Rachel Adler Alcohol Use Disorder shadow health transcript [Solved ]

Rachel Adler Alcohol Use Disorder shadow health transcript

 

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Started: Jun 11, 2022 | Total Time: 172 min
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Hello. My name is xxx, I will interview you and conduct a physical exam

Greet
06/16/22 10:13 PM EDT

Rachel Adler.
Hi. Thanks for being here.
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What brings you here? Rachel Adler Alcohol Use Disorder shadow health transcript

Question
06/16/22 10:17 PM EDT

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Rachel Adler.
I don’t know what happened. They told me I was in a car accident, that I hit a pole and I’m getting a DUI. That’s how I hurt my wrist. I don’t care what happened, I kind of wish it had been worse.
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Did you get an injury?

Question
06/16/22 10:18 PM EDT

Rachel Adler.
Other than my wrist? No, I don’t think so.
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Were you attempting suicide? (Clarified to Have you ever attempted suicide?.)

Question
06/16/22 10:22 PM EDT

Rachel Adler.
No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything Rachel Adler Alcohol Use Disorder shadow health transcript. (Clarified to if I have ever attempted suicide.)
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Did you lose consciousness?

Question
06/16/22 10:30 PM EDT

Rachel Adler.
I passed out in the car crash. I don’t remember how it happened.
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Were you wearing a seatbelt?

Question
06/16/22 10:34 PM EDT

Rachel Adler.
I always wear my seatbelt. Even when I’m drunk driving, apparently.
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Did you drink before the accident?

Question
06/16/22 10:34 PM EDT

Rachel Adler.
Yeah. I was. I think I had at least five drinks. I was at a party with my friends, so, I didn’t think it was a big deal. Shows you where that gets you, I guess.
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Did you drive carefully?

Question
06/16/22 10:35 PM EDT

Rachel Adler.
Honestly, I didn’t care that I was driving drunk. I mean, I’ve done it before, all my friends do it, I didn’t think it was a big deal. I was too upset to care, anyway. I didn’t really think I was going to get hurt, but, like, at the same time, I didn’t care what happened to me.
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When did the pain start?

Question
06/16/22 10:36 PM EDT

Rachel Adler.
The pain probably started around the moment when I passed out and my car hit that pole.
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Where is your pain located?

Question
06/16/22 10:37 PM EDT

Rachel Adler.
My wrist hurts the most. The right one, in the brace.
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What makes your pain worse?

Question
06/16/22 10:37 PM EDT

Rachel Adler.
It hurts pretty bad when I move it. If I bend or twist it, or if I try to pick something up, it hurts a lot.
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Am sorry about that

Empathize
06/16/22 10:38 PM EDT

Rachel Adler.
Ha, thanks.
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What relieves your pain?

Question
06/16/22 10:38 PM EDT

Rachel Adler.
The ibuprofen has helped the pain. That, and the sling.
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Does rest improve your pain?

Question
06/16/22 10:39 PM EDT

Rachel Adler.
Yeah, resting here does help.
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What is your pain like?

Question
06/16/22 10:40 PM EDT

Rachel Adler.
It’s kind of this constant ache Rachel Adler Alcohol Use Disorder shadow health transcript.
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Any sharp pain?

Question
06/16/22 10:40 PM EDT

Rachel Adler.
No, I wouldn’t describe it that way. It’s more of an ache.
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How would you rate your pain level? Rachel Adler Alcohol Use Disorder shadow health transcript

Question
06/16/22 10:40 PM EDT

Rachel Adler.
I’d say my pain is about a two out of ten.
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Does your medication improve the pain?

Question
06/16/22 10:41 PM EDT

Rachel Adler.
The ibuprofen has helped the pain. That, and the sling.
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Do you have any other health problems?

Question
06/16/22 10:42 PM EDT

Rachel Adler.
I don’t have any illnesses.
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Any history of mental disorder?

Question
06/16/22 10:42 PM EDT

Rachel Adler.
I’ve never been diagnosed with a mental illness.
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Any history of depression?

Question
06/16/22 11:14 PM EDT

Rachel Adler.
No, no one’s ever told me I have depression.
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Any stress?

Question
06/16/22 11:15 PM EDT

Rachel Adler.
The last year has been hard, but I’ve been especially stressed out for the last six months. It’s been so tough to keep my grades up at school, to deal with my parents, and then to have problems with my friends . . . I wish I could be a normal carefree college student, but that’s never going to happen now.
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Am sorry about that

Empathize
06/16/22 11:16 PM EDT

Rachel Adler.
Thanks. Wish I were kind to myself like that.
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Any suicidal thoughts?

Question
06/16/22 11:17 PM EDT

Rachel Adler.
I don’t have a plan, if that’s what you mean. Before last night, I didn’t want to kill myself. Right now . . . I don’t know. Everything is so hard, and I wish it would all just stop.
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Have you ever attempted suicide?

Question
06/16/22 11:17 PM EDT

Rachel Adler.
No, I’ve never attempted suicide. I’ve never planned anything. Before last night, I wasn’t trying to hurt myself. I just wish things were easier, and if I’d died last night, I’d be free of being so sick and tired of everything.
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do you feel confused about your life?

Question
06/16/22 11:18 PM EDT

Rachel Adler.
I don’t know. I haven’t thought about physically killing myself or how I would do it or anything. It’s more just wishing not to be here. Rachel Adler Alcohol Use Disorder shadow health transcript It would be so much easier.
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Am sorry about that

Empathize
06/16/22 11:40 PM EDT

Rachel Adler.
Thanks for getting it.
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Why do you wish you had died? (Clarified to Why do you think it would be better if you had died in the car accident?.)

Question
06/16/22 11:43 PM EDT

Rachel Adler.
Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think it would be better if I had died in the car accident.)
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What makes you think about dying? (Clarified to Why do you think life is not worth living?.)

Question
06/16/22 11:45 PM EDT

Rachel Adler.
Well, it would be so much better if I didn’t have to put up with the stress of life anymore. Like, I didn’t care if I could’ve hurt myself last night, even though I know drinking and driving is bad . . . in some ways, it might have been better if I had just died last night. Then I wouldn’t have to go through all this. I wouldn’t have to face the court for this DUI, wouldn’t have to face my parents . . . (Clarified to why I think life is not worth living.)
Am sorry about that

Empathize
06/17/22 12:40 AM EDT

Rachel Adler.
Thanks. Wish I were kind to myself like that.
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 Assess vitals

Exam Action
06/17/22 12:40 AM EDT

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 Inspected right eye

Exam Action
06/17/22 12:40 AM EDT

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 Inspected left eye

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06/17/22 12:40 AM EDT

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 Inspected right eye

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06/17/22 12:40 AM EDT

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 Inspected left eye

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06/17/22 12:40 AM EDT

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 Inspected left arm

Exam Action
06/17/22 12:40 AM EDT

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 Inspected right arm: right hand is normal, right wrist has redness and swelling

Exam Action
06/17/22 12:40 AM EDT

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 Inspected left arm: no visible abnormalities Rachel Adler Alcohol Use Disorder shadow health transcript

Exam Action
06/17/22 12:41 AM EDT

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 Inspected left wrist: no visible abnormalities

Exam Action
06/17/22 12:41 AM EDT

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 Inspected left hand: no visible abnormalities

Exam Action
06/17/22 12:41 AM EDT

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 Inspected right arm: no visible abnormalities

Exam Action
06/17/22 12:42 AM EDT

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 Inspected right wrist: no visible abnormalities

Exam Action
06/17/22 12:42 AM EDT

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 Inspected right hand: no visible abnormalities

Exam Action
06/17/22 12:42 AM EDT

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 Inspected left arm: no visible abnormalities

Exam Action
06/17/22 12:43 AM EDT

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 Auscultated breath sounds

Exam Action
06/17/22 12:44 AM EDT

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 Auscultate heart sounds

Exam Action
06/17/22 12:44 AM EDT

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 Palpated radial arteries

Exam Action
06/17/22 12:44 AM EDT

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 Tested capillary refill

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06/17/22 12:44 AM EDT

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 Assessed general appearance: indirect eye contact, tension and rigidity, clean clothing, and appropriate level of grooming Rachel Adler Alcohol Use Disorder shadow health transcript

Exam Action
06/17/22 12:45 AM EDT

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 Assessed attitude: suspicious, guarded, or evasive

Exam Action
06/17/22 12:45 AM EDT

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 Assessed speech: expected rate of speech, loud speech volume, and no appreciable issues with articulation

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06/17/22 12:45 AM EDT

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 Assessed mood and affect: stable mood and a balanced affect

Exam Action
06/17/22 12:45 AM EDT

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 Assessed thought process: no presence of thought disturbances

Exam Action
06/17/22 12:46 AM EDT

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 Assessed thought content: suicidal ideation but no perceptual disturbances

Exam Action
06/17/22 12:46 AM EDT

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 Confirmed orientation

Exam Action
06/17/22 12:46 AM EDT

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What is your name and date of birth?

Question
06/17/22 12:46 AM EDT

Rachel Adler.
Rachel Adler and I was born. . . [Ms. Adler reports her correct date of birth.]
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What building are you in now?

Question
06/17/22 12:47 AM EDT

Rachel Adler.
We’re in Shadow General Hospital.
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What is the date and year?

Question
06/17/22 12:47 AM EDT

Rachel Adler.
Yeah, it’s . . . [Ms. Adler reports the correct date and year.]
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 Assessed cognition

Exam Action
06/17/22 12:48 AM EDT

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Count backwards from 100 by 7 until you get to the 60s

Question
06/17/22 12:49 AM EDT

Rachel Adler.
Uh, sure . . . 100, 93, 86, 79… (Ms. Adler finishes the sequence)
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 Assessed cognition

Exam Action
06/17/22 12:49 AM EDT

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How are apples and oranges alike?

Question
06/17/22 12:49 AM EDT

Rachel Adler.
Those are both types of fruit.
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How are a lake and an ocean alike?

Question
06/17/22 12:50 AM EDT

Rachel Adler.
Obviously those are both bodies of water.
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How are a trumpet and a flute alike?

Question
06/17/22 12:50 AM EDT

Rachel Adler.
Those are both instruments. Wind instruments.
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 Assessed cognition

Exam Action
06/17/22 12:50 AM EDT

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Repeat and remember burger, tulip, nose, and tea.

Question
06/17/22 12:51 AM EDT

Rachel Adler.
Burger, tulip, nose, tea. Got it.
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How did you celebrate your last birthday?

Question
06/17/22 12:51 AM EDT

Rachel Adler.
It was pretty low key actually. I went to dinner with some friends, then we watched movies at my place. It was nice.
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Repeat the four words from before

Question
06/17/22 12:52 AM EDT

Rachel Adler.
Burger, tulip, nose, and tea.
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Copy the shapes exactly as you see them

Question
06/17/22 12:52 AM EDT

Rachel Adler.
I’ll have to do it with my other hand because of my wrist, but luckily I’m pretty good with both.
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 Assessed insight: demonstrates limited or no awareness of illness and/or is unwilling to seek treatment

Exam Action
06/17/22 12:53 AM EDT

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 Assessed judgment: demonstrates good judgment

Exam Action
06/17/22 12:53 AM EDT

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What would you do if you found a stamped envelope on the sidewalk?

Question
06/17/22 12:54 AM EDT

Rachel Adler.
Uh, I guess I’d try to drop it in a post box somewhere.

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