Makayla Henderson UTI with antibiotic sensitivity shadow health education empathy

Makayla Henderson UTI with Antibiotic Sensitivity shadow health Education & Empathy
Education & Empathy: 5 of 6 (83.3%)
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 Not Encountered are opportunities that were not elicited in the interview
 - Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
 - Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
 
Order a Makayla Henderson UTI shadow health
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 Description: Ms. Henderson reports discomfort with her associated urinary symptoms such as pain, cramping, burning, and feelings of increased urgency to urinate.  | 
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 What brings you in today?  | 
 Question  | 
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 I’ve had to pee a lot lately. It burns when I pee, and it looks weird. I thought it would go away on its own, but it hasn’t. So I was like, fine, I need to see someone. [AUDIO COMING SOON]  | 
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 I’m sorry that you’re experiencing pain and burning during urination. I’ll try to find a medication that will help alleviate these symptoms.  | 
 Empathize  | 
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 Thanks.  | 
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 How long have you had these symptoms?  | 
 Question  | 
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 Three days ago, I started feeling pretty bad. I kept having to pee, and each time I did, it burned. It was gross, too. The pee looked different. [AUDIO COMING SOON]  | 
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 any other symptoms?  | 
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 Other than the pain and burning, I have a little bit of cramping in my lower abdomen. [AUDIO COMING SOON]  | 
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 where is the pain?  | 
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 It hurts the most when I pee, right where it comes out. It’s this burning, stinging feeling.  | 
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 do the urine have an odor?  | 
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 It smells really strong. It’s basically rank. It’s also, like, dark . . . cloudy.  | 
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 how bad does it hurt (Clarified to: How painful is urinating?)  | 
 Question  | 
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 It burns every time I pee and I am really not OK with how much pain I’m in. I’d call it a 7 out of 10. (Clarified to: how painful urinating is)  | 
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 any factors that make it worse? (Clarified to: What aggravates the pain?)  | 
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 Well, it burns every time I pee, so peeing makes the pain worse, I guess. (Clarified to: what makes my pain worse)  | 
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 what do you do to relieve the pain?  | 
 Question  | 
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 Since it only burns and stings when I pee, I thought maybe it would hurt less if I didn’t pee so much. I tried drinking less water, but I’m not sure how much good it’s doing.  | 
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 I know that you tried to alleviate your symptoms by not drinking fluids; you should try to stay hydrated by drinking more water and avoiding drinks that irritate the bladder such as soda coffee or alcohol  | 
 Educate  | 
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 Yeah, OK.  | 
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 Model Statement: “I’m sorry that you’re experiencing pain and burning during urination and an increased sense of urgency. I’ll try to find a medication that will help alleviate these symptoms.”  | 
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 Description: Ms. Henderson discloses that her mother is a breast cancer survivor.  | 
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 any family history of illness  | 
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 My dad’s really healthy. My mom’s a breast cancer survivor. She’s fine now, though. Totally cancer free. My Nana — that’s my Mom’s mom — died of it, though.  | 
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 I’m sorry that your mother had breast cancer. That must have been a difficult thing for your family to go through. I’m glad that she is OK and that you and your sister are are not at risk  | 
 Empathize  | 
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 OK.  | 
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 Model Statement: “I’m sorry that your mother had breast cancer. That must have been a difficult thing for your family to go through. I’m glad that she is OK and that you and your sister are not at risk.”  | 
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 Description: Ms. Henderson reports that she avoided drinking fluids in order to alleviate her pain, burning, and increased urinary urgency.  | 
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 do you drink  | 
 Question  | 
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 I usually drink one or two nights a week, depending on if there’s good parties or not. But I never have more than a drink or two. Gotta keep my brain right so I can take over the world.  | 
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 do you practice safe sex  | 
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 Model Statement: “I know that you tried to alleviate your symptoms by not drinking fluids; you should try to stay hydrated by drinking more water and avoiding drinks that irritate the bladder such as soda, coffee, or alcoholic beverages.”  | 
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 Description: Ms. Henderson reports that she does not have any post-intercourse habits, such as urinating after intercourse.  | 
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 do you urinate after sex?  | 
 Question  | 
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 Oh . . . I guess I didn’t know you were supposed to.  | 
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 Urinating after sex helps lower the risk of UTIs by clearing the urinary tract of any bacteria. Making this a regular habit might decrease your chances of getting a UTI again in the future  | 
 Educate  | 
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 Hm. Alright.  | 
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 Model Statement: “Urinating after intercourse helps lower the risk of UTIs by clearing the urinary tract of any bacteria. Making this a regular habit might decrease your chances of getting a UTI again in the future.”  | 
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 Description: Ms. Henderson reports that she is sexually active.  | 
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 do you practice safe sex  | 
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 Uh, I always use protection. I take birth control and I use those spermicidal condoms.  | 
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 good, practice sex safe with partners of all genders in order to minimize the risk of STIs  | 
 Educate  | 
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 Thanks for the info.  | 
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 Model Statement: “Practice safe sex with partners of all genders in order to minimize the risk of STIs.”  | 
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 Description: Ms. Henderson reports she took cranberry pills to treat her UTI.  | 
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 do you take any other medications  | 
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 I don’t know if it qualifies as medication, but I took some cranberry supplements cause apparently they help with UTIs, which I figured I had when my pee started burning.  | 
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 do you cranberry pills help (Clarified to: Are the cranberry pills effective?)  | 
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 I don’t know . . . I’ve heard you’re supposed to take them for UTIs, but it’s been three days and nothing’s gotten better. And I even took two at a time. I don’t know the dosage, but regardless, you’d think they’d be doing something. (Clarified to: if the cranberry pills are effective)  | 
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 Cranberry pills aren’t an effective treatment against UTIs. In the future when you notice these symptoms contact a healthcare provider sooner so that you can receive medication that will be more effective treatment  | 
 Educate  | 
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 Thank you. That makes sense.  | 
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 Model Statement: “Cranberry pills aren’t an effective treatment against UTIs. In the future when you notice these symptoms contact a healthcare provider sooner so that you can receive medication that will be more effective treatment.”  |