Eric Ford Schizophrenia Shadow health
Transcript
Started: Jun 04, 2022 | Total Time: 294 min
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Hello. My name is xxx. I will interview and examine you
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Greet |
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Hey there.
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While this question is open-ended, it lacks empathy and may be perceived as confrontational. Try again. Eric Ford Schizophrenia Shadow health
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Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
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What brings you to the hospital today?
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Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
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Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
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Can I ask who is telling you that your life is almost over?
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I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
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Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
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I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
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Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
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Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
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I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
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I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
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Educate |
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That’s an interesting way of putting it, but yeah, I agree.
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Educate |
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OK, I’m following.
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Educate |
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Yeah. I think that should be good.
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Educate |
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Let’s do it.
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hello
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Greet |
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Hey there.
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Great job! This question is open-ended enough to allow the patient to respond flexibly about the symptoms bothering them and their reason for being in the hospital.
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|
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What brings you to the hospital today?
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Question |
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Look. I’m not crazy, OK. I’ve got some problems, I know, but I’m not crazy. It’s these voices I get. They’re everywhere and everyone and they just kept getting louder. They kept getting harsher… just awful.
|
|
|
Great job! This question seeks further clarification about what the patient has said without outright rejecting or validating what they are experiencing.
|
|
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Can I ask who is telling you that your life is almost over?
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Question |
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I mean these voices I keep hearing, they keep telling me my life is almost over and I can’t get them to stop. Do you hear them?
|
|
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Great job! This empathetic response acknowledges the potentially frightening nature of auditory hallucinations and presents reality in way that does not diminish the patient’s experience.
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I don’t hear anything. That sounds frightening, but please know you are safe here in the hospital.
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Question |
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Thanks. I know I have had issues in the past with hallucinations, but sometimes they feel so real.
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|
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Great job! This educational response casts doubt on the patient’s delusion, and gives reassurance about the safety, and information about the therapeutic effects of his medication.
|
|
|
I don’t see any evidence of that. Taking your medication may lower the frequency of voices you hear.
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Question |
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I guess that’s true. Not everything these voices tell me is true and maybe the medication would help get rid of them.
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When did your symptoms begin?
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This week they’ve been loud, and harsh. They kept telling me to do things I didn’t want to. I just wanted to make them stop so badly, it’s scary when it’s your own head, you know? I just wanted to make them stop… I got help before and the voices quieted down. But they got worse over this past week.
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Can you describe your symptoms??
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I hear voices, like people talking to me and whispering at me. They were under control for a while, really, but they got louder and louder so my mom brought me in here to get some help, that’s all I really want.
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What makes your symptoms worse?
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Solitude. Being alone in my brain train.
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What are your coping strategies?
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How often do you drink?
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Not regularly, and only if I’m with my friends.
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Assessed vitals
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Auscultated breath sounds
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Auscultated heart sounds Eric Ford Schizophrenia Shadow health
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Inspected interior of arms and wrists: no visible abnormalities
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Inspected facial and oral movements: normal
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Inspected upper extremities for involuntary movement: normal
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Inspected lower extremities for involuntary movement: normal
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Inspected torso for involuntary movement: normal
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Assessed general appearance: clothing is disheveled, signs indicating lack of grooming or self-care
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Assessed attitude: suspicious, guarded, or evasive
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Assessed speech: expected rate of speech, appropriate volume, and no issues with articulation
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Assessed mood and affect: stable mood, but affect is blunted or flat
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Assessed thought process: “word salad” or clanging associations present
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Assessed thought content: presence of suicidal ideation and auditory hallucinations
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Confirmed orientation
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What is your name and date of birth?
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My name is Eric Ford and my date of birth is . . . [Mr. Ford reports his correct date of birth.]
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What building are you in now? Eric Ford Schizophrenia Shadow health
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We’re in the hospital.
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What is the date and year?
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It’s . . . [Mr. Ford reports the correct date and year.]
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Assessed cognition
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Count backwards from 100 by 7 until you get to the 60s.
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100, 93, 86, uh… 79… (Mr. Ford finishes the sequence)
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Assessed cognition
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How are apples and oranges alike?
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Uh, they both grow on trees. Eric Ford Schizophrenia Shadow health
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How are a lake and an ocean alike?
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You can swim in both of them.
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How are a trumpet and a flute alike?
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You have to blow into both of them.
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Assessed cognition
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Repeat and remember burger, tulip, nose, and tea.
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Burger, tulip, nose and tea.
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How did you celebrate your last birthday?
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I went to a concert with some friends.
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Repeat the four words from before.
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Burger, tulip, nose, and tea.
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Copy the shapes exactly as you see them.
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OK . . .
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Assessed insight: demonstrates awareness of illness and willingness to seek treatment
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Assessed judgment: demonstrates good judgment
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What would you do if you found a stamped envelope on your sidewalk?
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I would put it in the mail box.
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It is evident that you have trouble coping with schizophrenia
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Educate |
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That’s an interesting way of putting it, but yeah, I agree.
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We will discuss the resources you can use to better your mental health
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Educate |
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OK, I’m following. Eric Ford Schizophrenia Shadow health
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