Conditions of the Musculoskeletal and Neurovascular Systems Chelsea Warren Education & Empathy

Conditions of the Musculoskeletal and Neurovascular Systems Chelsea Warren Education & Empathy

Education & Empathy :

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

  • Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
  • Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
  • Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
 1 Sports Safety
Not Followed Up

 Description: Chelsea admits she wasn’t wearing her helmet during her fall.

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do you wear a helmet

Question
02:35 AM EST

Chelsea Warren

I am an equestrian athlete, I should always wear a helmet….but my friends and I just don’t think it’s cool, you know? It doesn’t look as cute. But I don’t want that to mean my horse gets taken away. Riding is my life’s work! If I have to wear a helmet to stay with Sparkle, I swear I will!

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do you feel pain when walking?

Question
02:36 AM EST

 Model Statement: “It’s very important to wear all of your safety equipment while riding. It can prevent injuries to your head.”

 2 Concern for Chelsea
Not Followed Up

 Description: Ned expresses concern about Chelsea’s level of pain and her ability to continue horseback riding.

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do you have difficulty with walking?

Question
02:49 AM EST

Chelsea Warren

Most regular activities can get uncomfy if I do them for long enough, you know? But after the fall, the pain was awful. Like really, really bad. It hurt to walk on my knee the day after that, which was yesterday. But before that I guess just walking like regular didn’t hurt at all. Conditions of the Musculoskeletal and Neurovascular Systems Chelsea Warren Education & Empathy

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do you have any palpitation? (Clarified to: Do you have any family history of heart palpitations?)

Question
02:49 AM EST

Chelsea Warren

Dad? (Clarified to: if I have a family history of heart palpitations)

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do you have any swelling to your lower extremities? (Clarified to: Are your legs swelling?)

Question
02:50 AM EST

Chelsea Warren

Swelling? That doesn’t sound fun. I don’t have any of that. (Clarified to: if my legs are swelling)

 Model Statement: “I can tell you have concern for your daughter. We will provide her the best possible care.”

 3 Pain
Followed Up

 Description: Chelsea has been in pain for several weeks and experienced severe pain after her fall. Conditions of the Musculoskeletal and Neurovascular Systems Chelsea Warren Education & Empathy

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On a scale of a zero to ten with ten being the worst and zero being no pain, how bad is your pain? (Clarified to: Can you rate your current pain level on a scale of 0 to 10?)

Question
02:21 AM EST

Chelsea Warren

I’m not sure about a scale…but during regular day to day stuff it’s uncomfortable. After the fall though, it was terrible. My knee was really, really bad. Now, the pain even makes it hard to put on pants and riding boots, and a proper show rider should always be in proper riding clothes! Ms. Saint Germain, my riding instructor, has won show and jumping titles and you can get points off if you’re not very neat and tidy during jumps. (Clarified to: how I would rate my pain on a scale)

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On a scale of a zero to ten with ten being the worst and zero being no pain, how bad is your pain?

Empathize
02:22 AM EST

Chelsea Warren

Thank you.

 Model Statement: “I understand you’ve been in pain recently, and it’s interfering with your ability to do the things you like. We will do our best to take care of you so you can get back to horseback riding.”

 4 Receiving Care
Not Encountered

 Description: Ned expresses concern for Chelsea and says that he held off on bringing her in to the clinic until she fell and experienced severe pain.

 Model Statement: “Ned, taking Chelsea in when she felt pain was the right thing to do. It is not always easy to tell when your child needs medical attention, but severe or persistent pain are definitely signs it is time to schedule an appointment with your healthcare provider.” Conditions of the Musculoskeletal and Neurovascular Systems Chelsea Warren Education & Empathy

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