The practitioner is a nurse working in a walk –in and urgent care centre. This case analysis is based on a consultation for acute sore throat. A pseudonym will be used to maintain confidentiality as per Nursing and Midwifery Council ‘code’ (2008).In this consultation, Roger Neighbour’s model (Neighbour 1987) of consultation has been used as this incorporates various other elements of the other consultation models.
Sunita a 25year old mother has attend the walk-in centre accompanied by her husband. She has recently come from Pakistan and hardly speaks or understands English. She has brought in her husband to interpret for her. Both were greeted and offered seats.Lymn et al (2010) states that the first impressions are important to put the patient at ease in order to get a detailed history of the patient’s problems. By greeting and offering seats to Sunita and her husband we were developing a rapport with the patient and being professionally friendly. It is important not to appear rushed, as this may interfere with the patient’s desire to disclose information. Sunita’s husband was asked to confirm Sunita’s date of birth and address to ensure that we had the right patient. A verbal consent was obtained before taking her history because informed consent should be gained from the patient before any healthcare intervention including history taking (NMC 2008). In Sunita’s case we had to rely on the information given to us by her husband to confirm that she was acting on her free will and also her body language when she nodded her head after being asked.
Sunita presented with a history of sore throat for 3days which had gradually become worse over the 3days. She was able to eat and drink as usual but had some discomfort when swallowing. She had no fever but had runny nose and slight cough.Sunita’s husband informed me that she had experienced the same symptoms a year ago and was treated with...