RHEA

Scenario 7: Provide Care for the Client with Urinary

Dysfunction (More Comprehensive)
Characters:

 Rhea: Personal Support Worker

 August Vansuiter: Patient (88 years old)

Setting:

August's hospital room (Room 635)

Props:

 Cane (on the floor)

 Call bell (within reach of August)

Scene:

(Rhea enters the room and sees August sitting in a chair, rocking back and forth)

Rhea: Good morning, Mr. Vansuiter. How are you feeling today? (Notices August's discomfort)
Is everything alright?

August: (Grimaces in pain) Not so good, Rhea. My back is killing me. Feels like a ten out of
ten!

Rhea: I'm so sorry to hear that. Can you tell me where exactly the pain is in your back?

August: Right up here, on my right side. (Points to his upper back) Been like this since I went to
the washroom.

Rhea: I see. Did you have any trouble using the washroom a few minutes ago?

August: Yeah, a lot of trouble. It hurt somethin' fierce when I went, and the urine looked… red?
Like blood.

Rhea: (Concerned) That's important information, Mr. Vansuiter. Painful urination with blood in
the urine can be a sign of a few things. Have you tried to pass urine again since then?

August: No, not since the pain hit.

Rhea: Okay. It's important to avoid straining, so for now, let's focus on managing your pain. Did
you use the call bell when the pain started?

August: No, I just tried to ride it out.

Rhea: It's always best to call for help if you're experiencing significant pain. Let me get you
some water and help you get comfortable while I document your symptoms.

(Rhea pours a glass of water and helps August sit comfortably with pillows)

Rhea: I'm going to take your blood pressure and temperature to get a baseline reading.

(Rhea takes August's blood pressure and temperature)

Rhea: Your vitals seem okay at the moment, but the red urine is definitely a concern, especially
considering your recent stroke. I also noticed your cane is on the floor. Did you have any trouble
getting back into your chair?

August: Yeah, that darn cane slipped out from under me when the pain hit. Luckily, I managed
to grab the chair before I fell.

Rhea: Good thinking, Mr. Vansuiter. It's important to avoid falls, especially with back pain. Let
me help you pick up your cane.

(Rhea helps August pick up his cane)

Rhea: While I document your pain and the red urine in your chart, I'm going to inform the nurse
about your symptoms. They may want to run some tests to see what's causing these problems.

August: The nurse?

Rhea: Yes, Mr. Vansuiter. The nurse is qualified to assess your pain and the blood in your urine.
They may recommend a doctor see you as well, depending on the findings.

August: Alright, alright. Just get me some relief for this pain!

Rhea: Absolutely. In the meantime, I can see if we can find a heating pad for your back. Would
you like anything else to help you feel more comfortable? Perhaps a cool cloth for your head or a
change of position?

August: A heating pad sounds good, Rhea. Thanks. And maybe a fluffier pillow for my head,
this one's a bit flat.

Rhea: Great. I'll be right back. In the meantime, try to relax and rest as much as possible. If the
pain gets any worse, or you need anything at all, please don't hesitate to use the call bell.
(Rhea exits the room to get a heating pad, inform the nurse about August's symptoms, and
see if a fluffier pillow is available)