SS. 3239. Hari Priya - Anusha Kyatham

4:19AM Mar 3, 2022

Speakers:

NURSE HARIPRIYA KOMPALA

INTERLOCUTER ANUSHA KYATHAM

Keywords:

headache

pain

medication

nurse

migraine

diagnosis

doctor

emergency department

minutes

symptoms

painkiller

explain

elevating

underlying causes

irritable

wait

nausea

assessment

vomiting

treatment

I'm one of the registered nurses working in this emergency department. How can I address you?

My name is John

Hello Mr. John you may know what's bothering you.

So I'm 25 years old I'm suffering from headaches left aside headache I am not able to be irritable

Okay, all right. For my better understanding Could you explain I know it's difficult for you to explain but for the better treatment I would like to know detail about your pain is it okay with you to

okay

okay, this is the first time you have facing this headache.

Yes, this is first time

so you never you would never ever have this kind of headache

the pain killer is not effective I cannot be a witness this pain is pounding and accompanied by nausea and vomiting

okay, you had nausea and vomiting and counting headache? Am I correct?

Yes nurse

from zero to 10 zero is real pain and 10 is the worst pain so right now could you tell me your pain score

is nurse 10 score pain etc We are pain

okay CBME this is you never never have experienced this kind of medicine past time am I correct?

Yes nurse

together with this they have any other symptoms like this see?

Yes. I have read about my symptoms in few websites and I found that these symptoms of migraine

Okay, all right. You came to know this is on you never been in what type of medication hasn't been done before? Before you can hear medical any medical

Okay

Did you come pay for did you come here they haven't taken any medication

no nurse

Okay, all right. Doctor, I will take some time 30 minutes to come and see you is it okay with you?

No, no, the painkiller is not helpful in elevating the pain I cannot wait any more to see a doctor

I can understand that the pain is overwhelming. But let me explain to you the one you have said as you said migraine you diagnosed by yourself is not always good because always headaches is associated with someone some other underlying causes also. So you should go properly from the patient to be confirmed the diagnosis it will be better for you to get the proper certain treatment. Am I clear to you?

Yes.

Yeah, he will come and do the proper assessment and give you the diagnosis. He will prescribe the medications for you. And if needed, he will go further further. Meaningful further diagnostics as well. Right now they they could you wait for 30 minutes, I will inform the doctor all about my assessment. He will come and see you within 30 minutes.

Okay, now, I cannot wait for more time nurse but if you strongly recommend that self diagnosis disagree then I agree to stay and wait.

Thank you for your understanding. I hope you will be okay. Just stay calm and I will let the doctor come in. Thank you so much.

Okay, now thank you so much for your suggestions.