The ability to understand another’s emotions is called
Questions
The аbility tо understаnd аnоther's emоtions is called
Using the essаy spаce prоvided: Recоrd yоur complete focused physicаl examination of your patient encounter from Scenario B1. Scenario B1 Reference materials below: ------------------------------------------------------------------------------------------------------------------ Scenario B1 Door Chart Setting Emergency Room Visit Arrived via ambulance Patient Name: Leopold (Leo) Klovos Age: 68 years old Gender: M Chief Complaint: “I’m feeling like I can’t catch my breath” Vital Signs: Temperature: 98.7°F / 37°C Heart Rate: 95 beats per minute Blood Pressure: 170/100 mmHg Respiratory Rate: 22 breaths per minute Pulse Oximetry: 94% on RA Weight: 215 lbs / 97.5 kg Height: 69 inches / 175 cm _____________________________________________________________________________________________ Scenario B1 Case Supplement - Patient History HPI: Mr. Klovos is a 68 y/o M who presents to the ER after contacting his post- operative nurse on-call who advised him to come to the ER to get checked out. The patient is 5 days post-op from a recent right Total Knee Arthroplasty (TKA) due to long-standing severe arthritis of the R knee. He called the nurse to report having progressive “shortness of breath” over the last 24-36 hours. The patient adds that he has been having dyspnea on exertion and B/L lower extremity swelling. No discoloration, redness, or warmth to distal extremities noted. The pt reports that the SOB is worse when laying flat and with activity. Symptoms improve when sitting upright. Pt rates his symptoms at 7/10. The on-call nurse inquired about his chronic care medications, to which the patient reported that not taken any of those since leaving the hospital, noting that he thought he was supposed to wait until his first post-operative visit to restart those. His first post-op visit is scheduled for tomorrow. The nurse clarified that there may have been a misunderstanding, as he was supposed to have restarted his medications. With respect to his surgical wound, pt reports this appears to be healing nicely. No discharge, warmth, or erythema was reported. Additional associated symptoms include night-time orthopnea (sleeping with additional pillows at night), sensation of some recent weight gain over the last 2 days, no change in urination, and difficulties doing normal activities due to being fatigued. Pt denies chest pain, fever/chills, cough, runny nose, recent URI symptoms otherwise. He denies upper extremity pain or swelling. No syncope, dizziness, or light-headedness. No numbness or focal weakness anywhere. No sick contacts. No new trauma or fall recently. Past Medical History (PMHx): Illnesses/Injuries: Hypertension, HFrEF, Osteoarthritis of B/L knees, Hyperlipidemia, Diabetes, Overweight, mild aortic stenosis, alcohol abuse/misuse (now sober from alcohol x 5 years). Hospitalizations: Recent hospitalization for R Total Knee Arthroplasty (TKA), released 3 days ago to care of family and at-home physical therapy; One prior hospitalization for new onset acute heart failure 5 years ago. Surgical History: R Total Knee Arthroplasty (TKA) - 4 days ago; No other major surgeries reported Screening/Preventive History: Up-to-date on adult vaccines with exception of COVID and influenza vaccines, which pt has declined yearly for the last 4 years. Medications (Prescription, Over the Counter, Supplements): Sacubitril-valsartan 49/51mg PO BID, Carvedilol 25 mg PO BID, Furosemide 20mg PO daily, Empagliflozin 10 mg PO daily, Tylenol 1000mg PO BID PRN pain, Atorvastatin 20mg PO QHS, Metformin 500mg PO BID, Aspirin 81mg PO daily Allergies (e.g. environmental, food, medication and reaction): -No known drug allergies Family Medical History: Mother (deceased, age 70) had history of asthma, osteoporosis, DM 2Father (deceased, age 68) had history of dementia, high cholesterol, and alcohol abuse Sister (alive, 65) has history of depression, hypertension Daughter (alive, 40) healthy Son (alive, 39) healthy No genetic disorders in family Social History: Substance Use / Alcohol Use: Prior alcohol use/abuse for 10 years, now sober for the last 5 years. No other substance use Tobacco Use: None Diet: Low sodium diet followed per patient due to history of high blood pressure Patient reports eating some holiday leftovers recently that were not consistent with his normal low-sodium diet. Home Environment: Lives alone in a single-story home, feels safe at home. Occupation: Retired IRS (federal government) employee Leisure Activities: Book club, puzzles, church Exercise: Not often, previously liked to walk around his neighborhood daily Sleep: 6 hours per night normally Religion: Greek orthodox Sexual: Widowed (wife passed away 3 years ago). Pt is not currently sexually active ROS (Review of Systems): General: See HPI. Feels fatigued since the surgery. No weight loss noted. No disorientation or confusion. Skin: See HPI. Surgical wound overlying right knee reported to have some mild pain as expected, but no reported discharge, erythema or bleeding. Distally, pt reports leg swelling/edema from the mid-calf down. No lesions, lacerations, wounds, or eczema otherwise. HEENT: No headache, neck pain/stiffness, no sore throat. No vision changes or congestion/runny nose. Respiratory: See HPI. No cough, wheezing, or hemoptysis. Cardiovascular: See HPI. No palpitations, chest pain, syncope, or diaphoresis. Gastrointestinal: No nausea/vomiting. No change in appetite. No reported abdominal pain, blood in stool, or diarrhea. Normal bowel movement today. Genitourinary: No urinary frequency, dysuria, hesitancy, urgency, or foul-smelling urine. Musculoskeletal: See HPI. No other new joint swelling. No back pain, neck stiffness, or crepitus. Psychiatric: No depression, anxiety, insomnia or SI/HI. Hematologic: No easy bruising or bleeding. No known blood clot(s) in the past. No history of blood clotting disorder. Endocrine: No hot/cold tolerance, hair loss, or nail changes. Neurologic: No dizziness, confusion, memory loss, numbness or tingling. **END OF PATIENT HISTORY INFORMATION**