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Not Followed Up Not Encountered Followed Up
SHADOW HEALTH GRADED A/
EDUCATION & EMPATHY: 4 OF 4 (100.0%)
During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity. Opportunities marked as Opportunities marked as made Opportunities marked as are opportunities that were not elicited in the interview are missed opportunities that were present in the interview, but where no statements were were followed up by students, and include the dialogue between student and patient
1 Pain and Constipation Followed Up
Description: Ms. Park describes the symptoms that have been bothering her.
SHADOW HEALTH GRADED A/
What brings you in today Question 07:33 AM CDT I have pain in my belly... and I'm having some di fficulty with going to the bathroom. My daughter was concerned. I'm sorry to hear that you are in pain Empathize 07:33 AM CDT
SHADOW HEALTH GRADED A/
going to the bathroom. Can you tell me what year were your pain is located (Clarified to: Where is the pain?) Question 07:34 AM CDT The pain and discomfort is down low in my belly. (Clarified to: where it hurts) Can you rate your pain on a scale of 0 to 10 Question 07:36 AM CDT
SHADOW HEALTH GRADED A/
It has its ups and downs. At the moment, I'd say it's a 2. Can you describe your pain for me Question 07:37 AM CDT I'd say it's cramping and... a dull, cramping feeling, yes. Is there anything that makes your team better (Clarified to: Does anything help the pain?) Question 07:37 AM CDT Resting seems to settle things down a little, but there doesn’t seem to be any real relief. (Clarified
SHADOW HEALTH GRADED A/
Yes. When I move around the house or try to garden, I feel more pain. And I did not go to my exercise classes. I was sure that would be too much. I prefer to be active, but my daughter wants me to rest. I'm sorry to hear that you are not able to go to your exercise classes Empathize 07:41 AM CDT I appreciate your saying that. Do you have any other abdominal symptoms Question 07:41 AM CDT
SHADOW HEALTH GRADED A/
Let's see. Beyond my abdominal pain and my trouble going to the bathroom... Of course, when you feel ill, it becomes di fficult to eat. And my energy has flagged. Oh I'm sorry to hear that you are not able to eat Empathize 07:42 AM CDT I appreciate that.
SHADOW HEALTH GRADED A/
07:42 AM CDT
Well, thank you. Have you had any recent loss of appetite Question 07:52 AM CDT Yes. I haven't eaten much these last few days.
SHADOW HEALTH GRADED A/
I'm sorry you're having all these symptoms Empathize 07:52 AM CDT I appreciate your saying that. Is someone able to help you when you need help (Clarified to: Has your daughter helped you while you've been in pain?) Question 07:57 AM CDT Yes, she's been very sweet--helping around the house, making sure I eat. She weeded the garden yesterday. I usually take care of the garden, but I just can't right now. (Clarified to: if my daughter has been helping)
SHADOW HEALTH GRADED A/
Thank you for explaining that. Model Statement: "I’m sorry you’re having these symptoms; it sounds like you’re under great discomfort. It’s good that you came in today so we can discuss how to alleviate your discomfort and improve your gastrointestinal health."
2 Fatigue and Activity Level Followed Up
Description: Ms. Park describes being more fatigued and having less energy for her daily activities.
SHADOW HEALTH GRADED A/
Do you have any other abdominal symptoms Question 07:41 AM CDT Let's see. Beyond my abdominal pain and my trouble going to the bathroom... Of course, when you feel ill, it becomes di fficult to eat. And my energy has flagged. Oh I'm sorry to hear that you are not able to eat Empathize 07:42 AM CDT I appreciate that.
SHADOW HEALTH GRADED A/
Do you live with your husband or your daughter (Clarified to: Do you live with family?) Question 08:00 AM CDT I live with my daughter, Jennifer. It's very nice living with her. (Clarified to: if I live with family) Are you married Question 08:01 AM CDT I was married for nearly 50 years. My husband, Shin, passed away 6 years ago.
SHADOW HEALTH GRADED A/
Oh I'm sorry to hear about the passing of a husband Empathize 08:01 AM CDT Thank you much. Have you experienced any abuse Educate 08:01 AM CDT Alright, that's helpful to know.
SHADOW HEALTH GRADED A/
Do you take any fiber supplements Question 07:57 AM CDT No, I don't take any extra fiber. I hadn't quite considered it... And sometimes it might be necessary to take an additional a fibre just so that yeah your bowel movements and the motility is increased in your intestines Educate 07:58 AM CDT Well, now I know.
SHADOW HEALTH GRADED A/
Model Statement: "Thanks for telling me about your diet. The USDA recommends that adults eat around 28 grams of fiber per day, which is several servings of fruits, vegetables, and whole grains. Enough fiber can help regulate your digestive system and prevent gastrointestinal upsets, so let’s talk about ways you might increase your fiber intake."
4 Fluid Intake Followed Up
Description: Ms. Park describes drinking 1-2 glasses of water a day. Are you drinking any fluids (Clarified to: Have you drank anything today?) Question 07:45 AM CDT
