Arun Patel Hypertension and Type 2 Diabetes shadow health Education & Empathy
Education & Empathy: 5 of 8 (62.5%)
- 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
|
Description: Mr. Patel reports distress over having two chronic illnesses. |
||
 |
whats the primary reason for your visit |
Question |
 |
I’m here to check up on some numbers that I have for my diabetes and my hypertension. Guess they’re not looking too hot. |
|
|
I know that a diagnosis can be frightening, and that keeping your diabetes under control is difficult and stressful. However, this is a manageable condition, and you have the chance to greatly improve your situation with diet and exercise |
Educate |
|
Alright. I get it. |
|
|
do you check your blood sugar |
Question |
|
I check my blood sugar . . . sometimes. I know with diabetes, you have to check it every day, but I don’t have a lot of time, and needles are tough for me. |
|
|
you need to check you blood sugar regularly and keep a record. I know that you dint like needles but if you dont monitor your diabetes you could end up needing insulin, which involves injections. you should aim to use your glucometer at least four times a week |
Educate |
|
Yeah, you’re probably right. |
|
|
Model Statement: “I know that a diabetes diagnosis can be frightening, and that keeping your diabetes under control is difficult and stressful. However, this is a manageable condition, and you have the chance to greatly improve your situation with diet and exercise.” |
|
Description: Mr. Patel reports a strain on his family relationships due to his recent decision to go back to school to study film. |
||
|
Model Statement: “I’m sorry to hear that you are having a hard time with your family. I’m sure that is adding to your current stress and anxiety.” |
|
Description: Mr. Patel reports that he is on a tight budget and has some financial struggles. |
||
|
what level of income do you make |
Question |
|
I make around $25,000 off of my graduate school stipend. I have to be pretty careful with my budget. |
|
|
family history |
Question |
|
My folks have some stuff going on, which is probably why I’ve got some stuff going on. My dad has hypertension like me, and my mom has diabetes like me. She has high cholesterol, too. |
|
|
i am sorry to hear that you are having a hard time with your family. I am sure that is adding to current stress and anxiety |
Empathize |
|
Ha, thanks. |
|
|
i am sorry about your financial difficulties |
Empathize |
|
Thank you. |
|
|
Model Statement: “I’m sorry that you are having some financial difficulties, and that those concerns are affecting the lifestyle decisions you make. That sounds stressful.” |
|
Description: Mr. Patel reports that he has Generalized Anxiety Disorder. |
||
|
how you deal with your anxiety |
Question |
|
Usually when I’m anxious, I just breathe slow and take a few minutes, but I’ve been so much more worried lately it doesn’t work very well. Honestly, the only new thing I’ve been doing to deal with all this stress is eat comfort food. I’ve probably gained 15 pounds since I last came to the doctor three months ago. |
|
|
managing you anxiety can be challenging, and I’m sorry it has made such a huge impact on your life |
Empathize |
|
Thanks for saying that. |
|
|
a healthy diet is important to control your hypertension and disbetes |
Educate |
|
Good to know. |
|
|
in order to manage your diabetes and hypertension, you will need to manage your weight |
Educate |
|
I hadn’t thought of that. |
|
|
I appreciate it. |
|
|
Yeah. Got it. |
|
|
Alright. I’ll stop taking my other medication. |
|
|
I’ll start keeping snacks in my school bag. |
|
|
I’ll let you now right away if I see anything like that. |
|
|
Alright – I can do that. |
|
|
Alright. I will. |
|
|
Thanks for the heads up. |
|
|
Ah. Alright. |
|
|
Gotcha. |
|
|
Hmm. Alright. |
|
|
Ok. See you later. |
|
|
Model Statement: “I know that managing your Generalized Anxiety Disorder can be challenging, and I’m sorry that it has had such a big impact on your life. We can talk about ways to lessen your overall stress level. It may be time to consider incorporating non-pharmacological methods into your GAD treatment, such as counseling or community support groups.” |
|
Description: Mr. Patel reports that he does not regularly monitor his high blood pressure or type 2 diabetes. |
||
|
whats the primary reason for your visit |
Question |
|
I’m here to check up on some numbers that I have for my diabetes and my hypertension. Guess they’re not looking too hot. |
|
|
I know that a diagnosis can be frightening, and that keeping your diabetes under control is difficult and stressful. However, this is a manageable condition, and you have the chance to greatly improve your situation with diet and exercise |
Educate |
|
Alright. I get it. |
|
|
how long have you had these conditions |
Question |
|
I got diagnosed with diabetes five years ago, and hypertension a year ago. But for the more recent stuff . . . over the past three or so months, I’ve gained some weight and felt pretty fatigued. And for probably a month now, I’ve had to pee way more and drink way more water. |
|
|
do you check your blood sugar |
Question |
|
I check my blood sugar . . . sometimes. I know with diabetes, you have to check it every day, but I don’t have a lot of time, and needles are tough for me. |
|
|
you need to check you blood sugar regularly and keep a record. I know that you dint like needles but if you dont monitor your diabetes you could end up needing insulin, which involves injections. you should aim to use your glucometer at least four times a week |
Educate |
|
Yeah, you’re probably right. |
|
|
Model Statement: “You need to regularly check your blood pressure and blood sugar readings in order to manage your hypertension and type 2 diabetes. You should keep a log of your blood pressure and blood sugar readings. Uncontrolled high blood pressure or blood sugar is dangerous and could lead to extreme health complications down the road. I know that you don’t like needles, but f you don’t monitor your diabetes you could end up needing insulin, which involves injections. You should aim to use your glucometer at least four times a week, and eventually check your blood sugar daily.” |
|
Description: Mr. Patel reports that he does not exercise and is living a more sedentary lifestyle. |
||
|
do you exercise |
Question |
|
I don’t exercise. I just don’t have the time. |
|
|
tell me about your diet |
Question |
|
Model Statement: “I know that you have a sedentary lifestyle and a busy schedule. I understand how difficult it is for you to summon the energy and motivation necessary for regular physical activity, let alone make the time for it. However, regular physical activity can help you in managing your anxiety, high blood pressure, and type 2 diabetes.” |
|
Description: Mr. Patel reports that he primarily eats take-out food and does not feel that he has the energy to cook or pay attention to what he eats. |
||
|
tell me about your diet |
Question |
|
My diet could be better, to be honest. I eat a lot of carbs and fried foods, and I tend to go for pizza when I’ve had a really bad day. I don’t feel like my diet is out of control exactly, but I’ve been thinking about cutting down. |
|
|
do you drink |
Question |
|
I never drink. |
|
|
what level of income do you make |
Question |
|
Model Statement: “I know that a busy schedule and financial limitations can make it very difficult to plan nutritious meals, but a healthy diet is important for managing your diabetes and hypertension. You may want to think about getting in touch with a nutritionist who can help you figure out a dietary regimen that will work for you.” |
|
Description: Mr. Patel reports that he does not attempt to manage his weight. |
||
|
how you deal with your anxiety |
Question |
|
Usually when I’m anxious, I just breathe slow and take a few minutes, but I’ve been so much more worried lately it doesn’t work very well. Honestly, the only new thing I’ve been doing to deal with all this stress is eat comfort food. I’ve probably gained 15 pounds since I last came to the doctor three months ago. |
|
|
managing you anxiety can be challenging, and I’m sorry it has made such a huge impact on your life |
Empathize |
|
Thanks for saying that. |
|
|
a healthy diet is important to control your hypertension and disbetes |
Educate |
|
Good to know. |
|
|
in order to manage your diabetes and hypertension, you will need to manage your weight |
Educate |
|
I hadn’t thought of that. |
|
|
I appreciate it. |
|
|
Yeah. Got it. |
|
|
Alright. I’ll stop taking my other medication. |
|
|
I’ll start keeping snacks in my school bag. |
|
|
I’ll let you now right away if I see anything like that. |
|
|
Alright – I can do that. |
|
|
Alright. I will. |
|
|
Thanks for the heads up. |
|
|
Ah. Alright. |
|
|
Gotcha. |
|
|
Hmm. Alright. |
|
|
Ok. See you later. |
|
|
Model Statement: “Maintaining a healthy weight is important to managing your type 2 diabetes and hypertension. Being overweight puts additional stress on your body to control your blood sugar levels through insulin; it can also complicate your hypertension. In order to help get your high blood pressure and diabetes under control you will need to manage your weight.” |
