Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy
Education & Empathy : 3 of 5 (60.0%)
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 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. Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy.
- Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
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Description: Danny describes the symptoms that have been bothering him. |
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What brings you to the clinic today? |
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My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot. . . and I feel kinda tired. Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy. |
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Am sorry to hear that you are sick . |
Empathize |
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Thank you. |
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Do you have a cough? |
Question |
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I guess I’m kind of sick. . . I’ve been coughing a lot. |
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How long have you had a cough? |
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I think the cough started four. . . No, it started five days ago. Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy. |
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Is your cough a wet or a dry one? |
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My cough seems kind of gurgly and watery. |
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That sounds like a wet cough |
Educate |
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Oh, OK. |
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Do you produce any sputum when you cough? (Clarified to: Do you produce any phlegm or sputum with your cough?) |
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Is that the gross, slimy stuff? Yeah, I’ve been coughing some of that up. It’s not any strange color, though. It’s just clear. (Clarified to: if I produce phlegm or sputum when I cough) |
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Am sorry to hear this. |
Empathize |
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Thank you. |
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How often is your cough? |
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I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night. |
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Do the cough disturb your sleep at night? |
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Most times I sleep OK, but I haven’t been able to sleep much because of my cough. |
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Am sorry to hear this. |
Empathize |
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Thank you. |
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Are you able to focus in class? |
Question |
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I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough. [AUDIO COMING SOON] Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy |
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Am sorry to hear that the cough is disturbing you sometimes. |
Empathize |
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Thank you. |
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Do you have a runny nose? |
Question |
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My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think. |
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Am sorry about this |
Empathize |
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Thank you. |
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Have you been sneezing? |
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I don’t usually have to sneeze. My nose gets runny a lot of times though, like I have a cold. |
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what colour is your snot? |
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You mean like when I blow my nose? It’s clear. |
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Yes, that one. Ok, thanks. |
Educate |
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Oh, OK. |
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How consistent is your nasal discharge? |
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It’s kind of clear and, like, watery. |
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Do you have any ear pain? |
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My right ear is starting to hurt a little bit . . . my left one is OK though. |
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Am sorry to hear this Danny |
Empathize |
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Thank you. |
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Do you have any ear discharge? |
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No, nothing comes out of my ears, but my right ear kind of hurts. |
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Do you have any hearing problems? |
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A lady came to my school to give all the kids a hearing test. It was kind of cool! I was hoping I would have super hearing, but I think I was just normal . . . Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy |
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Great, its good to have a test done whenever there is a chance. |
Educate |
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Oh, OK. |
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Do you have soar throat? |
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It feels a little bit sore, yeah. |
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Does it hurt when you swallow? |
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No, I can swallow OK. It hurts a little right now because my throat is kinda sore. |
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Sorry about that Danny |
Empathize |
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Thank you. |
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Are you fatigued? |
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Yeah, I feel kind of tired. I think it’s because I couldn’t sleep much at night. My cough kept me from falling asleep. |
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Sorry about that. |
Empathize |
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Thank you. |
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Model Statement: “I’m sorry your ear and your throat hurt. I’ll take a look and we’ll see if we can help you feel better.” |
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Description: Danny describes exposure to secondhand smoke at home. |
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Do you smoke? |
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No way! I know smoking is really bad–even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell. |
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True, smoking is bad for everyone, you should never smoke. |
Educate |
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Oh, OK. |
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Are you ever around cigarette smoke? |
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Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells. Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy. |
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Am sorry about that, i understand your concerns. |
Empathize |
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Thank you. |
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Model Statement: “That’s too bad your Papi smokes cigars at home. It sounds like it bothers you. Breathing in smoke isn’t very healthy, so it’s good to stay out rooms where you can smell cigar smoke.” |
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Description: Danny describes what he knows about his family health history. |
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Do you have a family history of asthma? |
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Mom says Papi had asthma when he was a little kid. |
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Do you have a family history of allergies? |
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I don’t think so, but I guess I’m not sure. |
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Do you have chills? |
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No, I haven’t felt that. |
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Do you have fever? |
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My mom said I didn’t have a fever this morning before Abuela took me here. |
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Model Statement: “Thanks for telling me what you know about your family history. You did a good job remembering.” Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy |