mental health shadow health assessment Education & Empathy
Education & Empathy: 4 of 4 (100.0%)
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
Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient
1 Symptoms
Followed Up
Description: Tina describes problems sleeping and stress-symptoms like racing thoughts.
What brings you in today?
Question
07:26 PM CDT
I decided to come in because I’m tired all the time now. . . I have this really important exam coming up, and I’m stressed and too foggy to study most of the time. I really need help sleeping so I can focus on preparing for my exam.
I’m sorry to hear about your trouble sleeping and stress. I’m glad you came in today. let me learn more about what you’re experiencing, and i will try to help
Empathize
07:31 PM CDT
I appreciate you saying that.
Model Statement: “I’m sorry to hear about your trouble sleeping and stress. I’m glad you came in. Let me learn more about what you’re experiencing, and I will try to help.”
2 Stress
Followed Up
Description: Tina describes how busy she is with school and work.
What is causing the stress
Question
07:43 PM CDT
I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot.
It sounds like you have a lot on your plate. I am sorry you are dealing with so much stress
Empathize
07:44 PM CDT
I appreciate you telling me that.
Model Statement: “It sounds like you have a lot on your plate. I’m sorry you’re dealing with so much stress.”
3 Sleep
Followed Up
Description: Tina describes her sleep hygiene and routine.
What is causing the stress
Question
07:43 PM CDT
I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot.
It sounds like you have a lot on your plate. I am sorry you are dealing with so much stress
Empathize
07:44 PM CDT
I appreciate you telling me that.
What were you thinking about when you couldn’t sleep?
Question
07:46 PM CDT
Mostly I start out worrying about this exam I have coming up, and how much I need to study, and then I start thinking about what happens if I don’t pass the exam, and even if I do, whether I’ll actually be able to find an accounting job once I graduate, and then if I do find a job, what if I’m bad at it. . . it just sort of builds on itself like that, just, like, worry upon worry.
what are your sleep patterns (Clarified to: What are your sleep habits?)
Question
07:47 PM CDT
Well. . . I usually get into bed around midnight, but at that point I feel too nervous to sleep, so I’ll read to try and wind down for maybe an hour, sometimes longer. Then I turn out the light and try to sleep. If it takes a really long time, then sometimes I’ll turn the light back on and read a little more until I feel sleepier. (Clarified to: what my sleep habits are)
It”s hard to function at our best when we don’t get enough sleep. I know you are busy with work and school, but let’s talk about some strategies to help you get more sleep and make sure you’re getting good quality sleep.
Empathize
07:49 PM CDT
Thanks.
Model Statement: “It’s hard to function at our best when we don’t get enough sleep. I know you’re very busy with work and school, but let’s talk about some strategies to help you get more sleep and make sure you’re getting good quality sleep.”
4 Coping and Support Systems
Followed Up
Description: Tina describes her coping mechanisms and support systems.
Do you get along with your family
Question
07:57 PM CDT
Things are pretty good between all of us–we’re a tight knit family. I think we’re pretty special, the way we all get along.
Do you have religious preference?
Question
07:58 PM CDT
Yeah. We go to First Baptist, and we do a lot with our church community. We socialize before and after church, and I go to Bible study on Wednesdays, too.
does your family support you
Question
07:59 PM CDT
Yeah, definitely. We’re all pretty tight knit. I think we’re a pretty special family, the way we all get along. My brother moved in with his fiance, but we still see him once a week at least, and I eat dinner with my mom and sister as much as possible, plus they always go to church with me on Sundays.
It sounds like you have a healthy support system through your family and friends which is great. it sounds like you work hard to manage your time effectively, too. remember to take out to relax or take a walk
Empathize
08:04 PM CDT
Thanks for understanding.
Model Statement: “It sounds like you have healthy support systems through your family and friends, which is great. It sounds like you work hard to manage your time effectively, too. Remember to take time out to relax or take a walk.”
