Tina Jones Neurological shadow health assessment 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.
1 SymptomsFollowed Up
| Description: Tina describes the symptoms that have been bothering her. | ||
 | What brings you to the clinic today? | Question 10:57 AM PDT |
 | Well, I got into a little fender bender a week ago and I’ve been getting these headaches ever since. And my neck is sore too. | |
| Am sorry to hear that you are having headaches | Empathize 10:59 AM PDT |
| Thanks for saying that. | |
| Have you had any neck stiffness? | Question 11:00 AM PDT |
| Yeah. | |
| When did the neck stiffness begin? | Question 11:01 AM PDT |
| My neck started hurting about two days after the accident. | |
| Am sorry that you got an accident | Empathize 11:02 AM PDT |
| Thanks. | |
| Model Statement: “I’m sorry to hear that you were in a car accident, and that you’re experiencing pain and headaches. Because car accidents can cause injury to your head and neck, it’s important that I learn about how the injury happened and your symptoms so that we can determine if you need treatment.” |
2 Cause of InjuryFollowed Up
| Description: Tina describes her recent “fender bender.” | ||
| What brings you to the clinic today? | Question 10:57 AM PDT |
| Well, I got into a little fender bender a week ago and I’ve been getting these headaches ever since. And my neck is sore too. | |
| Am sorry to hear that you are having headaches | Empathize 10:59 AM PDT |
| Thanks for saying that. | |
| When did the neck stiffness begin? | Question 11:01 AM PDT |
| My neck started hurting about two days after the accident. | |
| Am sorry that you got an accident | Empathize 11:02 AM PDT |
| Thanks. | |
| And when did the headaches begin? (Clarified to: When did the headache begin?) | Question 11:03 AM PDT |
| It was a few days after the car accident — I noticed a headache creeping up throughout the day. (Clarified to: when the headache began) | |
| Did you lose consciousnesses after car accident? (Clarified to: Did you lose consciousness during the car accident?) | Question 11:04 AM PDT |
| No, I don’t think I have ever lost consciousness. (Clarified to: if I lost consciousness during the car accident) Tina Jones Neurological shadow health assessment Education & Empathy | |
| How fast was the car going? | Question 11:06 AM PDT |
| Oh, it was really slow. We were in a parking lot. Maybe not even fifteen miles an hour. | |
| Were you wearing a seat belt? | Question 11:08 AM PDT |
| Yes, I always do. | |
| where in the car were you sitting? | Question 11:10 AM PDT |
| I was in the front passenger seat. | |
| Was the driver under the influence of alcohol? (Clarified to: Was anyone under the influence of alcohol when the accident occurred?) Tina Jones Neurological shadow health assessment Education & Empathy | Question 11:12 AM PDT |
| No, definitely not. Neither of us had anything to drink. [AUDIO COMING SOON] (Clarified to: if anyone was under the influence of alcohol when the accident occurred) | |
| Great, its not advisable to drink under the influence of alcohol | Educate 11:13 AM PDT |
| Alright, thanks for letting me know. | |
| Model Statement: “I’m sorry. Car accidents can be stressful and scary, even if they are minor. I’m glad you are safe.” |
3 MedicationsNot Followed Up
| Description: Tina describes her medication regimen, which includes Tylenol for her symptoms. | ||
| have you tried home remedies? Tina Jones Neurological shadow health assessment Education & Empathy | Question 11:32 AM PDT |
| I’ve been taking Tylenol. And resting helps, too. | |
| Does your headache get better with rest? | Question 11:33 AM PDT |
| Model Statement: “Thank you for letting me know about the medications you usually take. I will ask you a few questions about how you’re using each medication.” |
4 VisionNot Followed Up
| Description: Tina describes her eyecare and vision. | ||
| has your vision changed since the accident ? | Question 11:53 AM PDT |
| No, my vision hasn’t changed since the accident. | |
| have you ever had a blurred vision? | Question 11:53 AM PDT |
| No, my vision hasn’t been blurry since the accident. But, sometimes it gets blurry when I read for too long — that’s been going on for awhile. | |
| any vision problems in just one eye? | Question 11:54 AM PDT |
| Not that I’ve noticed. | |
| Are you sensitive to light since the accident? | Question 11:55 AM PDT |
| No, I’m not sensitive to light. [AUDIO COMING SOON] | |
| have you had any congestion ? Tina Jones Neurological shadow health assessment Education & Empathy | Question 11:55 AM PDT |
| No, I haven’t been congested. | |
| have you had ringing in your ears? | Question 11:56 AM PDT |
| No. | |
| Model Statement: “Blurry vision can be a sign of eye strain, or changes to the retina caused by conditions like diabetes. I’d like to examine your eyes to determine what might be causing your vision changes.” Tina Jones Neurological shadow health assessment Education & Empathy |
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