Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy

During the patient interview, there are a number of opportunities to provide 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 Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

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1 Concern over sickness

Followed Up

	Description: Tim expresses concern about Maya’s pain.
	What brings you here today?	Question 10:36 AM EDT
	Well, I’m a little worried about my daughter’s ear pain. It’s been bothering her since yesterday.
	Am sorry about that.	Empathize 10:36 AM EDT
	Hey, thanks.
	Model Statement: “I understand you’re feeling concerned over the level of Maya’s ear pain. It’s very difficult to see your child in pain and not feeling like themselves. What’s important is that you identified Maya’s need for medical care, and brought her in. We’ll work together to make Maya as comfortable as possible.”

2 Therapy

Not Followed Up

	Description: Tim indicates that he brings Maya to a behavioral specialist.
	Is your daughter seeing a behavioral specialist (Clarified to: Does your daughter ever see a behavioral specialist?)	Question 10:45 PM EDT
	Yes, Maya sees a behavioral specialist for autistic children. We’re very happy with the therapist, but it’s not always easy to work with her schedule. (Clarified to: If my daughter sees a behavioral specialist)
	Does your daughter have a runny nose?	Question 11:31 PM EDT
	Maya doesn’t have a runny or stuffy nose.
	Any throat symptoms?	Question 11:34 PM EDT
	She doesn’t have a sore throat, or any throat issues.
	Model Statement: “I understand you take Maya to regular sessions with her behavioral specialist. Therapy can be difficult for a variety of reasons, including financially, emotionally, and schedule-wise. Although it can be hard, therapy is so important for Maya’s wellbeing and overall development. You and your wife are doing a great job with giving Maya the tools she needs to navigate the world as an autistic child.” Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy

3 Dustproofing the home

Not Followed Up

	Description: Tim indicates that Maya has mild seasonal allergies.
	Any seasonal allergies? (Clarified to: Does your daughter have environmental allergies?)	Question 04:17 PM EDT
	Yeah, Maya has some very mild congestion, which is seasonal. (Clarified to: if my daughter has environmental allergies)
	Does your daughter take prescription medication? Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy	Question 04:21 PM EDT
	No, Maya doesn’t take any medications.
	Does your daughter have any skin changes?	Question 04:25 PM EDT
	No, she doesn’t have a rash. [AUDIO COMING SOON]
	Model Statement: “I understand that Maya has some mild seasonal allergies. Dustproofing your home is an important way to manage Maya’s congestion. I recommend changing bedding weekly, dusting blinds, curtains, and air conditioning vents, as well as regular vacuuming. I realize you have a busy schedule, but dustproofing will improve Maya’s seasonal allergy symptoms.”

4 Drying ears and hair

Not Followed Up

	Description: Tim indicates he doesn’t know if Maya’s ears and hair are dried.
	Has maya had ear surgery? (Clarified to: Has your daughter had water in her ears recently?)	Question 01:18 AM EDT
	I’m not sure, but it’s likely since Maya is just learning to swim. I’m not sure if she dries out her ears and hair after swimming, either. (Clarified to: if my daughter has had water in her ears)
	has maya had ear infections before?	Question 01:20 AM EDT
	Maya doesn’t have a history of ear infections. Her hearing seems normal and I’ve checked, and there seems to be no fluid coming from her ears.
	who does maya live with? Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy	Question 01:21 AM EDT
	Maya lives with her mother and me, and Damien, my step son and Maya’s half brother.
	Model Statement: “It’s important that Maya’s ears and hair are thoroughly dried everytime she gets wet, including for swim lessons and bath time. I understand your wife takes Maya to and from her swimming lessons. You should follow-up with your wife about the importance of drying off Maya’s ears and hair. This practice will help to prevent ear infections.” Ear Pain Maya Parker Preschooler Sick Visit Shadow Health Education & Empathy