Question

Alice Jameson is a 69-year-old who has been suffering from flu-like symptoms for several days. She calls her primary care provider to make an appointment. This conversation follows: “Mid-Town Medical Clinic, this is Marianne; please hold.” After a 2- to 3-minute wait, the receptionist comes back on the line. “Thank you for holding. Can I help you?” “This is Alice Jameson. I am feeling terrible. I think I have the flu. But I shouldn’t have the flu; I got the flu shot last fall. Can I see my doctor?” “Alice, we are so busy with flu patients, I don’t have an opening until day after tomorrow. Can you come at 3:30 p.m.?” After a brief pause, Alice responds, hesitantly. “No, I don’t think so. If I don’t get better, I guess I’ll go to my neighborhood emergency care clinic.” “Okay. Bye.” The receptionist at Mid-Town Medical Clinic does not learn that Alice has had a fever of 101 degrees for 2 days and does not recall that she had surgery to place an artificial heart valve just 8 months ago.

Outline a helping interview that can be therapeutic and can meet Alice’s needs. Assume that the clinic’s schedule really is full.

Answer 1

Alice Jameson needs reach neighborhood emergency care clinic because she is suffering from high grade fever possible to may have artificial valve Aside from endocarditis, pericarditis and various other conditions may be responsible.

Fever can have both infectious and non-infectious cardiac causes. Its interpretation depends on the clinical context. The evidence base for treatment is sparse, and controlled trials are needed