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.
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Description: Tina expresses frustration about her level of pain. |
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Why are you here today? |
Question |
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I got this scrape on my foot a while ago, and I thought it would heal up on its own, but now it’s looking pretty nasty. And the pain is killing me! |
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Am sorry to hear that? |
Empathize |
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I appreciate you saying that. |
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Do you have problems moving around after the accident? (Clarified to: Are you having trouble getting around?) |
Question |
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Yes! I mean, I literally can’t put weight on my foot, the pain is so sharp. (Clarified to: if I have mobility problems) |
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Am sorry to hear that |
Empathize |
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Thanks. |
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Model Statement: “I’m sorry to hear that your pain is returning. We want you to be in as little pain as possible. Together we can figure out the best way to reduce your pain quickly.” |
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Description: Tina describes controlling her diabetes by avoiding “sweets.” |
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How did you manage diabetes now? |
Question |
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I just watch what I eat and try to stay away from sweets. |
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Great, that’s a good way to control diabetes? |
Educate |
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Alright, thanks for letting me know. |
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Model Statement: “Staying away from sugar is a great start. I can give you some more information on what a balanced diet looks like for someone with diabetes. For example, many starchy foods break down into glucose in the body, like pasta, and so you can eat those in moderation, too. Most people with diabetes feel better when they limit all starches, eat protein, and take regular medication.” |
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Description: Tina describes increased inhaler use and decreased effectiveness, indicating that her asthma is uncontrolled. |
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how many times do you use the inhaler? |
Question |
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I don’t use it every day. Maybe two or three times a week. Although I guess lately, once I have to use it once, sometimes I need it again that day. |
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have you been been hospitalized for asthma? |
Question |
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I went a bunch of times when I was little, for asthma attacks. |
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What else have you used for the asthma? |
Question |
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Model Statement: “It sounds like your asthma is giving you some problems, and you’re not getting full relief from your inhaler. I would like to talk with you about changing your medication and your regimen, to reduce your frequent breathing problems, so that you feel better day-to-day. Most patients find that using a daily inhaler is an easy way to reduce your asthma symptoms even more.” |
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Description: Tina reveals that she doesn’t fully understand the importance of testing for STIs. |
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did you use condoms? |
Question |
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I was on the pill so we didn’t need them. |
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Condom use is important to prevent STDS |
Educate |
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OK, I understand. |
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Have you been tested for STDs with your boyfriend? (Clarified to: Has your friend been checked for sexually transmitted infections?) |
Question |
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When we were together, he told me he didn’t have any STDs, and I believed him. I don’t know if he was ever tested. (Clarified to: if my sexual partner has been tested for STIs) |
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It is good to be tested for STDs to be sure |
Educate |
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Sure, I think I understand what you mean. |
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Model Statement: “There are many sexually transmitted infections that don’t necessarily present symptoms, for either men or women, and can persist for years if left untreated. The only way to be certain you and your partners are free of STIs is for both of you to get tested. This can be done as a part of a typical gynecological exam. Because your past partner was not tested, I would recommend that you get tested during your next annual pap smear.” |
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Description: Tina describes her periods as painful, long, and heavy. |
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How are your periods? |
Question |
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My periods are always the same–they’re bad. Cramps. Lots of bleeding for more than a week. |
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Seems your periods are heavier than normal, maybe we should discuss a way to make them less heavy, such as hormonal pills |
Educate |
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Thanks for telling me. |
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What do you take for cramps? |
Question |
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I take Advil. I try a heating pad sometimes and that only helps a little. |
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Sorry for the discomforts |
Empathize |
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Thanks for understanding. |
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Model Statement: “Those periods sound painful and difficult to deal with. I’m sorry you have so many challenging symptoms. If you are interested, we can talk about hormonal birth control options that can make your periods less painful, or even lighter.” |
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