{"id":184804,"date":"2022-02-20T12:58:46","date_gmt":"2022-02-20T12:58:46","guid":{"rendered":"https:\/\/thestudycorp.com\/?p=184804"},"modified":"2022-02-20T12:58:52","modified_gmt":"2022-02-20T12:58:52","slug":"copd-debbie-oconnor-shadow-health-transcript","status":"publish","type":"post","link":"https:\/\/studyinghq.com\/essay-examples\/nursing\/copd-debbie-oconnor-shadow-health-transcript\/","title":{"rendered":"COPD Debbie O\u2019Connor Shadow Health Transcript"},"content":{"rendered":"\n

Permalink: https:\/\/studyinghq.com\/essay-examples\/copd-debbie-o’connor-shadow-health-transcript\/<\/a><\/p>\n\n\n\n

Focused Exam: COPD Debbie O\u2019Connor shadow health transcript<\/h2>\n\n\n\n

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\"COPD
COPD Debbie O\u2019Connor shadow health<\/a> transcript<\/figcaption><\/figure>\n\n\n\n

COPD Debbie O\u2019Connor shadow health transcript – Transcript<\/h3>\n\n\n\n

Started: Mar 30, 2020 | Total Time:125 min<\/p>\n\n\n\n

\"Your<\/td>Hello Debbie O\u2019Connor, My name is Danielle Scott. I will be your provider today.<\/td>Greet
03\/30\/20 3:44 PM CDT<\/td><\/tr>
\"Debbie<\/td>Hello.<\/td><\/td><\/tr>
\"Your<\/td>Can you verify your Name and birthday?<\/td>Question
03\/30\/20 3:44 PM CDT<\/td><\/tr>
\"Debbie<\/td>I was born on October 5 . . . [Ms. O\u2019Connor reports the correct birth year.]<\/td><\/td><\/tr>
\"Your<\/td>What brings you in today?<\/td>Question
03\/30\/20 3:44 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019m having so much trouble just trying to breathe. And I\u2019ve had these terrible coughing fits. A few days ago, a bronchospasm. My health is going downhill fast . . . I know it has to do with my smoking habit. It\u2019s so hard to kick. I was hoping I could get something to help me.<\/td><\/td><\/tr>
\"Your<\/td>I\u2019m sorry to hear that you are experiencing anxiety over your current health conditions. Not being able to breathe is a scary condition. With the right therapy, and if you quit smoking, you\u2019ll begin to feel better.<\/td>Empathize
03\/30\/20 3:47 PM CDT<\/td><\/tr>
\"Debbie<\/td>That\u2019s very kind.<\/td><\/td><\/tr>
\"Your<\/td>Are you experiencing any other symptoms?<\/td>Question
03\/30\/20 3:48 PM CDT<\/td><\/tr>
\"Debbie<\/td>I feel exhausted. I\u2019m just so weak now, that even walking up the stairs feels exhausting. I had this awful coughing fit three days ago. But I\u2019ve had trouble breathing for several months now. I\u2019ve also been coughing up some nasty phlegm.<\/td><\/td><\/tr>
\"Your<\/td>When did you start coughing up the phlegm<\/a><\/td>Question
03\/30\/20 3:50 PM CDT<\/td><\/tr>
\"Debbie<\/td>I cough up sputum all the time. It\u2019s been like this for a couple of weeks. It\u2019s this dark gray \u2014 or sometimes yellow color.<\/td><\/td><\/tr>
\"Your<\/td>Any aggravating factors?<\/td>Question
03\/30\/20 3:51 PM CDT<\/td><\/tr>
\"Debbie<\/td>Honestly, smoking makes my breathing worse. I have these terrible coughing fits afterwards. Kind of a no-brainer, but I can\u2019t help myself. I can\u2019t handle the withdrawal, so I just try to hold out between cigarettes as long as I can.<\/td><\/td><\/tr>
\"Your<\/td>Is there anything that relieves the symptoms?<\/td>Question
03\/30\/20 3:52 PM CDT<\/td><\/tr>
\"Debbie<\/td>Nothing seems to make my symptoms feel better \u2014 not even my inhaler. I know for sure that smoking makes it worse. I try to hold off as long as I can between cigs. But still . . . I think if I quit I\u2019d feel better.<\/td><\/td><\/tr>
\"Your<\/td>How bad is you breathing? (Clarified to How severe are your breathing problems?.)<\/td>Question
03\/30\/20 3:52 PM CDT<\/td><\/tr>
\"Debbie<\/td>Breathing is so hard, all the time. I guess I\u2019d put it at a 6 out of 10. (Clarified to how severe my breathing problems are.)<\/td><\/td><\/tr>
\"Your<\/td>How does your health affect your social life?<\/td>Question
03\/30\/20 3:53 PM CDT<\/td><\/tr>
\"Debbie<\/td>My breathing problems sure aren\u2019t helping my social life any. I was never exactly a social butterfly, but now I\u2019m not up to going out. Even normal things\u2013shopping, picking up my meds.<\/td><\/td><\/tr>
\"Your<\/td>Do you have any other existing health conditions?<\/td>Question
03\/30\/20 3:54 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ve only got Group B COPD. The chronic bronchitis kind. [AUDIO COMING SOON]<\/td><\/td><\/tr>
\"Your<\/td>Any recent hospitalizations?<\/td>Question
03\/30\/20 3:55 PM CDT<\/td><\/tr>
\"Debbie<\/td>I haven\u2019t been to the hospital in about two years. I had a bad breathing episode and they said I had COPD.<\/td><\/td><\/tr>
\"Your<\/td>What medications are you currently taking?<\/td>Question
03\/30\/20 3:57 PM CDT<\/td><\/tr>
\"Debbie<\/td>I have an inhaler that I use for my COPD \u2014 a formoterol inhaler.<\/td><\/td><\/tr>
\"Your<\/td>How often you do you use your inhaler?<\/td>Question
03\/30\/20 3:58 PM CDT<\/td><\/tr>
\"Debbie<\/td>I use it twice a day, morning and night. Every 12 hours.<\/td><\/td><\/tr>
\"Your<\/td>Whats the dosage of the inhaler?<\/td>Question
03\/30\/20 3:58 PM CDT<\/td><\/tr>
\"Debbie<\/td>I take 12 micrograms of formoterol.<\/td><\/td><\/tr>
\"Your<\/td>Do you take any supplements or vitamins?<\/td>Question
03\/30\/20 3:59 PM CDT<\/td><\/tr>
\"Debbie<\/td>I don\u2019t take any vitamins or supplements or any of that stuff.<\/td><\/td><\/tr>
\"Your<\/td>Are you complaint with your medicine? (No matching questions found.)<\/td>Question
03\/30\/20 3:59 PM CDT<\/td><\/tr>
\"Your<\/td>Do you miss doses of medications? (Clarified to Do you miss doses of your medication?.)<\/td>Question
03\/30\/20 4:00 PM CDT<\/td><\/tr>
\"Debbie<\/td>No, I never miss doses. I use my inhaler once in the morning and once at night. I find that easy enough to remember. (Clarified to if I miss doses of my medication.)<\/td><\/td><\/tr>
\"Your<\/td>Do you use a spirometer?<\/td>Question
03\/30\/20 4:00 PM CDT<\/td><\/tr>
\"Debbie<\/td>I have a spirometer, yes. Only use it sometimes. Got an FEV1 reading of 1.37 L the other day. That\u2019s 49%.<\/td><\/td><\/tr>
\"Your<\/td>Do you have any allergies?<\/td>Question
03\/30\/20 4:01 PM CDT<\/td><\/tr>
\"Debbie<\/td>I don\u2019t have any allergies, never had an allergic reaction . . . nothing like that.<\/td><\/td><\/tr>
\"Your<\/td>Do you use home oxygen?<\/td>Question
03\/30\/20 4:01 PM CDT<\/td><\/tr>
\"Debbie<\/td>I don\u2019t use oxygen . . . it could probably help me. But I\u2019d blow myself up, smoking near it.<\/td><\/td><\/tr>
\"Your<\/td>Oxygen therapy could help alleviate some of your symptoms of breathlessness and fatigue. Unfortunately, you cannot use oxygen therapy if you smoke. It\u2019s too dangerous. Once you quit smoking, you can seek this treatment.<\/td>Educate
03\/30\/20 4:04 PM CDT<\/td><\/tr>
\"Debbie<\/td>You certainly know your stuff.<\/td><\/td><\/tr>
\"Your<\/td>Have you had any vaccines?<\/td>Question
03\/30\/20 4:05 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ve had vaccines before, but . . . it\u2019s been a long time.<\/td><\/td><\/tr>
\"Your<\/td>At your age, and with your health conditions, it\u2019s vital that you get an annual flu shot, and that you receive a pneumococcal vaccine every ten years. These two infections could have terrible effects on your health because your respiratory system is already compromised.<\/td>Educate
03\/30\/20 4:08 PM CDT<\/td><\/tr>
\"Debbie<\/td>That\u2019s good to know.<\/td><\/td><\/tr>
\"Your<\/td>Do you live at home alone?<\/td>Question
03\/30\/20 4:11 PM CDT<\/td><\/tr>
\"Debbie<\/td>I live with my daughter, Ava. I moved in when my health started getting worse. She takes care of me.<\/td><\/td><\/tr>
\"Your<\/td>do you drink alcohol?<\/td>Question
03\/30\/20 4:11 PM CDT<\/td><\/tr>
\"Debbie<\/td>I don\u2019t touch the stuff. My daddy was a drinker, and I saw what it did to him.<\/td><\/td><\/tr>
\"Your<\/td>Any substance abuse?<\/td>Question
03\/30\/20 4:12 PM CDT<\/td><\/tr>
\"Debbie<\/td>No, that never appealed to me.<\/td><\/td><\/tr>
\"Your<\/td>how long have you been a smoker<\/td>Question
03\/30\/20 4:12 PM CDT<\/td><\/tr>
\"Debbie<\/td>I started smoking when I was 15. I\u2019ve smoked for a long time. Had a little success quitting. I stopped for ten years when my daughter was born. But, I picked up the habit again. I\u2019ve tried quitting since my husband died, but . . . it\u2019s hard.<\/td><\/td><\/tr>
\"Your<\/td>I\u2019m sorry that you lost your husband. That sounds like it must have been very difficult for you.<\/td>Empathize
03\/30\/20 4:15 PM CDT<\/td><\/tr>
\"Debbie<\/td>Thanks.<\/td><\/td><\/tr>
\"Your<\/td>how many cigarettes do you smoke per day<\/td>Question
03\/30\/20 4:15 PM CDT<\/td><\/tr>
\"Debbie<\/td>Typically I smoke between three and five cigarettes a day. It\u2019s been that way for the last four months. Ever since I relapsed. Smoking makes my breathing worse, so . . . I try to hold off as long as I can between cigarettes.<\/td><\/td><\/tr>
\"Your<\/td>It\u2019s vital that you quit smoking as soon as possible in order to get some relief from you COPD symptoms. Smoking is putting your life in danger and making your symptoms worse. I can point you towards community or national smoking cessation programs that can help support you while you are quiting<\/td>Educate
03\/30\/20 4:20 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ll be sure to keep that in mind.<\/td><\/td><\/tr>
\"Your<\/td>Do you exercise?<\/td>Question
03\/30\/20 4:20 PM CDT<\/td><\/tr>
\"Debbie<\/td>I can\u2019t exercise. I can\u2019t even move around the house without feeling fatigued and out of breath. Exerting myself in any way makes me feel worse.<\/td><\/td><\/tr>
\"Your<\/td>Tell me about your diet?<\/td>Question
03\/30\/20 4:21 PM CDT<\/td><\/tr>
\"Debbie<\/td>Well, I\u2019m too weak to cook. I eat microwavable meals if I\u2019m alone. Pasta, pizza, rice, all that. My daughter cooks nice food . . . quinoa, salads, salmon.<\/td><\/td><\/tr>
\"Your<\/td>When you COPD symptoms have been alleviated it is important that you try to eat well and get some light exercise. Not exercising can exacerbate your symptoms, and some exercise will help you breathe easier and build lung capacity<\/td>Educate
03\/30\/20 4:23 PM CDT<\/td><\/tr>
\"Debbie<\/td>Oh! That makes sense.<\/td><\/td><\/tr>
\"Your<\/td>Any family history of illness?<\/td>Question
03\/30\/20 4:24 PM CDT<\/td><\/tr>
\"Debbie<\/td>My parents died from smoking their whole lives. It was a different time . . . my father had a heart attack at 42. My mother edged him out, but she eventually got pneumonia.<\/td><\/td><\/tr>
\"Your<\/td>Changes in your weight? (Clarified to Has your weight changed recently?.)<\/td>Question
03\/30\/20 4:24 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ve gained 30 pounds these past two years. (Clarified to if I have had weight changes recently.)<\/td><\/td><\/tr>
\"Your<\/td>Do you have any problems with your vision<\/td>Question
03\/30\/20 4:26 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019m nearsighted, but my glasses work fine.<\/td><\/td><\/tr>
\"Your<\/td>have you noticed any shin issues (No matching questions found.)<\/td>Question
03\/30\/20 4:26 PM CDT<\/td><\/tr>
\"Your<\/td>Any skin changes?<\/td>Question
03\/30\/20 4:27 PM CDT<\/td><\/tr>
\"Debbie<\/td>Skin\u2019s been turning yellow around my mouth and fingers. From cigarettes, I\u2019m sure. At least I haven\u2019t turned blue.<\/td><\/td><\/tr>
\"Your<\/td>Any issues with your menses (No matching questions found.)<\/td>Question
03\/30\/20 4:28 PM CDT<\/td><\/tr>
\"Your<\/td>WHen was you last period<\/td>Question
03\/30\/20 4:28 PM CDT<\/td><\/tr>
\"Debbie<\/td>I haven\u2019t had a period since I went through menopause.<\/td><\/td><\/tr>
\"Your<\/td>Do you work?<\/td>Question
03\/30\/20 4:28 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019m retired. Used to be an office manager.<\/td><\/td><\/tr>
\"Your<\/td>Hello, I have written some prescriptions<\/td>Question
03\/30\/20 5:02 PM CDT<\/td><\/tr>
\"Debbie<\/td>Sure thing, honey.<\/td><\/td><\/tr>
\"Your<\/td>For the tiotropium inhaler, take missed dose as soon as possible.<\/td>Question
03\/30\/20 5:03 PM CDT<\/td><\/tr>
\"Debbie<\/td>Ok. I understand.<\/td><\/td><\/tr>
\"Your<\/td>use the rescue inhaler for acute symptoms<\/td>Question
03\/30\/20 5:03 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ll be sure to do just that.<\/td><\/td><\/tr>
\"Your<\/td>do not swallow the capsules, they should be inhaled with the inhaler<\/td>Question
03\/30\/20 5:04 PM CDT<\/td><\/tr>
\"Debbie<\/td>I understand.<\/td><\/td><\/tr>
\"Your<\/td>Inhale the capsule twice to get the full dose<\/td>Question
03\/30\/20 5:04 PM CDT<\/td><\/tr>
\"Debbie<\/td>Alright.<\/td><\/td><\/tr>
\"Your<\/td>stop the medication and contact the doctor if you experience bronchospasm immediately after a treatment<\/td>Question
03\/30\/20 5:06 PM CDT<\/td><\/tr>
\"Debbie<\/td>Isn\u2019t this inhaler supposed to keep that from happening?<\/td><\/td><\/tr>
\"Your<\/td>yes, youre right. thats why it is important to contact us<\/td>Question
03\/30\/20 5:06 PM CDT<\/td><\/tr>
\"Debbie<\/td>Alright. I think I understand.<\/td><\/td><\/tr>
\"Your<\/td>common side effects will be dry mouth<\/td>Question
03\/30\/20 5:07 PM CDT<\/td><\/tr>
\"Debbie<\/td>Alright.<\/td><\/td><\/tr>
\"Your<\/td>keep the capsules inside the packaging<\/td>Question
03\/30\/20 5:07 PM CDT<\/td><\/tr>
\"Debbie<\/td>Understood.<\/td><\/td><\/tr>
\"Your<\/td>be sure to use the medication as recommended<\/td>Question
03\/30\/20 5:08 PM CDT<\/td><\/tr>
\"Debbie<\/td>Okay.<\/td><\/td><\/tr>
\"Your<\/td>prep the inhaler before use<\/td>Question
03\/30\/20 5:08 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ll be sure to keep that in mind.<\/td><\/td><\/tr>
\"Your<\/td>seek help if you can not control your breathing<\/td>Question
03\/30\/20 5:09 PM CDT<\/td><\/tr>
\"Debbie<\/td>I sure hope that doesn\u2019t happen.<\/td><\/td><\/tr>
\"Your<\/td>you might feel nervous<\/td>Question
03\/30\/20 5:09 PM CDT<\/td><\/tr>
\"Debbie<\/td>Thank you for letting me know. I\u2019ll keep an eye out for that.<\/td><\/td><\/tr>
\"Your<\/td>for the varenicline take missed dose as soon as possible<\/td>Question
03\/30\/20 5:10 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ll be sure to do just that.<\/td><\/td><\/tr>
\"Your<\/td>begin smoking cessation counseling immediately<\/td>Question
03\/30\/20 5:11 PM CDT<\/td><\/tr>
\"Debbie<\/td>I won\u2019t stop trying to quit, no matter what. I have to make it happen this time.<\/td><\/td><\/tr>
\"Your<\/td>it will cause dry mouth<\/td>Question
03\/30\/20 5:11 PM CDT<\/td><\/tr>
\"Debbie<\/td>I can try to deal with that if it happens.<\/td><\/td><\/tr>
\"Your<\/td>stop medication if you experience an allergic reaction<\/td>Question
03\/30\/20 5:12 PM CDT<\/td><\/tr>
\"Debbie<\/td>I\u2019ll keep an eye out for those side effects.<\/td><\/td><\/tr>
\"Your<\/td>contact provider if you have thoughts of hurting yourself or depression<\/td>Question
03\/30\/20 5:13 PM CDT<\/td><\/tr>
\"Debbie<\/td>That\u2019s awful scary. Are you sure I should be taking this medicine?<\/td><\/td><\/tr>
\"Your<\/td>Its rare, we just want to be safe<\/td>Question
03\/30\/20 5:13 PM CDT<\/td><\/tr>
\"Debbie<\/td>Alright. As long as you think it will work.<\/td><\/td><\/tr>
\"Your<\/td>anything else?<\/td>Question
03\/30\/20 5:13 PM CDT<\/td><\/tr>
\"Debbie<\/td>Ok. See you later.<\/td><\/tr><\/tbody><\/table>
COPD Debbie O\u2019Connor shadow health transcript<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

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