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
1 Urinary Pain and UTI Symptoms
Followed Up

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
09:47 PM CDT

Makayla Henderson

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
09:49 PM CDT

Makayla Henderson

Thanks.

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How long have you had these symptoms?

Question
09:50 PM CDT

Makayla Henderson

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?

Question
09:51 PM CDT

Makayla Henderson

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?

Question
09:52 PM CDT

Makayla Henderson

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?

Question
09:52 PM CDT

Makayla Henderson

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
09:53 PM CDT

Makayla Henderson

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?)

Question
09:54 PM CDT

Makayla Henderson

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
09:54 PM CDT

Makayla Henderson

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
09:59 PM CDT

Makayla Henderson

Yeah, OK.

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.”

2 Breast Cancer
Followed Up

Description: Ms. Henderson discloses that her mother is a breast cancer survivor.

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any family history of illness

Question
10:20 PM CDT

Makayla Henderson

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
10:23 PM CDT

Makayla Henderson

OK.

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.”

3 Hydration
Not Followed Up

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
10:15 PM CDT

Makayla Henderson

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

Question
10:16 PM CDT

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.”

4 Urinating After Intercourse
Followed Up

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
10:03 PM CDT

Makayla Henderson

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
10:05 PM CDT

Makayla Henderson

Hm. Alright.

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.”

5 Safe Sex
Followed Up

Description: Ms. Henderson reports that she is sexually active.

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do you practice safe sex

Question
10:16 PM CDT

Makayla Henderson

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
10:17 PM CDT

Makayla Henderson

Thanks for the info.

Model Statement: “Practice safe sex with partners of all genders in order to minimize the risk of STIs.”

6 Cranberry Pills
Followed Up

Description: Ms. Henderson reports she took cranberry pills to treat her UTI.

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do you take any other medications

Question
10:10 PM CDT

Makayla Henderson

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?)

Question
10:10 PM CDT

Makayla Henderson

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
10:13 PM CDT

Makayla Henderson

Thank you. That makes sense.

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.”

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