Adolescent Sports Evaluation Samantha Monroe shadow health Transcript

Started: Mar 05, 2022 | Total Time: 306 min

Hello. My name is xxxx, I will interview you and later conduct a physical exam.

Greet
03/05/22 5:41 AM EST

Table of Contents

Hello.

What is your relationship with the patient?

Question
03/05/22 5:42 AM EST

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Oh, this is my mom.

Hey, I’m Jackie Monroe. This is my daughter, Samantha.

Why are you here today?

Question
03/05/22 5:42 AM EST

I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool. Adolescent Sports Evaluation Samantha Monroe shadow health

Any medical issue?

Attitudes and Beliefs in Nursing

Question
03/05/22 5:43 AM EST

Uh, nope. No health issues.

Any history of surgery?

Question
03/05/22 5:43 AM EST

I had my tonsils removed when I was like 9, but that’s it.

Yeah, that was Samantha’s only surgery.

Any missing organ? (No matching questions found.)

Question
03/05/22 5:45 AM EST

Does your daughter have any missing organ? (No matching questions found.)

Question
03/05/22 5:46 AM EST

Have you had any of your organs removed?

Question
03/05/22 5:46 AM EST

Uh . . . no. All my organs are 100% present.

Any allergies?

Question
03/05/22 5:49 AM EST

No, I’ve never had any allergies before.

Are your vaccinations current?

Question
03/05/22 5:50 AM EST

Yeah, I’ve had all my vaccines.

I always made sure she was up to date on her vaccinations.

Are you using any medications?

Question
03/05/22 5:50 AM EST

No, I don’t take anything.

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. Adolescent Sports Evaluation Samantha Monroe shadow health

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 Fitting in

Followed Up

	Description: Samantha feels like she doesn’t fit in with her peers.
	Do you want to lose weight? (Clarified to: Why do you think you need to lose weight?)	Question 06:29 AM EST
	Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to: why I think I need to lose weight)
	You should not try to fit in. Everyone is unique Adolescent Sports Evaluation Samantha Monroe shadow health.	Educate 06:30 AM EST
	Um, that makes sense.
	Model Statement: “At age 13, there are a lot of social pressures, coming from your friends at school, teammates at soccer, and influencers on social media. It’s important to be a part of a community that accepts and supports you. If you don’t feel accepted or supported, then you should feel comfortable discussing these issues with people you do trust, because that environment might not be healthy for you. It’s also possible that you’re being hard on yourself. I know it’s tempting to compare yourself to others, but don’t let that damage your self-worth.”

2 Body Image

Followed Up

	Description: Samantha has insecurities about her body image.
	Do you feel your weight is okay? (Clarified to: How do you feel about your weight?)	Question 06:27 AM EST
	Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to: how I feel about my weight)
	I understand your concerns but you should not try to fit in or compare yourself to others.	Educate 06:29 AM EST
	Gotcha.
	Model Statement: “Samantha, you’ve mentioned wanting to lose baby fat and look athletic. I’m really sorry you’re having a hard time with the way people see you and the way you see yourself, but there’s nothing wrong with how you look, and you’re in good health. I know it’s easy for me to say this here in the clinic and hard for you when you’re getting compared to other people, but there’s nothing you need to change about yourself.”

3 Menstruation

Followed Up

	Description: Samantha has concerns that she should have had her first period already.
	Have you started your periods?	Question 06:17 AM EST
	No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.
	I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.	Educate 06:20 AM EST
	Cool. Good to know.
	Model Statement: “Knowing that your classmates are having their periods when you haven’t had one yet can be frustrating, but you don’t have anything to worry about. It’s typical for someone your age to not have started menstruating yet, and we can expect it to happen before you are 15 Adolescent Sports Evaluation Samantha Monroe shadow health. Everyone’s experience is a little bit different—sometimes I have patients who are concerned at how early they started. You’re prepared for your first period when it happens, and you’re comfortable talking about it here. That’s the maturity that matters, so do your best not to worry about where your peers are.”

4 Skipping Meals

Followed Up

	Description: Samantha says that she skips lunch once or twice a week to reduce her caloric intake.
	Do you skip any meals?	Question 06:32 AM EST
	Yeah, I skip lunch once or twice each week.
	It is not advisable to skip any meal at your age because you are still growing	Educate 06:33 AM EST
	For sure. OK.
	Model Statement: “It’s very important to eat lunch, along with the rest of your regular meals. You’re still growing, and that takes a lot of food and energy. You’re also a soccer player, and athletes need plenty of calories and nutrients to play well and stay healthy. You definitely don’t need to feel bad about eating lunch. On top of that, skipping meals can feel pretty bad. When I miss lunch, I get a headache and feel cranky. Please go easy on yourself and your body and try not to skip lunch anymore.”

Correct
Partially correct

Incorrect
Missed

Growth Chart: Height & Weight

1 of 1 point

Weight Percentile (1/4 point)

Below 5th percentile
Between 5th and 95th percentile
Above 95th percentile

Weight Growth Curve (1/4 point)

Growth curve maintained
Growth curve decline

Height Percentile (1/4 point)

Below 5th percentile
Between 5th and 95th percentile
Above 95th percentile

Height Growth Curve (1/4 point)

Growth curve maintained
Growth curve declined

Inspected Skin

1 of 1 point

Lesions (1/5 point)

No visible lesions

My Provider Notes

Student Documentation

Model Documentation

Subjective

Ms. Monroe is a 13 year old female presenting for a preparticipation evaluation so she can play soccer this year. Past Medical History: No current medical problems. Tonsillectomy as a child. Medications: No prescription medications. Takes multivitamin Adolescent Sports Evaluation Samantha Monroe shadow health

Problem Selection

8 out of 8

Primary Diagnosis

Review your answers for the Problem Selection activities Adolescent Sports Evaluation Samantha Monroe shadow health. You receive one point for each correct diagnosis, and one point for each correct evidence linked to a correct diagnosis. If there are multiple correct diagnoses, you will also receive a point for correctly selecting which diagnosis is the primary diagnosis.

Learner Selection	Model Documentation
Diagnosis: Pre-Participation Sports Physical Identified as primary Evidences: Samantha reports the reason for her visit is a sports physical Learner Rationale: The patient indicates that she came for a sports physical. Score: 3 out of 3	Diagnosis: Pre-Participation Sports Physical Primary: Yes Evidences: Samantha reports the reason for her visit is a sports physical Model Rationale: The primary diagnosis is the reason for the patient’s visit. Because Samantha has indicated she is in the office for her sports physical, the correct primary diagnosis is Pre-Participation Sports Physical. As a primary care provider, it is critical to properly code the reason for Samantha’s visit so it can be covered by insurance.

Nope. My head’s fine.

Have you had a concussion?

Question
03/05/22 6:03 AM EST

I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.

Any numbness or tingling? Adolescent Sports Evaluation Samantha Monroe shadow health

Question
03/05/22 6:04 AM EST

No numbness or tingling. That sounds weird.

Any weakness in your limbs?

Question
03/05/22 6:09 AM EST

Nope, no weakness.

Do you exercise in the heat?

Question
03/05/22 6:14 AM EST

Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.

Any eye problems?

Question
03/05/22 6:16 AM EST

My eyes are fine.

Have you started your periods?

Question
03/05/22 6:17 AM EST

No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.

She asked how old I was when I got my first period. I told her I was about 12.

I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.

Educate
03/05/22 6:20 AM EST

Cool. Good to know.

Tell me about your family medical history.

Question
03/05/22 6:21 AM EST

Wait, like the entire family medical history or do you mean something more specific?

Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.)

Question
03/05/22 6:22 AM EST

I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)

No, no one in the family has any genetic heart conditions.

Any heart problems in your family?

Question
03/05/22 6:22 AM EST

I don’t think anyone has heart problems, but I’m not totally sure.

You know, I can’t think of anybody in the family who’s had heart problems.

Any history of unexpected deaths in your family? (No matching questions found.)

Question
03/05/22 6:23 AM EST

Any family history of unexpected deaths before the age of 35? (No matching questions found.)

Question
03/05/22 6:24 AM EST

Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.) Adolescent Sports Evaluation Samantha Monroe shadow health

Question
03/05/22 6:25 AM EST

I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)

To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.

Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)

Question
03/05/22 6:27 AM EST

Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)

I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.

I understand your concerns but you should not try to fit in or compare yourself to others.

Educate
03/05/22 6:29 AM EST

Gotcha.

Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)

Question
03/05/22 6:29 AM EST

Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)

You should not try to fit in. Everyone is unique.

Educate
03/05/22 6:30 AM EST

Um, that makes sense.

Tell me about your diet.

Question
03/05/22 6:31 AM EST

I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.

Do you skip any meals?

Question
03/05/22 6:32 AM EST

Yeah, I skip lunch once or twice each week.

It is not advisable to skip any meal at your age because you are still growing

Educate
03/05/22 6:33 AM EST

For sure. OK.

How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)

Question
03/05/22 6:34 AM EST

I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)

Inspected weight and height growth chart

Exam Action
03/05/22 6:35 AM EST

Inspected Skin

Exam Action
03/05/22 6:48 AM EST

Assessed appearance

Exam Action
03/05/22 6:49 AM EST

Assessed Cervical Spine Range of Motion

Exam Action
03/05/22 6:52 AM EST

Assessed Spine Range of Motion: Full range of motion performed without discomfort

Exam Action
03/05/22 6:53 AM EST

Assessed wrist range of motion

Exam Action
03/05/22 7:01 AM EST

Assessed Elbow Range of Motion

Exam Action
03/05/22 7:03 AM EST

Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

Assessed Trapezius Strength: Strength equal bilaterally against full resistance

Exam Action
03/05/22 7:06 AM EST

Assessed deltoid strength and shoulder rotation

Exam Action
03/05/22 7:07 AM EST

Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance

Exam Action
03/05/22 7:08 AM EST

Assessed Symmetry of Extremities

Exam Action
03/05/22 7:09 AM EST

Assessed leg symmetry, knee and ankle effusion

Exam Action
03/05/22 7:09 AM EST

Assessed Calf Symmetry and Leg Strength

Exam Action
03/05/22 7:10 AM EST

Tested Hip, Knee, and Ankle ROM

Exam Action
03/05/22 7:11 AM EST

Tested Cardinal Fields of Vision

Exam Action
03/05/22 7:14 AM EST

Tested peripheral vision

Exam Action
03/05/22 7:15 AM EST

Tested visual acuity

Exam Action
03/05/22 7:15 AM EST

Tested balance: Expected

Exam Action
03/05/22 7:16 AM EST

Auscultated lungs

Exam Action
03/05/22 7:17 AM EST

Auscultated abdomen

Exam Action
03/05/22 7:18 AM EST

Auscultated heart

Exam Action
03/05/22 7:18 AM EST

Screened Adam’s Forward Bend

Exam Action
03/05/22 7:20 AM EST

Mrs. Monroe please step out so I can have a private conversation with your daughter.

Educate
03/05/22 7:34 AM EST

Sure, no problem.

I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.

Educate
03/05/22 7:36 AM EST

OK. That sounds alright.

Tell me about your school life, friends and hobbies. Adolescent Sports Evaluation Samantha Monroe shadow health

Question
03/05/22 7:38 AM EST

Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.

Am sorry about that. Everything will be fine.

Empathize
03/05/22 7:39 AM EST

Thanks. I’m glad you understand.

Tell me about your support system.

Question
03/05/22 7:41 AM EST

Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.

Have you ever used tobacco?

Question
03/05/22 7:42 AM EST

Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.

Have you used any drugs?

Question
03/05/22 7:43 AM EST

No. I wouldn’t ever do drugs.

Have you used alcohol?

Question
03/05/22 7:44 AM EST

I don’t drink. No way.

Are you interested in relationships and dating?

Question
03/05/22 7:45 AM EST

I’m not really interested in that yet.

Are you sexually active?

Question
03/05/22 7:45 AM EST

No.

I would like to know more about your feeling of nervousness or anxiety.

Question
03/05/22 7:54 AM EST

I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.

Am sorry about that.

Empathize
03/05/22 7:55 AM EST

Thanks.

I noticed that you are concerned about your body image, weight, and diet.

Question
03/05/22 7:57 AM EST

Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?

Have you ever considered doing anything more extreme to manage your weight?

Question
03/05/22 7:58 AM EST

No, I wouldn’t do anything dangerous. I promise.

Do you have any questions for me?

Question
03/05/22 7:59 AM EST

No, I don’t think so.

You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.

Exam Action
03/06/22 8:19 AM EST

I am ready to begin the conversation with Samantha.

Question
03/06/22 8:20 AM EST

In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

Exam Action
03/06/22 8:20 AM EST

Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.

Question
03/06/22 8:23 AM EST

Oh, um yeah. That makes sense. I don’t want any of that to happen.

Thank you. This is pretty concerning so we’ll take this very seriously.

In your own words, discuss limiting media intake with Samantha and Jackie.

Exam Action
03/06/22 8:24 AM EST

You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.

Question
03/06/22 8:30 AM EST

Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

Exam Action
03/06/22 8:33 AM EST

You can try journalling, relaxation and stress management techniques, and affirmations

Question
03/06/22 8:58 AM EST

Yeah, that make sense. It’s not like I want to feel this way, you know?

I’m just glad we figured out that this was an issue. I had no idea.

You have provided Samantha and her mother education on all appropriate non-pharmacological interventions. Adolescent Sports Evaluation Samantha Monroe shadow health

Adolescent Sports Evaluation – Samantha Monroe’s Interview

Transcript
Date: March 5, 2022
Total Duration: 306 minutes

Your Avatar: Hello, my name is [Your Name], and I will conduct your interview and a physical exam.

Samantha Monroe: Hello.

Your Avatar: What is your relationship with the patient?

Samantha Monroe: Oh, this is my mom.

Jackie Monroe: Hey, I’m Jackie Monroe, and this is my daughter, Samantha.

Your Avatar: Why are you here today?

Samantha Monroe: I’m here for a sports checkup. I’m joining my school’s soccer team called the Nightingales. It’s pretty cool.

Your Avatar: Do you have any medical issues?

Samantha Monroe: Nope, no health problems.

Your Avatar: Have you had any surgeries?

Samantha Monroe: I had my tonsils removed when I was about 9, but that’s it.

Jackie Monroe: Yes, that was Samantha’s only surgery.

Your Avatar: Any missing organs? (No relevant questions found.)

Your Avatar: Does your daughter have any missing organs? (No relevant questions found.)

Your Avatar: Have you had any organs removed?

Samantha Monroe: Uh, no, all my organs are fine.

Your Avatar: Do you have any allergies?

Samantha Monroe: No, I’ve never had any allergies.

Your Avatar: Are your vaccinations up to date?

Samantha Monroe: Yes, I’ve had all my vaccines.

Jackie Monroe: I always made sure she was up to date on her vaccines.

Your Avatar: Are you taking any medications?

Samantha Monroe: No, I don’t take any medications.

During the patient interview, there are opportunities to provide education and empathy. Here are some important moments identified:

1. Fitting in: Samantha feels like she doesn’t fit in with her peers. She wants to lose weight to fit in.

Model Statement: “At age 13, there are social pressures from school friends, soccer teammates, and social media. It’s important to be part of a community that accepts and supports you. If you don’t feel accepted or supported, discuss these feelings with people you trust. It’s also possible you’re being hard on yourself. Don’t compare yourself to others.”

2. Body Image: Samantha has concerns about her body image and wants to lose baby fat.

Model Statement: “Samantha, there’s nothing wrong with how you look, and you’re in good health. Don’t compare yourself to others.”

3. Menstruation: Samantha hasn’t started her period, and she pretends she has to fit in.

Model Statement: “It’s normal for someone your age not to have started menstruating yet. Your experience may differ from your peers, but your maturity in discussing it is what matters.”

4. Skipping Meals: Samantha mentions skipping lunch to reduce caloric intake.

Model Statement: “Eating regularly is crucial at your age. Skipping meals can affect your health and performance. Be kind to your body and don’t skip lunch.”

Objective Data Collection: All data points are correct.

Subjective Data Collection: Most questions were answered correctly. Samantha has never had a concussion, no numbness or tingling, no weakness in her limbs, and no history of alcohol or drug use. She hasn’t started her period yet, and there is no history of heart problems in the family.

It seems like Samantha’s primary concerns are related to fitting in, body image, and diet. She’s worried about her weight and wants to avoid any extreme measures to manage it.

You’ve provided Samantha and her mother with education on non-pharmacological interventions related to disordered eating and body image. You discussed the importance of nutrition, limiting media exposure, and coping mechanisms like journaling and stress management. Samantha and her mother seem to understand the importance of these issues.

Please let me know if you need any more information or if you’d like to discuss something specific in more detail.

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Adolescent Sports Evaluation Samantha Monroe shadow health Transcript