NR 511Focused Exam UTI with Antibiotic Sensitivity Completed Shadow Health

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Focused Exam: UTI with Antibiotic Sensitivity Results | Turned In Differential Diagnosis & Primary Care Practicum - May 2020, NR511-April-2020 Return to Assignment (/assignments/328810/) Education ... & Empathy : 4 of 6 (66.7%) During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below ar 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 Description: Ms. Henderson reports discomfort with her associated urinary symptoms such as pain, cramping, burning, and feelings of increased urgency to urinate. What brings you in today? Questio 12:21 PM CD 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] Im sorry to hear that, I will do whatever I can to help you! Empathiz 12:21 PM CD Thanks. how long has your urine been different? (Clarified to: How long have you had burning when you urinate?) Questio 12:22 PM CD For like, three days it's been like this. Burning, having to pee more, different looking pee, all that. (Clarified to: how long I have had burning when I urinate) are you having any other symptoms? Questio 12:22 PM CD Other than the pain and burning, I have a little bit of cramping in my lower abdomen. [AUDIO COMING SOON] what would you rate your pain? Questio 12:22 PM CD Your Results Reopen (/assignment_attempts/6764518/reopen) Lab Pass (/assignment_attempts/6764518/lab_pass.pd Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Debrief Medication Selection Patient Teaching Prescription Writing 1 Urinary Pain and UTI Symptoms Followed Up https://www.coursehero.com/file/63411135/Focused-Exam-UTI-with-Antibiotic-Sensitivity-Completed-Shadow-Healthpdf/ This study resource was shared via CourseHero.comThe pain is really horrible. It burns and stings so bad whenever I pee. I'd put it at maybe a 7 out of 10 on one of those pain scales. im so sorry you have been hurting so much Empathiz 12:23 PM CD OK. what you had a uti before? (Clarified to: Do you have a history of UTI?) Questio 12:24 PM CD I haven't had a UTI before this. At least, I think this is a UTI. Burning pee, having to pee a lot . . . the internet said it could be a UTI. (Clarified to: if I have had a UTI) its best to not look to the internet for information about an illness Educat 12:25 PM CD Yeah, OK. have you ever had burning with urination before? (Clarified to: Have you had trouble urinating?) Questio 12:29 PM CD I can physically urinate, yes, but it burns and stings, which I'd rather it not. (Clarified to: if I have had trouble urinating) have you been drinking plenty of water? Questio 12:29 PM CD I've been drinking less than usual, mostly cause I've had to pee more anyway, and it burns, so I'm trying to reduce how much I have to go. its very important taht you drink plenty of water, especially when it is burning Educat 12:29 PM CD Cool. Good to know. how often do you pee? Questio 12:35 PM CD I think I usually pee a normal amount. I started having to go way more around three days ago, around when it started burning and looking different. are you peeing at night? Questio 12:35 PM CD I've definitely had to get up to pee a few times a night -- over the past three nights or so. It's so annoying. [AUDIO COMING SOON] im sorry ot hear that, thats very frustrating Empathiz 12:35 PM CD Oh, thank you. are your symptoms relieved by urinating? Questio 12:38 PM CD Well, I didn't want to pee because it hurt so much, so I started drinking less water. https://www.coursehero.com/file/63411135/Focused-Exam-UTI-with-Antibiotic-Sensitivity-Completed-Shadow-Healthpdf/ This study resource was shared via CourseHero.comits very important to drink more water during this time Educat 12:39 PM CD Hm. Alright. 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." Description: Ms. Henderson discloses that her mother is a breast cancer survivor. do you have any family history of uti? (Clarified to: Can you tell me about your family history?) Questio 12:31 PM CD 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. (Clarified to: to tell you about my family history) im so sorry to hear that Empathiz 12:31 PM CD Aw. Thank you. 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." Description: Ms. Henderson reports that she avoided drinking fluids in order to alleviate her pain, burning, and increased urinary urgency. have you been drinking plenty of water? Questio 12:29 PM CD I've been drinking less than usual, mostly cause I've had to pee more anyway, and it burns, so I'm trying to reduce how much I have to go. its very important taht you drink plenty of water, especially when it is burning Educat 12:29 PM CD Cool. Good to know. 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." Description: Ms. Henderson reports that she does not have any post-intercourse habits, such as urinating after intercourse. 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." 2 Breast Cancer Followed Up 3 Hydration Followed Up 4 Urinating After Intercourse Not Encountere https://www.coursehero.com/file/63411135/Focused-Exam-UTI-with-Antibiotic-Sensitivity-Completed-Shadow-Healthpdf/ This study resource was shared via CourseHero.comDescription: Ms. Henderson reports that she is sexually active. are you currently sexually active? Questio 12:26 PM CD I've kind of got this regular thing with a guy going. I'm pretty sexually active in general, and I think that's great. I'm actually part of a sex-positivity club on campus. have you ever had an STD Questio 12:26 PM CD I've never had an STD and none of my partners have either. The guy I'm seeing now and I both just got tested, and we're clean. For protection, I use these condoms with lubricant and spermicide, so I think I'm pretty safe. its good to keep using condoms to help protect against STDs Educat 12:27 PM CD Thanks for the info. Model Statement: "Practice safe sex with partners of all genders in order to minimize the risk of STIs." Description: Ms. Henderson reports she took cranberry pills to treat her UTI. what other medication do you take at home? (Clarified to: Are you taking other medications?) Questio 12:24 PM CD 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. (Clarified to: if I am taking other medications) what you had a uti before? (Clarified to: Do you have a history of UTI?) Questio 12:24 PM CD 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." 5 Safe Sex Followed Up 6 Cranberry Pills Not Followed Up Comments If your instructor provides individual feedback on this assignment, it will appear here. © Shadow Health 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents (https://www.shadowhealth.com/patents) ® https://www.coursehero.com/file/63411135/Focused-Exam-UTI-with-Antibiotic-Sensitivity-Completed-Shadow-Healthpdf/ This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org) [Show More]

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