Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy

	Description: Danny describes what he knows about his family health history.
	Do you have a family history of asthma?	Question 09:51 PM PDT
	Mom says Papi had asthma when he was a little kid.
	Do you have a family history of allergies?	Question 09:51 PM PDT
	I don’t think so, but I guess I’m not sure.
	Do you have chills?	Question 09:52 PM PDT
	No, I haven’t felt that.
	Do you have fever?	Question 09:52 PM PDT
	My mom said I didn’t have a fever this morning before Abuela took me here.
	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

**Title:** Danny Rivera Pediatric Cough Shadow Health Assessment Education & Empathy

**Education & Empathy: 3 of 5 (60.0%)**

**Opportunity 1: Symptoms**
**Followed Up**

**Description:** Danny explains the symptoms bothering him.

**Question:** What brings you to the clinic today?

**Danny Rivera:** My Abuela brought me here because I’ve been feeling sick. I have been coughing a lot, and I feel kinda tired.

**Response:** Am sorry to hear that you are sick.

**Question:** Do you have a cough?

**Danny Rivera:** I guess I’m kind of sick. I’ve been coughing a lot.

**Question:** How long have you had a cough?

**Danny Rivera:** I think the cough started five days ago.

**Question:** Is your cough a wet or a dry one?

**Danny Rivera:** My cough seems kind of gurgly and watery.

**Response:** That sounds like a wet cough.

**Question:** Do you produce any sputum when you cough?

**Danny Rivera:** 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.

**Response:** Am sorry to hear this.

**Question:** How often is your cough?

**Danny Rivera:** 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?

**Danny Rivera:** Most times I sleep OK, but I haven’t been able to sleep much because of my cough.

**Response:** Am sorry to hear this.

**Question:** Are you able to focus in class?

**Danny Rivera:** I can focus normally, but I couldn’t sleep very well last night because of my coughing, so it was harder than normal. Plus, it’s harder to pay attention when you keep having to cough.

**Response:** Am sorry to hear that the cough is disturbing you sometimes.

**Question:** Do you have a runny nose?

**Danny Rivera:** My nose is always a little bit runny… but ever since I started coughing it’s been worse, I think.

**Response:** Am sorry about this.

**Question:** Have you been sneezing?

**Danny Rivera:** 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?

**Danny Rivera:** You mean like when I blow my nose? It’s clear.

**Response:** Yes, that one. Ok, thanks.

**Question:** How consistent is your nasal discharge?

**Danny Rivera:** It’s kind of clear and, like, watery.

**Question:** Do you have any ear pain?

**Danny Rivera:** My right ear is starting to hurt a little bit… my left one is OK though.

**Response:** Am sorry to hear this Danny.

**Question:** Do you have any ear discharge?

**Danny Rivera:** No, nothing comes out of my ears, but my right ear kind of hurts.

**Question:** Do you have any hearing problems?

**Danny Rivera:** 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.

**Response:** Great, it’s good to have a test done whenever there is a chance.

**Question:** Do you have a sore throat?

**Danny Rivera:** It feels a little bit sore, yeah.

**Question:** Does it hurt when you swallow?

**Danny Rivera:** No, I can swallow OK. It hurts a little right now because my throat is kinda sore.

**Response:** Sorry about that Danny.

**Question:** Are you fatigued?

**Danny Rivera:** 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.

**Response:** Sorry about that.

**Opportunity 4: Secondhand Smoke**
**Followed Up**

**Description:** Danny describes exposure to secondhand smoke at home.

**Question:** Do you smoke?

**Danny Rivera:** No way! I know smoking is really bad – even for grown-ups. Papi smokes cigars sometimes. I don’t like how they smell.

**Response:** True, smoking is bad for everyone, you should never smoke.

**Question:** Are you ever around cigarette smoke?

**Danny Rivera:** Well… sometimes Papi smokes cigars in the house, and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells.

**Response:** Am sorry about that, I understand your concerns.

**Opportunity 5: Family History**

**Description:** Danny describes what he knows about his family health history.

**Question:** Do you have a family history of asthma?

**Danny Rivera:** Mom says Papi had asthma when he was a little kid.

**Question:** Do you have a family history of allergies?

**Danny Rivera:** I don’t think so, but I guess I’m not sure.

**Question:** Do you have chills?

**Danny Rivera:** No, I haven’t felt that.

**Question:** Do you have a fever?

**Danny Rivera:** My mom said I didn’t have a fever this morning before Abuela took me here.

**Response:** Thanks for telling me what you know about your family history. You did a good job remembering.

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