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Rachel Adler conversation concept lab shadow health
Rachel Adler conversation concept lab shadow health
Experience Overview

Student Performance Index Score: 19.0 of 19.0 (100.0%)

Time

21 minutes spent interacting with patient

21 minutes total spent in assignment

Examination

33 questions asked

1 empathetic statement made

The Educational Statement tab was not used

No tools or tests were conducted

Documentation

No documentation was written

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Transcript

Started: Jul 17, 2022 | Total Time: 21 min

All Lines (34)Interview Questions (33)Statements (1)Exam Actions (0)

Hello Rachel. I’m xx and I’m here to interview and examine you today (No matching questions found.)

Question
07/17/22 1:13 AM MDT

Hello Rachel. I’m Monique and I’m here to interview and examine you today (No matching questions found.)

Question
07/17/22 1:14 AM MDT

What brings you in today

Question
07/17/22 1:15 AM MDT

I’m here for my physical.

What medical conditions do you have

Question
07/17/22 1:15 AM MDT

I’ve never had any health problems. I almost never get like, a cold, and I’ve never been in the hospital. I’ve never even broken a bone.

What medications do you take

Question
07/17/22 1:15 AM MDT

I don’t take any medications. I mean, unless you count ibuprofen every so often.

Why do you take ibuprofen

Question
07/17/22 1:16 AM MDT

For cramps — when I get my period.

What dose of ibuprofen do you take

Question
07/17/22 1:16 AM MDT

Um, I don’t know how many milligrams… It’s not extra-strength or anything. I think it’s just kind of regular Advil.

How often do you take the Advil

Question
07/17/22 1:16 AM MDT

I only take Advil once a month.

When did you last take Advil

Question
07/17/22 1:17 AM MDT

Two weeks ago. That’s the last time I got my period.

Do you take any other over-the-counter medication

Question
07/17/22 1:17 AM MDT

The only thing I ever take is Advil.

Do you take any vitamins or herbal supplements

Question
07/17/22 1:17 AM MDT

I don’t take any vitamins, supplements, anything like that.

What allergies do you have

Question
07/17/22 1:19 AM MDT

I’m just allergic to peanuts. That’s about it.

How old were you when you had your first reaction to peanut

Question
07/17/22 1:19 AM MDT

I first found out I couldn’t eat peanuts when I was 4.

What are your symptoms to your peanut allergy

Question
07/17/22 1:19 AM MDT

Well, when I’ve eaten peanuts the inside of my mouth and inside my throat gets pretty itchy. It’s weird. But I don’t think I’ve ever had hives or anything like that.

How severe is your peanut allergy

Question
07/17/22 1:20 AM MDT

Not really. Just the itching in my mouth and stuff when I’ve eaten peanuts, or food made with peanut oil or whatever.

Have you ever been hospitalized for a reaction to peanuts

Question
07/17/22 1:20 AM MDT

Nah, it’s never been that bad.

How do you avoid eating peanut

Question
07/17/22 1:20 AM MDT

Well… I ask what’s in things, especially if something’s fried, because it could be fried in peanut oil. And I read ingredients before I buy something if I’m not sure.

How do you treat your reaction to peanuts

Question
07/17/22 1:21 AM MDT

The last time I had a reaction, the doctor told me it was pretty mild and to just take some Benadryl. Other than that, I just avoid them.

Do you have any other food allergies

Question
07/17/22 1:21 AM MDT

Nope, no other food allergies.

Do you have any allergies to latex

Question
07/17/22 1:21 AM MDT

Latex allergy? No, I’ve never had that.

Do you have any medication allergies

Question
07/17/22 1:21 AM MDT

No, I’m not allergic to any medications that I know of.

Do you have any environmental allergies

Question
07/17/22 1:22 AM MDT

No, I don’t have trouble with pollen or anything else like that. My dad always gets hay fever, so I know it’s a total drag. In the spring, he blows his nose about a million times a day.

What tobacco products have you used

Question
07/17/22 1:23 AM MDT

Just cigarettes, honestly.

Do you smoke cigars

Question
07/17/22 1:23 AM MDT

No, last I checked I wasn’t an old dude.

Have you tried chewing tobacco

Question
07/17/22 1:24 AM MDT

Ew! Like chewing tobacco. No.

Have you tried e-cigarettes

Question
07/17/22 1:24 AM MDT

Yeah . . . Well, I have.

How many times have you smoked

Question
07/17/22 1:24 AM MDT

I’ve had, like, three cigarettes ever. It wasn’t a big deal.

How do you feel about smoking

Question
07/17/22 1:24 AM MDT

I guess I feel kinda embarrassed that I smoked, because I know all the bad stuff it does. Cancer, emphysema, all of that. It wasn’t even enjoyable really.

Can you tell me about the impacts of smoking on your health

Question
07/17/22 1:25 AM MDT

I know people die from smoking all the time, like millions of people. It causes lung cancer, emphysema… A whole bunch of other stuff. I mean, by this point everyone must know that.

Do your friends encourage you to smoke

Question
07/17/22 1:25 AM MDT

When I smoked, I wasn’t trying to impress anyone. I mean, maybe I did want to fit in, but mostly I was just curious. My friends didn’t, like, make me do it–I definitely don’t want you to think that.

What will you say if your friends ask you to smoke again

Question
07/17/22 1:26 AM MDT

I’ll tell them no thanks, and that it’s not for me. I’m sure they’ll be cool with that.

Have you ever use any recreational drug

Question
07/17/22 1:26 AM MDT

No. I’ve never done any drugs, ever.

Have you ever drink alcohol

Question
07/17/22 1:26 AM MDT

Nah, I’m not really interested in that.

I commend you for not doing drugs or drinking alcohol

Empathize
07/17/22 1:27 AM MDT

Thank you.

Subjective Data Collection: 19 of 19 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:
 Indicates an item that you found.

Available:
 Indicates an item that is available to be found.

Category

Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Introduction and Medical History

Finding:
Established reason for visit

&nbspSubjective Action&nbspPro Tip: Asking the patient’s reason for their visit is a practical way to establish a chief complaint.&nbspExample Question: "What brings you in today?"” data-html=”true” data-title=”Reports needing an annual physical (Found)” data-original-title=””>
Finding:
Reports needing an annual physical
(Found)
Pro Tip: Asking the patient’s reason for their visit is a practical way to establish a chief complaint.
Example Question:
What brings you in today?

Finding:
Asked about past medical history

&nbspSubjective Action&nbspPro Tip: A broad question about the patient’s past medical history may prompt a more comprehensive answer.&nbspExample Question: "What medical conditions do you have?"” data-html=”true” data-title=”Denies medical conditions (Found)” data-original-title=””>
Finding:
Denies medical conditions
(Found)
Pro Tip: A broad question about the patient’s past medical history may prompt a more comprehensive answer.
Example Question:
What medical conditions do you have?

Medications

Finding:
Asked about general medication use

&nbspSubjective Action&nbspPro Tip: Asking a patient what medications they take may prompt a broader response that does not capture a complete picture of their medication use.&nbspExample Question: "What medications do you take?"” data-html=”true” data-title=”Reports taking occasional ibuprofen (Found)” data-original-title=””>
Finding:
Reports taking occasional ibuprofen
(Found)
Pro Tip: Asking a patient what medications they take may prompt a broader response that does not capture a complete picture of their medication use.
Example Question:
What medications do you take?

&nbspSubjective Action&nbspPro Tip: Asking the patient what medications are prescribed to him or her may prompt the patient to report medications taken daily or on an as-needed basis.&nbspExample Question: "Do you take any prescription medications?"” data-html=”true” data-title=”Denies taking prescription medication (Available)” data-original-title=””>
Finding:
Denies taking prescription medication
(Available)
Pro Tip: Asking the patient what medications are prescribed to him or her may prompt the patient to report medications taken daily or on an as-needed basis.
Example Question:
Do you take any prescription medications?

&nbspSubjective Action&nbspPro Tip: Asking specifically about a patient’s use of the over-the-counter medications may prompt a more definitive response and yield greater insight into their medication use.&nbspExample Question: "Do you take any other over the counter medications?"” data-html=”true” data-title=”Only OTC medication is ibuprofen (no others reported) (Found)” data-original-title=””>
Finding:
Only OTC medication is ibuprofen (no others reported)
(Found)
Pro Tip: Asking specifically about a patient’s use of the over-the-counter medications may prompt a more definitive response and yield greater insight into their medication use.
Example Question:
Do you take any other over the counter medications?

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