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VSIM Steps - Sandra Littlefield

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Sandra Littlefield Age: 36 years Diagnosis: Borderline Personality Disorder Score 1 0 0 96% Feedback Log 0:00 Patient 0:00 You checked scene safety. It was correct to check scene safety in order to maintain yo ...

Sandra Littlefield Age: 36 years Diagnosis: Borderline Personality Disorder Score 1 0 0 96% Feedback Log 0:00 Patient 0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety. 0:06 You introduced yourself. 0:33 You washed your hands. 2/6 0:42 You identified the patient. 0:56 You asked if the patient had any known allergies. 1:11 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this. 1:29 The patient said: I am in so much pain. You are a nurse. Don't you know how to tell when someone is hurting?\nYou answered: You are feeling overwhelmed? \nYou used the therapeutic technique of translating to feelings. 1:36 You asked the patient: Over the past year, when did you feel your best? It was appropriate to ask the patient about when she felt her best. 1:54 The patient said: There's no reason for me to be here anymore. No one cares about me at all.\nYou answered: Are you saying you feel hopeless? \nYou used the therapeutic technique of translating to feelings. 2:04 You asked the patient: Do you have any pain? 2:19 The patient said: I'm finished. I'm done with you and your worthless medicine. Guard, take me back now!\nYou answered: The medicine your provider has ordered is in your best interests. \nYou used the nontherapeutic technique of reassuring. 2:21 You asked the patient: How would you rate your pain, on a scale of 0 to 10? The patient said: It changes but is always high. Now it is 8 to 9! 2:37 You asked the patient: On a scale of 0 to 10, how would you rate your level of distress? The patient said: I don't know. 10? 2:48 You asked the patient: Where is your pain located? 3:09 The patient said: You are trying to kill me with the pain. Just let me die; I can't live like this!\nYou answered: It seems like you are very frustrated. \nYou used the therapeutic technique of making observations. 3:16 You asked the patient: What other pain management strategies have you used other than medications? The patient said: No. Let's stick with the meds. It was correct to ask if the patient was using any pain manage

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