Cardiovascular tina jones shadow health Transcript
Cardiovascular tina jones shadow health Transcript
Cardiovascular tina jones shadow health Transcript
Permalink: https://collepals.com/cardiovascular-t…ealth-transcript/
Transcript
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Hello my name is Danielle I will be your provider today
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Greet |
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Hey.
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Can you verify your name
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Tina Jones.
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Your date of birth
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February 17th.
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Thank you
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Question |
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You’re welcome.
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What brings you in today
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Question |
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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.
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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
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Empathize |
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Thanks for saying that.
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When did you first notice these symptoms
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I think the first time was about a month ago.
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What were you doing when you noticed these symptoms (Clarified to What were you doing when you got the palpitations?.)
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I usually notice them on my way to class in the mornings. My schoolwork has really been picking up and I’ve been drinking energy drinks to help keep me focused during the day, so maybe the caffeine or whatever else is in those things has something to do with it. (Clarified to what I was doing when the palpitations occured.)
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How many energy drinks do you drink per day
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Usually just one in the morning, kind of like some people have a cup of coffee. Some mornings lately I’ve had two, though.
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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
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Educate |
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Sure, I think I understand what you mean.
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How often were you experiencing these symptoms
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No.
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How often do you notice your heart racing fast (Clarified to How often does your heart beat fast?.)
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It’s been about once a week for the past month. (Clarified to how often my heart beats fast.)
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Can you describe it for me (Clarified to What is your heartbeat like?.)
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It’s usually normal, but it’s way faster during these episodes I’ve been having. (Clarified to what my heartbeat is like.)
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How do you feel when your heart is racing fast
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Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable.
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Is there anything that relieves the fast heartbeat (Clarified to Does anything relieve your symptoms?.)
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I haven’t tried anything specific, other than just trying to relax and breathe deep. (Clarified to if anything relieves my symptoms.)
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Do you take any medications to help you with your symptoms
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Nope.
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What medications are you taking
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I have a daily inhaler and a rescue inhaler for my asthma.
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Are you taking any new medications
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Yeah, I have a daily inhaler now that I’ve been using.
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What’s the name of the medication
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The daily inhaler is Flovent, and the rescue inhaler is Proventil.
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Do you have any new allergies
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No, not that I know of.
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Do you have a history of hypertension
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…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.
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Do you check your blood pressure
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Only when I’m here at the clinic.
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Do you have any health history that would contribute to hypertension (No matching questions found.)
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Do you have diabetes
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Yeah, I was diagnosed a few years ago.
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Do you have high cholesterol
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I’ve never had it tested. My family has problems with high cholesterol, but I don’t think I do.
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Any history of a heart murmur
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No.
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Do you have health insurance
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I have health insurance through work. To be honest, though, I’m not exactly sure what it covers.
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Are you able to afford your Medications
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It wasn’t the cost that was a problem. I just didn’t like taking it.
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What is your access to healthcare
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I have health insurance through my job, so I can go to the doctor if I need to. It’s always a hassle though, so I try to avoid it unless I really have to like right now.
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Do you have anything that stresses you out (Clarified to Are you stressed out?.)
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Yeah, I’ve been pretty stressed lately. (Clarified to if I am stressed out.)
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What are you stressed about
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School is really busy right now, like I have a lot of projects due all around the same time. And on top of that, I’ve had to cover more at work lately, and I’m in charge of a big project at work, too.
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Sounds like you’re working really hard. I’m sorry you’re dealing with so much stress.
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Empathize |
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Thanks for understanding.
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Tell me about your diet (Clarified to What is your diet like?.)
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It’s pretty good, I think. I’m not a huge health nut or anything. (Clarified to what my diet is like.)
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What are usually eat in a typical day
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Let’s see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner.
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Do you have snacks
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Yeah, I usually have some snacks during the day.
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What type of snacks
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I try to eat snacks that are kind of healthy like pretzels–sometimes if I’ll treat myself and get french fries, but I try not to do that too often.
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Do you exercise
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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.
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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
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Educate |
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Thanks for telling me.
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Do you use any recreational drugs
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No.
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Do you use tobacco products
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No. I think it’s gross.
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Do you drink alcohol
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I do sometimes, yeah, when I go out with my friends.
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How often do you drink alcohol
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No more than once or twice a week, sometimes less.
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How much do you drink when you go out
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Just a few. I’m not a big drinker.
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How do you feel overall
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I’m feeling fine right now, but I wanted to make sure there’s nothing serious going on with my heart.
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Do you have any other symptoms
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I guess when it happens I feel a bit worried, like anxious, but that’s all.
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Do you experience any fatigue
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Yeah, most days I feel pretty exhausted by the end of the day.
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Do you have any nausea vomiting
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I haven’t had thrown up, or even had an upset stomach, in a long time.
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Have you noticed any swelling in your legs
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No, not that I have noticed.
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Do you have a family history of heart problems
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Um, none that I know of. Wait, my Poppa–that’s Mom’s dad–died of a heart attack.
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