Station 76
Sophie Walsh
Age: 4 year old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
Opening Statement: “Hi doctor, it seems like Sophie has another urine infection, and I’m really worried because this has happened a few times now, I just don’t understand why it keeps coming back.”
You are Lucy, the mother of Sophie, a 4-year-old girl who has had two confirmed urinary tract infections (UTIs) in the last six months. Today, Sophie is again complaining of passing urine more frequently and says it hurts when she pees. You’ve also noticed that her urine has a strong smell.
Each time she’s been unwell, her urine was tested, antibiotics were prescribed, and she improved. However, you’re concerned because the infections keep returning.
You’re currently teaching Sophie how to wipe herself after using the toilet, but she is still learning and doesn’t always do it properly. You wonder whether this might be contributing to the infections. Otherwise, Sophie is well, she eats and sleeps well, and her growth and development seem normal.
You’re worried about why the infections keep happening, whether they could cause long-term problems, and if there’s anything you should be doing differently. You’ve been attentive to her hygiene but wonder if you’re missing something.
You would also like to know if there’s a chance something more serious could be going on, even though Sophie appears healthy in general.
Social History: You live with Sophie and her biological father. No family history of kidney disease. No safeguarding concerns or suspicion of abuse. Sophie attends reception class at school, and there have been no concerns or complaints from school.
Pregnancy, birth, immunisation and developmental history are all normal.
Ideas: You think Sophie’s difficulty with wiping herself properly might be causing the infections.
Concerns: You’re worried about long-term damage to her kidneys or bladder.
Expectations: You want advice on preventing further UTIs, reassurance about Sophie’s health, and guidance on whether investigations or a specialist referral are needed.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.