Medical History/Chief Complaint
For Part 1, how many days ago was the car accident?
5 days ago
How did Randy get to the ED right after the car accident?
Via Ambulance
For Part 1, describe the headaches, and give them a number from 1-10 on the pain scale.
Throbbing/dull. Come and go. Located in the forehead and are a 6/10 for pain.
2 Years
What is Randy's Date of Birth?
01/26/1992
For Part 1, what is Randy's current concern (Why are they at this doctor's appointment)?
No, they have shown up a day early than scheduled.
For Part 1, is Randy able to draw the clock correctly?
Yes
What are the names of Randy's twins?
*Benign Improv
Name 1 learning objective
* Perform focused neuro assessment
* Use therapeutic communication
* Apply knowledge of concussion and traumatic brain injury to nursing assessments and interventions
How long later is Part 2 from Part 1?
1 week later
Was Randy's family in the car at the time of the accident?
No, although Randy believed they may have been while they were in the ED.
Unsure. Dr. Nalor asked a lot of questions that gave R a headache. The Dr ordered some sessions with a counselor who does relaxation training.
What is Randy's occupation?
Works at a local computer repair shop
In Part 2, what new prescription does Randy get for their headaches?
Topamax
Randy was in a car accident in which they suffered a...
Concussion, with loss of consciousness.
When does Randy find it challenging to not get irritable with their family?
When it's really noisy.
For Part 2, on a pain scale from 1-10, how are Randy's headaches now?
2/10
What is the name of the company that Randy works at?
*Benign Improv
Currently taking 50mg a day, 1 pill in the morning and one at night, but supposed to increase it over the next 2 weeks to 100mg a day, so 2 in the morning and 2 at night.