Question by tripleateam: Prepare a 500 word or more “script” for a health care professional…?
Prepare a 500 word or more “script” for a health care professional to use when explaining to the patient his condition and the proposed procedures.

Can someone please help me with the start of this?? Thank you in advance!

II.OPERATIVE REPORT
Date of Procedure: 7/8
Procedure: Esophagogastroduodenoscopy with foreign body removal.
Preoperative Medication: Demerol 50 mg IV, Versed 3 mg IV, Cetacaine spray
Preoperative Diagnosis:
1. Esophageal foreign body.
2. Odynophagia.
Postoperative Diagnosis: Status-post foreign body removal.
Clinical Note: This is a 47-year-old black male who experienced acute odynophagia after initially eating a meal consisting of fish. The patient felt a foreign-body-like sensation in his proximal esophagus and presented to the emergency room. He was evaluated with lateral, C-spine films, and soft-tissue films without any evidence of perforation. The patient is now referred for evaluation for his proximal esophagus.
Findings: After obtaining informed consent, the patient was endoscoped in the emergency room. He was premedicated with Demerol and Versed without any complications. Under direct visualization, an Olympus Q20 endoscope was introduced orally, and the esophagus was intubated without any difficulty. The hypopharynx was carefully reviewed, and no abnormalities were noted. There were no foreign bodies or lacerations to the hypopharynx. The proximal esophagus was normal. No active bleeding was noted. The endoscope was farther advanced into the esophagus, where careful review of the mucosa revealed no foreign bodies and no obstructions. The distal esophagus did, however, show a very small fish bone, which was removed without any complications. The endoscope was advanced into the stomach, where partially digested food was noted. The endoscope was then removed. The patient tolerated the procedure well, and his post-procedure vital signs are stable.
Recommendations:
1. Clear liquids for 24 hours.
2. Follow-up with me in the office in the morning.

RADIOLOGY REPORTS
Date: 7/8
Procedure Performed:
Soft-tissue neck. There is a curvilinear density in the region of the base of the tongue that could conceivably represent a small bone. The airway is intact throughout. No other abnormalities are visible.
ENDOSCOPY ORDERS
Date: 7/8
Admit to Endoscopy Department.
Obtain consent for procedure, signed and witnessed.
Start IV of 55 cc D5W or NS TO KVO or heparin lock.
Preoperative Medications: Versed 3 mg IVP, Demerol 50 mg IVP, apply pulse oximeter.

Best answer:

Answer by hamrrfan
Obviously the procedure has already been done, since this is an Operative report. I assume you are asking for a script that could have been used before it.

The doctor is the one who should initially explain the procedure to the patient.

You would start:

Hello, Mr _____
I am _____ from ______ department.
Has Dr. ________ spoken to you?
What do you understand about what is planned? (Do not ask: “Do you understand what will be done?” Some are too embarrassed to admit that).

If he seems to have a fairly good, not necessarily a medically professional, understanding go into the details.

This may include things like putting on a gown, the IV, the gurney, the pre-procedure and procedure rooms, the meds. ASK ABOUT ALLERGIES. Explain where he will wake up, and that someone will be in attendance.

Depending on your job, you may also introduce him to other members of the healthcare team.

I am an RN. This is very general. Review your text and classnotes also. I think once you get started, you will do fine.

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