Table 1 Standardized Patient Profiles
White/Caucasian | American Indian (Navajo) | |
|---|---|---|
Demographic information | ||
Name | Leah Lapinski | Sasha Tso |
Birth date | 12/04/1997 | |
Age | 22 | |
Relationship | Boyfriend, 1 child (age 2) | |
Employment | Not working/unemployed | |
Insurance | Medicaid | |
Personal information | ||
Address | [vacant property in nearest municipality to clinic] OR [unavailable; staying with friend, moving to apartment] | |
Phone | [borrowing from a friend] | |
trailwanderer95@gmail.com | ||
Previous provider | “Dr. Patel” | |
Chief complaint | New prenatal care | |
Patient concerns | • Heroin relapse • Loss of child custody • Becoming suicidal again • Health/wellbeing of new baby • Financial stress/unemployment | |
Background | ||
Recent relocation from | Denver, CO | Navajo Nation (Window Rock, AZ) |
Medical history | Chronic neck pain • after motor vehicle accident ~ 7 years ago, treated with oxycodone for several years Opioid use disorder • arising from chronic oxycodone use, was aggressively tapered by previous provider, began using IV heroin • During pregnancy of first child, sought OUD treatment, started on Suboxone, child was hospitalized for 6 weeks with neonatal abstinence syndrome • Had one relapse with heroin for 2 months, has been stable on Suboxone without relapse for last 12 months Depression • Treated medically by PCP for last 4 years • 1 suicide attempt (oxycodone overdose) about 4 years ago | |
Allergies | None | |
Medications | Suboxone 8 mg/2 mg BID Zoloft 100 mg/day Prenatal vitamin | |
Immunizations | “up to date” | |
Set-up instructions (clinic visit only) | ||
Clothing | Elastic exercise pants, dingy t-shirt, coat/jacket, disheveled hair | |
Equipment | Backpack, smart phone, snack (in backpack) | Backpack with attached dreamcatcher, smart phone, snack (in backpack) |
Position | Sitting in chair (or on exam table if no chair available) | |
Symptoms (clinic visit only) | • Occasional neck spasms/pain, 6/10, sometimes improves a little with Motrin • Depressed/anxious: worried about pregnancy, finances/unemployment • No suicidality | |