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Advise the patient to commence the medication for 1-2 weeks before the quit date and complete a 12-week course Emphasise that the purpose of this consultation is not to be confrontational but to explore the patient’s views on smoking and motivations to change their behaviour. Cardiovascular disease and cardiovascular risk factors (e.g. coronary artery disease, hypertension, diabetes, hyperlipidaemia)
Respiratory Examination OSCE Mark Scheme - Geeky Medics Respiratory Examination OSCE Mark Scheme - Geeky Medics
Forgotten the title or the author of a book? Our BookSleuth is specially designed for you. Visit BookSleuth Explain the different options available with the patient to decide which they feel would be most effective. Make sure the patient is aware that this is entirely their choice and offer them time to think about their decision. You can also create your own bank of OSCE stations for free using our ‘ OSCE Station Creator‘ and then share them with others.Station 14 – Hand examination – with questions at the end, differential diagnosis and look at picture unexpectedly and found him. Broke up with girlfriend and dropped out of uni, nothing to live for. Has Does the patient experience any withdrawal symptoms? (e.g. craving, irritability, dizziness, low mood, fatigue, insomnia) Consider how the patient was dispensed with a 2-month supply of lorazepam (benzodiazepine). It is classed as a controlled drug and it should not be prescribed more than 30 days, unless in special circumstances. Most NHS trusts do not go beyond 14 days for prescriptions of controlled drugs. The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatment Sections, UniAdmissions
Knee examination - Mark Scheme - Geeky Medics Knee examination - Mark Scheme - Geeky Medics
Try to gain an understanding of the patient’s smoking history. Include a brief general medical history to get a better idea of the patient’s health and lifestyle: Even if the patient is not ready to quit, it is still important to advise them to quit (reducing frequency/quantity can be used as an alternative but complete cessation is still advised). 10 Assess The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatme If you are ever asked to document your findings, ensure that you have the following in the patient's notes: Remove all tobacco products as well as recommending counselling programs and pharmacological therapies as indicated (see below).Smoking negatively impacts overall health and increases the burden on the healthcare system, costing the UK government 2.6 billion pounds in 2015 due to premature death, hospital admissions and loss of productivity. 1 Although the number has been gradually decreasing over the last decade, approximately 15% of adults in the UK smoked cigarettes in 2018. 2 When prompted] I have butterflies in my stomach and difficulty breathing. I also experience numbness and chest discomfort, almost like an out-of-body experience, as though my own body isn’t real. It has been around a year now since I first noticed the issue. Use the Stages of Change model to guide the assessment of behaviour modification. The stages of this model include: It’s important to take a comprehensive smoking history before counselling a patient about smoking cessation. In an OSCE, you may be provided with these details in the brief and asked to move straight on to counselling. Prefacing all of the examinations, introduce yourself to the patient (full name), explain who you are, and why you are there/what you are about to do. Confirm the patient's name and date of birth. Tell the patient how much time the exam will take, and if required, also obtain a chaperone. Ask for consent, and once given, proceed to wash hands. All bedside examinations are performed from the right side of the patient. 2. Ending
Mark scheme template - Osce checklist - Station 1 - Studocu Mark scheme template - Osce checklist - Station 1 - Studocu
Based on all of the information you have now collected about the patient, you are now in a good position to give the patient tailored smoking cessation advice. Before OSCEhub: Hectic OSCE practise, stations aren't challenging, and no idea if you're improving.
Station 4: FEBRILE CONVULSIONS
You mentioned you were concerned that your father had a stroke which may have been related to smoking. Unfortunately, smoking is associated with an increased risk of stroke amongst other conditions such as heart disease and lung cancer.” This is the stage of the consultation where you should cover the patients ideas, concerns and expectations (ICE): Explore psychosocial aspects of the patient’s health including stressors at home and work – do these factors affect their smoking habit? Smoking is a significant risk factor for multiple conditions including cardiovascular disease, stroke and lung cancer.
Osce Cases Mark Schemes - AbeBooks Osce Cases Mark Schemes - AbeBooks
Non-pharmacological therapies involve a selection of behavioural counselling programs which can be tailored to patient preferences and beliefs. Enhance your OSCE practice with our collection of virtual patients, available as part of our OSCE Stations subscription. Advise and education is important as psychoeducation improves patients’ understanding of their own illness. Once you have explored possible options, take the opportunity for some shared decision-making with your patient. Commit to at least one option.
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Different therapies will be effective for different patients depending on their health and other factors which influence their smoking behaviours. Decide together We have also included an alternative approach using the ‘ UNITED’ structure which can be used for motivational interviewing. The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and . Ultimate Medical School Application Library)
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