Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy
Education & Empathy: 3 of 5 (60.0%)
Throughout the patient interview, numerous opportunities arise for providing education and empathy. The following opportunities, deemed crucial by nursing experts, present moments for such interactions. A Model Statement is included as an example of an appropriate response for each opportunity.
(Opportunities marked as Not Encountered were not addressed in the interview, Not Followed Up were overlooked by the student, and Followed Up include the dialogue between the student and patient.)
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Symptoms – Followed Up
Description: Danny details the symptoms bothering him.
- Model Statement: “What brings you to the clinic today?”
Question: “My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot, and I feel kinda tired.”
- Model Statement: “Am sorry to hear that you are sick.”
Question: “Do you have a cough?”
- Model Statement: “How long have you had a cough?”
Question: “I think the cough started four… No, it started five days ago.”
- Model Statement: “Is your cough a wet or a dry one?”
Question: “My cough seems kind of gurgly and watery.”
- Model Statement: “That sounds like a wet cough.”
Question: “Do you produce any sputum when you cough?”
- Model Statement: “Is that the gross, slimy stuff? Yeah, I’ve been coughing some of that up. It’s not any strange color, though. It’s just clear.”
Model Statement: “I’m sorry to hear this.”
Question: “How often is your cough?”
- Model Statement: “I just keep feeling like I have to cough every couple of minutes or so. I think it gets worse at night.”
Question: “Do the cough disturb your sleep at night?”
- Model Statement: “Most times I sleep OK, but I haven’t been able to sleep much because of my cough.”
Model Statement: “I’m sorry to hear that the cough is disturbing you sometimes.”
Question: “Do you have a runny nose?”
- Model Statement: “My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think.”
Model Statement: “Am sorry about this.”
Question: “Have you been sneezing?”
- Model Statement: “I don’t usually have to sneeze. My nose gets runny a lot of times though, like I have a cold.”
Question: “What color is your snot?”
- Model Statement: “You mean like when I blow my nose? It’s clear.”
Model Statement: “Yes, that one. Ok, thanks.”
Question: “How consistent is your nasal discharge?”
- Model Statement: “It’s kind of clear and, like, watery.”
Question: “Do you have any ear pain?”
- Model Statement: “My right ear is starting to hurt a little bit… my left one is OK though.”
Model Statement: “Am sorry to hear this Danny.”
Question: “Do you have any ear discharge?”
- Model Statement: “No, nothing comes out of my ears, but my right ear kind of hurts.”
Question: “Do you have any hearing problems?”
- Model Statement: “A lady came to my school to give all the kids a hearing test. It was kind of cool! I was hoping I would have super hearing, but I think I was just normal.”
Model Statement: “Great, it’s good to have a test done whenever there is a chance.”
Question: “Do you have a sore throat?”
- Model Statement: “It feels a little bit sore, yeah.”
Question: “Does it hurt when you swallow?”
- Model Statement: “No, I can swallow OK. It hurts a little right now because my throat is kinda sore.”
Model Statement: “Sorry about that Danny.”
Question: “Are you fatigued?”
- Model Statement: “Yeah, I feel kind of tired. I think it’s because I couldn’t sleep much at night. My cough kept me from falling asleep.”
Model Statement: “Sorry about that.”
Medications – Not Followed Up
- (No statements were made regarding medications.)
Vitamins – Followed Up
Description: Danny discusses his vitamin intake.
Question: “Reports taking calcium supplement.”
- Model Statement: “Do you take vitamins or supplements?”
Question: “Reports taking vitamin D supplement.”
- Model Statement: “Why do you take vitamin D supplements?”
Secondhand Smoke – Followed Up
Description: Danny describes exposure to secondhand smoke at home.
Question: “Do you smoke?”
- Model Statement: “True, smoking is bad for everyone, you should never smoke.”
Question: “Are you ever around cigarette smoke?”
- Model Statement: “Am sorry about that, I understand your concerns.”
Family History – Not Followed Up
Description: Danny describes what he knows about his family health history.
Question: “Do you have a family history of asthma?”
- Model Statement: “Thanks for telling me what you know about your family history. You did a good job remembering.”
Question: “Do you have a family history of allergies?”
- Model Statement: “Thanks for telling me what you know about your family history. You did a good job remembering.”
Question: “Do you have chills?”
- Model Statement: “Thanks for telling me what you know about your family history. You did a good job remembering.”
Question: “Do you have a fever?”
- Model Statement: “Thanks for telling me what you know about your family history. You did a good job remembering.”
Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy
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