Sick Visit: Management of Endocrine Conditions Maureen Hopkins Shadow health
Education & Empathy : 2 of 4 (50.0%)
- 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
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- Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
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Description: Mrs. Hopkins reports recent changes to her hypothyroidism medication.  Struggling to meet your deadline?Get your assignment on Sick Visit: Management of Endocrine Conditions Maureen Hopkins Shadow health done by certified MDs and PhDs in the USA. ORDER NOW! |
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Have you had changes in your mouth and throat? |
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Hm . . . well, I did notice a while back that my Synthroid looked different when I picked it up from the pharmacy. It was a sort of oblong pill shape, whereas it’s usually circular. And the pill bottle read “levothyroxine sodium,” instead of “Synthroid” like usual. |
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Have you had changes in frequency of urinating? |
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Hm . . . well, I did notice a while back that my Synthroid looked different when I picked it up from the pharmacy. It was a sort of oblong pill shape, whereas it’s usually circular. And the pill bottle read “levothyroxine sodium,” instead of “Synthroid” like usual. |
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Any pain when urinating? (Clarified to: Do you have trouble urinating?) |
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I haven’t had any issues in the bathroom or the like. [AUDIO COMING SOON] (Clarified to: if I have trouble urinating) |
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Do you experience pain when moving? (Clarified to: Does it hurt to walk?) |
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Model Statement: “It sounds like your pharmacy has made some changes in how they’ve dispensed your Synthroid medication and have changed the name and shape of the medication. While pharmacies sometimes make medication changes from brand name to generic to save you money, you should be on the lookout for any changes to the name, shape, and color, as some medications need to be dispensed as written to achieve the best health outcomes. If you notice changes to your medication, ask your pharmacy about them before you leave the pharmacy, and check in with your primary care provider.” |
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Description: Mrs. Hopkins reports walking for exercise. |
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Do you experience pain when moving? (Clarified to: Does it hurt to walk?) |
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No, not at all. I like walking. (Clarified to: if it hurts to walk) |
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Have you had headaches? |
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I haven’t had any headaches. [AUDIO COMING SOON] |
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Have you had changes in appetite? |
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My appetite’s the same as it usually is. [AUDIO COMING SOON] |
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Model Statement: “It’s great that you are taking a walk once a week for exercise, especially given the positive effects this can have on your health. However, you are not currently exercising at the recommended frequency or intensity for health maintenance. Exercising more often and at a moderate, but manageable, intensity can have positive effects on your overall health and aid the management of your osteopenia.” |
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Description: Mrs. Hopkins reports frustration with her recent hair loss. |
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What brings you to he clinic today? |
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I came in because I’ve been really tired lately. And I’ve had some hair loss. Neither of which are really normal for me. |
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am sorry to hear this |
Empathize |
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Thank you. |
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Model Statement: “I’m sorry to hear that you have been experiencing hair loss. It sounds like it has been disturbing and frustrating to look in the mirror and not see your usual self. We are going to investigate more into your signs and symptoms to determine the underlying causes of your hair loss and how we might address it.” |
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Description: Mrs. Hopkins reports feeling abnormally fatigued recently. |
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What aggravates your fatigue |
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I don’t think anything makes it worse — it’s more just a steady tiredness that lasts all day. |
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How has these affected your daily activities? (Clarified to: How has your fatigue made it difficult to do things?) |
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It hasn’t — I can still perform my daily activities. (Clarified to: how my fatigue has made it difficult to do activities) |
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that’s great |
Empathize |
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Thank you, dear. |
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Model Statement: “I’m sorry to hear you have been feeling fatigued recently. It can be very frustrating to feel like you’re moving slower and having lower energy levels to complete your daily activities. Let’s discuss your symptoms of fatigue more thoroughly so we can determine possible causes and how best to address them moving forward.” |
Title: Managing Endocrine Conditions – Maureen Hopkins’ Sick Visit
Patient Education and Empathy: Part 2 of 4 (50.0%)
Throughout the patient interview, various opportunities arise for patient education and empathy. The following opportunities have been identified as significant for this patient by nursing experts, along with sample statements for each opportunity.
Opportunities labeled as “Not Followed Up” indicate missed opportunities where no statements were made during the interview.
Opportunities labeled as “Not Encountered” were not mentioned in the interview.
Opportunities labeled as “Followed Up” were addressed by students and include the dialogue between the student and patient.
1 Medication Changes
Not Followed Up
Description: Mrs. Hopkins mentioned recent alterations in her hypothyroidism medication.
Question: “Have you had changes in your mouth and throat?”
Response: “I did notice a while back that my Synthroid medication looked different when I got it from the pharmacy. It had an oblong shape instead of the usual circular one, and the pill bottle said ‘levothyroxine sodium’ instead of ‘Synthroid’ like usual.”
Question: “Have you had changes in the frequency of urinating?”
Response: “I did notice a while back that my Synthroid medication looked different when I got it from the pharmacy. It had an oblong shape instead of the usual circular one, and the pill bottle said ‘levothyroxine sodium’ instead of ‘Synthroid’ like usual.”
Question: “Any pain when urinating?”
Response: “I haven’t experienced any issues in the bathroom. (Clarified to: if I have trouble urinating)”
Question: “Do you experience pain when moving?”
Model Statement: “It appears that your pharmacy has made some alterations in how they dispense your Synthroid medication, changing both its name and shape. While pharmacies occasionally switch from brand name to generic medications to save costs, it’s essential to stay vigilant for changes in the name, shape, and color of your medication, as some medications need to be dispensed as prescribed for the best health outcomes. If you observe any changes in your medication, it’s advisable to inquire about them at the pharmacy before leaving and consult your primary care provider.”
2 Exercise
Not Followed Up
Description: Mrs. Hopkins mentioned walking for exercise.
Question: “Do you experience pain when moving?”
Response: “No, not at all. I enjoy walking. (Clarified to: if it hurts to walk)”
Question: “Have you had headaches?”
Response: “I haven’t experienced any headaches.”
Question: “Have you had changes in appetite?”
Response: “My appetite remains as usual.”
Model Statement: “It’s great that you engage in regular walks for exercise, as this can have positive effects on your health. However, it’s worth noting that you’re not currently meeting the recommended frequency and intensity for maintaining your health. Increasing the frequency and exercising at a moderate yet manageable intensity can offer several benefits to your overall health and assist in managing your osteopenia.”
3 Hair Loss
Followed Up
Description: Mrs. Hopkins expressed frustration with her recent hair loss.
Question: “What brings you to the clinic today?”
Response: “I came because I’ve been feeling extremely tired lately, and I’ve noticed hair loss, which isn’t normal for me.”
Empathetic Response: “I’m sorry to hear about your hair loss. It must be distressing and frustrating to see changes in your appearance. We will investigate your symptoms further to identify the underlying causes of your hair loss and how best to address it.”
4 Fatigue
Followed Up
Description: Mrs. Hopkins reported feeling unusually fatigued recently.
Question: “What worsens your fatigue?”
Response: “I don’t think anything makes it worse; it’s more like a constant tiredness throughout the day.”
Question: “How has this affected your daily activities?”
Response: “It hasn’t; I can still perform my daily tasks.”
Empathetic Response: “I’m sorry to hear you’ve been experiencing fatigue. Feeling like you have lower energy levels and moving slower can be frustrating when trying to carry out your daily activities. Let’s delve deeper into your fatigue symptoms so that we can identify possible causes and determine the best way to address them moving forward.”
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