Patient Care Rounds Complex Postoperative Care Results: Sonia Best
hey
Greet
Hello.
how do you feel
Question
I’ve been better. Having some bad pain right now.
sorry for that
Empathize
Thanks. I think I needed to hear that.
whats your medication regime
Question
I have a small pillbox that I use to organize.
do you have medications allergy
Question
No medication allergies.
do you use medication allergies (Clarified to Do you have medication allergies?.)
Question
No medication allergies. (Clarified to if I have medication allergies.)
what pain medication are you taking
SBAR
|
Prompt |
Learner Response |
Model Response |
|
Prompt: Hi. I’m ready to take over care of this patient. Could you tell me what the situation is? |
User Response is in pain after leg amputation |
Model Note Hi, this is (your name). I am caring for Ms. Sonia Best in room 307, a 56-year-old female, who is post op day 2 for left BKA due to non-healing diabetic foot ulcer. |
|
Prompt: What background information do I need to know? |
User Response had leg amputation, The patient is diabetic |
Model Note Ms. Best was admitted two days ago for surgical removal of her left lower leg below the knee. She has a history of diabetes mellitus Type II, peripheral vascular disease, and coronary artery disease. At home, she takes both long-acting insulin glargine and dapagliflozinan, an oral antidiabetic. She is also taking aspirin and rosuvastatin. |
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