iHuman
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2
iHuman
Question 1
Max King presents to the clinic with complaints of leaking stool and abdominal pain.
During the iHuman case involving Max King, I felt excessive anxiety, especially when seeing the
patient, mostly because of his age. Feelings of sympathy were also generated throughout the case
as I got in to interact with the patient and formed a patient-provider relationship. because of
sympathy, I committed myself to ensure the patient receives quality care. Since the patient's
father was answering most of the questions, I felt the communication was distorted as the patient
could not report their symptoms themselves. However, negative feelings were also associated
with the patient's incapacity to understand the patient education as well as his situation.
Question 2
During our first interaction with the patient, he was clueless and did not understand most
of the questions I asked. For instance, when asked whether he had abdominal pain, the patient
could not understand what an abdomen was. Thus, it required his father to answer the questions
on his behalf, as it is with the majority of children around his age. However, he seemed aware of
what was going on in relation to the leaking stool. During this interaction, I practiced effective
communication by actively listening as the symptoms were reported and cautiously asking
questions based on the patient's age. I then proceeded to perform a physical exam to understand
how these symptoms affect the patient's body. I requested tests such as an abdomen x-ray, antiendomysial antibodies, free thyroxine, immunoglobulin A (IgA), thyroid stimulating hormone
(TSH), and anti-tissue transglutaminase antibodies (IgA+tTG).
Question 3
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3
The objective of this simulation was to correctly diagnose the patient's condition and
create an appropriate treatment plan that focuses on the patient's needs. I was able to meet this
objective by thoroughly performing a physical exam and requesting tests such as abdomen x-ray,
anti-endomysial antibodies, free thyroxine, immunoglobulin A (IgA), thyroid stimulating
hormone (TSH), anti-tissue transglutaminase antibodies (IgA+tTG) to allow diagnosis of the
disease. Through these tests, the patient was diagnosed with encopresis, which is also supported
by the patient's symptoms. To achieve better outcomes for the patient, I could have prioritized the
patient's needs over his symptoms and diagnosis. For example, I was more concerned about
diagnosing and creating a plan without the patient involvement or his guardian.
Question 4
Throughout this simulation, I learned how to handle patients as young as Max King.
Typically, they do not know how to answer questions and cannot report their symptoms.
However, by handling this case, I learned the need to incorporate the patient or his guardian in
his care. For instance, Max King's father answered most of the questions asked based on his
observations. He might have missed out on something, and as a care provider, it is important to
ensure that the diagnosis and treatment plan created focuses on the reported symptoms bearing in
mind the patient's age. This also informs the necessity for regular follow-ups and vaccinations.
Question 5
When I see this case again, I will most certainly work on creating a good provider-patient
relationship with the patient so that they can report their symptoms as they experience them and
as observed by their guardian. This will guarantee a better outcome for patients and ensure that
they receive quality care geared toward their needs. If I see this case again, I may consider an
interdisciplinary approach to ensure that the patient's case is correctly diagnosed and the care [Show Less]