Week 4 Shadow Health Tina Jones
Height: 170 cmExam Action
03/17/20 8:44 AM MDT
Weight: 90 kgExam Action
03/17/20 8:44 AM MDT
- BMI: 31Exam Action
03/17/20 8:44 AM MDT
- Random blood glucose: 238Exam Action
03/17/20 8:44 AM MDT
- Temperature: 101.1 FExam Action
03/17/20 8:44 AM MDT
- Blood pressure: 142/82Exam Action
03/17/20 8:44 AM MDT
- Respiratory rate: 19Exam Action
03/17/20 8:44 AM MDT
- O2 sat: 99%Exam Action
03/17/20 8:44 AM MDT
- Heart rate: 86Exam Action
03/17/20 8:44 AM MDT
- Hello, my name is [ ] I'm a nurse practitioner student and I'm going to be taking care of
you today.Greet
03/17/20 8:45 AM MDT
Tina JonesHey.
- Can you verify your name and birthday for me?Question
03/17/20 8:45 AM MDT
Tina JonesMy name's Tina Jones, and my birthday's February 17th.
- Ok great. What brings you in today? (Clarified to What brings you in today?.)Question
03/17/20 8:46 AM MDT
Tina JonesI got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it's looking pretty nasty. And the pain is killing me! (Clarified to why I came in.)
- Oh I'm sorry to hear that.Empathize
NURS 6512N WEEK 4 SHADOW HEALTH TINA JONES 1 / 4
03/17/20 8:46 AM MDT
Tina JonesI appreciate you telling me that.
- Where exactly is the pain at on your foot?Question
03/17/20 8:46 AM MDT
Tina JonesIt feels like the pain is just centered around the scrape, like around the ball of my foot.That's where it hurts the most, but my whole foot feels some pain.
- Which foot did you injure?Question
03/17/20 8:47 AM MDT
Tina JonesMy right foot.
- Can you rate the pain for me on a scale of 1 to 10? (Clarified to Can you rate your current pain
level on a scale of 0 to 10?.)Question
03/17/20 8:47 AM MDT
Tina JonesI'd say a 7. It hurts a lot, and the pain pills haven't kicked in yet. (Clarified to how I would rate my pain on a scale.)
- What are you taking for the pain?Question
03/17/20 8:47 AM MDT
Tina JonesIt's called tramadol.
- How did you get this medication? Do you normally take it? (No matching questions found.)
Question
03/17/20 8:48 AM MDT
- How did you get this medication?Question
03/17/20 8:48 AM MDT
Tina JonesI was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step.
- where did you get the medication?Question
03/17/20 8:48 AM MDT
Tina JonesThe ER doctor prescribed them for me when I was in there a week ago. 2 / 4
- So you fell one week ago?Question
03/17/20 8:49 AM MDT
Tina JonesI was going down the back steps, and I tripped. . . I caught the railing, but I guess I kind of turned my ankle a little bit. And I scraped up my foot on the edge of the step.
- Has your wound been draining any pus?Question
03/17/20 8:49 AM MDT
Tina JonesYeah, there's definitely pus.
- Has your wound had pus in it all week? (Clarified to How long has the wound had pus in it?.)
Question
03/17/20 8:50 AM MDT
Tina JonesFor two days. (Clarified to how long my wound has had pus.)
- Can you describe your pain?Question
03/17/20 8:50 AM MDT
Tina JonesIt's throbbing and like, sharp if I try to put weight on it.
- Is there anything that makes the pain worse?Question
03/17/20 8:51 AM MDT
Tina JonesI'd say the pain is at its worst when I have to put any weight on my foot. . . otherwise, it's when the pain pills wear off.
- What is the pain like when you stand on your foot?Question
03/17/20 8:51 AM MDT
Tina JonesYes! I mean, I literally can't put weight on my foot, the pain is so sharp.
- When did the pain start?Question
03/17/20 8:51 AM MDT
Tina JonesWell, I got the scrape a week ago, but the scrape and the pain got a lot worse in the last few days.
- So the pain has changed over time?Question
03/17/20 8:52 AM MDT 3 / 4
Tina JonesYeah, it got a lot worse two days ago. It was noticeably more painful.
- Does the pain radiate anywhere?Question
03/17/20 8:52 AM MDT
Tina JonesThe pain's worse in my foot, but I feel it moving up into my ankle, too.
- So can't bear any weight on your foot?Question
03/17/20 8:52 AM MDT
Tina JonesNo, I can't. I can't put any weight on it without like, shooting pain.
- That has to be frustrating. I'm sorry to hear that.Empathize
03/17/20 8:53 AM MDT
Tina JonesThanks.
- So did you hurt anything else besides your foot?Question
03/17/20 8:53 AM MDT
Tina JonesWell, at first I thought my ankle was sprained because it hurt a lot right after I fell. But, I mean, I guess I was over-estimating it, because the ankle felt pretty okay the next day and it wasn't a problem all week.
- What kind of shoes did you have on when you fell?Question
03/17/20 8:54 AM MDT
Tina JonesI wasn't wearing shoes.
- Ok, we should always wear shoes when we're outside. There are numerous things you could hurt
your feet on.Educate
03/17/20 8:55 AM MDT
Tina JonesAlright, thanks for letting me know.
- Were you drinking alcohol when you were injured?Question
03/17/20 8:55 AM MDT
Tina JonesI haven't had any alcohol in at least three weeks.
- How often do you drink alcohol?Question
03/17/20 8:55 AM MDT
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