Makayla Henderson UTI with Antibiotic Sensitivity shadow health Education & Empathy
Education & Empathy: 5 of 6 (83.3%)
- 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
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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? |
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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? |
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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?) |
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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? |
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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 |
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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? |
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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.” |
