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
Hello. My name is xxx. I will interview and examine you
|
Greet |
|
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 |
|
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 |
|
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 |
|
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 |
|
I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
|
||
.
|
Educate |
|
That’s an interesting way of putting it, but yeah, I agree.
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||
.
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Educate |
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OK, I’m following.
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.
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Educate |
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Yeah. I think that should be good.
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.
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Educate |
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Let’s do it.
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hello
|
Greet |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
Solitude. Being alone in my brain train.
|
||
What are your coping strategies?
|
How often do you drink?
|
Question |
|
Not regularly, and only if I’m with my friends.
|
||
Assessed vitals
|
Exam Action |
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Auscultated breath sounds
|
Exam Action |
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Auscultated heart sounds Eric Ford Schizophrenia Shadow health
|
Exam Action |
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Inspected interior of arms and wrists: no visible abnormalities
|
Exam Action |
|
Inspected facial and oral movements: normal
|
Exam Action |
|
Inspected upper extremities for involuntary movement: normal
|
Exam Action |
|
Inspected lower extremities for involuntary movement: normal
|
Exam Action |
|
Inspected torso for involuntary movement: normal
|
Exam Action |
|
Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care
|
Exam Action |
|
Assessed attitude: suspicious, guarded, or evasive
|
Exam Action |
|
Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation
|
Exam Action |
|
Assessed mood and affect: stable mood, but affect is blunted or flat
|
Exam Action |
|
Assessed thought process: “word salad” or clanging associations present
|
Exam Action |
|
Assessed thought content: presence of suicidal ideation and auditory hallucinations
|
Exam Action |
|
Confirmed orientation
|
Exam Action |
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What is your name and date of birth?
|
Question |
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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 |
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We’re in the hospital.
|
||
What is the date and year?
|
Question |
|
It’s . . . [Mr. Ford reports the correct date and year.]
|
||
Assessed cognition
|
Exam Action |
|
Count backwards from 100 by 7 until you get to the 60s.
|
Question |
|
100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)
|
||
Assessed cognition
|
Exam Action |
|
How are apples and oranges alike?
|
Question |
|
Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health
|
||
How are a lake and an ocean alike?
|
Question |
|
You can swim in both of them.
|
||
How are a trumpet and a flute alike?
|
Question |
|
You have to blow into both of them.
|
||
Assessed cognition
|
Exam Action |
|
Repeat and remember burger, tulip, nose, and tea.
|
Question |
|
Burger, tulip, nose and tea.
|
||
How did you celebrate your last birthday?
|
Question |
|
I went to a concert with some friends.
|
||
Repeat the four words from before.
|
Question |
|
Burger, tulip, nose, and tea.
|
||
Copy the shapes exactly as you see them.
|
Question |
|
OK . . .
|
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Assessed insight: demonstrates awareness of illness and willingness to seek treatment
|
Exam Action |
|
Assessed judgment: demonstrates good judgment
|
Exam Action |
|
What would you do if you found a stamped envelope on your sidewalk?
|
Question |
|
I would put it in the mail box.
|
||
It is evident that you have trouble coping with schizophrenia
|
Educate |
|
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 Dont wait until the last minute.Provide your requirements and let our native nursing writers deliver your assignments ASAP. |
|
OK, I’m following. Eric Ford Schizophrenia Shadow health
|