NR302 Health Assessment 1

NR302 Health Assessment 1

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NR302 Health Assessment 1

9/19/21, 12:42 PM Technique Identifier Client Experiencing a Stroke 1/1

%SimulationName% Video Transcript (NOISE – Knocking on door) CHRISTINA: Good morning, Mr. Emerson. How are you? How was your night? Are you ready to get up for the morning? I’m here to help you get you up for the morning. I have this here for you. I’ll help you brush your teeth first. CHRISTINA: You remember me don’t you, Mr. Emerson? I’m Christina, the new AP here. I’ll be working with you. I’m here to help you get up this morning and down to the dining area for breakfast. Oh, no wonder you don’t want your teeth brushed. We need to have you sitting up. I’m going to go and get some help so we can sit you up on the side of the bed. CHRISTINA: Hi, David. DAVID: Hi, Christina. CHRISTINA: I’m trying to get Mr. Emerson up, and I’m a little nervous. Do you think you could help me sit him on the side of the bed so that I can get him cleaned up? DAVID: Sure… But did you say, Mr. Emerson? CHRISTINA: Yes, why? DAVID: I can’t believe that he wants to be up. He loves to sleep in. CHRISTINA: Sleep in? DAVID: Yeah, we usually let him sleep until about 9 or 10. It gives him some sense of control, since he really can’t control much of anything else. Let me take these next door and I’ll meet you in Mr. Emerson’s room. CHRISTINA: I can’t let him sleep until 9 or 10. That might throw off my schedule. CHRISTINA: Come on, Mr. Emerson, why do you want to sleep the morning away? It’s so beautiful outside today. Now, Mr. Emerson, I have so much work to do. This isn’t helping me. You should really get up now. DAVID: Sorry I took so long. Hey, Mr. Emerson, what’s up? Why are you hiding? MR. EMERSON: (broken speech) Bright. DAVID: Christina, Mr. Emerson has had a stroke and has dysarthria, the stroke paralyzed the left side of his tongue and mouth. It makes enunciating clearly very difficult. He understands what you’re saying and he tries to tell us what he wants, his speech is very difficult to understand. So we use a communication board. Mr. Emerson, would you like to tell us what we can do for you today? COMPUTER VOICE: Too bright. DAVID: Oh, it’s too bright. COMPUTER VOICE: No get up. CHRISTINA: You don’t want to get up yet. DAVID: Yeah, I thought it was a little early for you, Mr. Emerson. You know, Christina, she just hasn’t learned everybody’s routines yet. I’m sure she won’t mind beginning with another resident. We’ll give you another hour to sleep. Then she can come back and get you up and assist you, okay? Anything else I can do for you, Mr. Emerson? CHRISTINA: I’m sorry, Mr. Emerson. I’ll come back later. And maybe you can teach me how to use the communication board.

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