a trumpet and a flute alike?

Question
07/02/22 12:37 PM EDT

Eric Ford.
You have to blow into both of them.
Your Avatar.
 Assessed cognition

Exam Action
07/02/22 12:37 PM EDT

Your Avatar.
Repeat and remember burger, tulip, nose, and tea.

Question
07/02/22 12:39 PM EDT

Eric Ford.
Burger, tulip, nose and tea.
Your Avatar.
How did you celebrate your last birthday?

Question
07/02/22 12:41 PM EDT

Eric Ford.
I went to a concert with some friends.
Your Avatar.
Repeat the four words from before.

Question
07/02/22 12:41 PM EDT

Eric Ford.
Burger, tulip, nose, and tea.
Your Avatar.
Copy the shapes exactly as you see them.

Question
07/02/22 12:42 PM EDT

Eric Ford.
OK . . .
Your Avatar.
 Assessed insight: demonstrates awareness of illness and willingness to seek treatment

Exam Action
07/02/22 12:42 PM EDT

Your Avatar.
 Assessed judgment: demonstrates good judgment

Exam Action
07/02/22 12:43 PM EDT

Your Avatar.
What would you do if you found a stamped envelope on your sidewalk?

Question
07/02/22 12:44 PM EDT

Eric Ford.
I would put it in the mail box.
Your Avatar.
It is evident that you have trouble coping with schizophrenia

Educate
07/02/22 1:38 PM EDT

Eric Ford.
That’s an interesting way of putting it, but yeah, I agree.
Your Avatar.
We will discuss the resources you can use to better your mental health

Educate
07/02/22 1:40 PM EDT

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Eric Ford.
OK, I’m following. Eric Ford Schizophrenia Shadow health

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