Shadow Health Focused Exam Abdominal Education Empathy 6 of 7 (85.7%)
During the patient interview, there are a number of opportunities to provide
... [Show More] 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 Symptoms
Followed Up
Description: Ms. Park describes the symptoms that have been bothering her.
what bring you in today? Question
07:54 PM CDT
I have pain in my belly. . . and I'm having some difficulty with going to the bathroom. My daughter was concerned.
when did your pain start? Question
07:55 PM CDT
The pain started as a general discomfort, about five days ago, when I started having the. . . difficulties going to the bathroom.
I'm sorry to hear you are having pain and discomfort Empathize
07:56 PM CDT
Thank you.
where is your pain? Question
07:58 PM CDT
The pain and discomfort is down low in my belly.
can you point the location? Question
07:58 PM CDT
Well my whole belly is uncomfortable to some degree, but it's mostly in the lower part, that's where the pain is. Down in my lower belly.
are you in pain right now? Question
07:59 PM CDT
Yes. . . it hurts now, like it has been.
can you describe your pain? Question
07:59 PM CDT
I'd say it's crampy and. . . a dull, crampy feeling.
what is your pain level 0-10, 10 being worst? Question
08:00 PM CDT
Right now. . . 6 out of 10.
sorry to hear that you are in pain, Empathize
08:01 PM CDT
Thank you.
what make your pain relieve? (Clarified to: what relieves your pain) Question
08:01 PM CDT
When I rest and try not to move much, I feel better. But the pain is still there. (Clarified to: what relieves the pain)
what makes your pain worse? Question
08:02 PM CDT
Moving around certainly doesn't help. Neither does eating.
how often are your having pain? Question
08:03 PM CDT
Oh, it's with me all the time. The bloating, too. But certain things do make it worse.
what make your pain worse? Question
08:04 PM CDT
Moving around certainly doesn't help. Neither does eating.
how long have you had this problem? (Clarified to: how long have you been in pain) Question
08:05 PM CDT
The pain started as a general discomfort, about five days ago, when I started having the. . . difficulties going to the bathroom. (Clarified to: how long I have been in pain)
what were you doing 5 days ago? (Clarified to: What were you doing prior to the start of the pain?) Question
08:06 PM CDT
I don't know what caused it. . . about five days ago, I started having difficult going to the bathroom. It came with a general uneasiness and a small amount of discomfort. Then the pain got much worse two--maybe three--days ago. (Clarified to: what I was doing when the pain started) [Show Less]