OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals

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This is the stage of the consultation where you should cover the patients ideas, concerns and expectations (ICE):

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Myers K, McRobbie H, West O, Hajek P. National Institute for Health and Clinical Excellence. Review 3: Barriers & facilitators for smoking cessation interventions in acute & maternity services. Published in 2012. [LINK] Smoking cessation counselling is frequently delivered in a general practice setting as primary care physicians have the unique opportunity to harness long-term patient-doctor relationships. 3 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. Set a quit date based on the patient’s willingness, motivation and agreement. This should usually be within 2-4 weeks (abrupt quitting is usually more effective than gradual quitting).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 When prompted about what I want to do if I’m being sent home] I wanna go home. I don’t need to be in the hospital… I just want to lie in my bed and be away from people. This part of the consultation is all about understanding the patient’s thoughts and feelings about smoking. This will give you a good understanding about what motivates the patient, and will therefore give you common ground to work from. The Ultimate OSCE History Guide: 100 Cases; Simple History Frameworks for OSCE Success; Detailed OSCE Mark Schemes; Includes Investigation and Treatment Sections; UniAdmissions I can't be ill, I'm doing so well in school". I am aiming for A* in my A-level exams and I am doing very well.

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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. Ultimately, a structured and patient-centred approach is key to ensuring the patient feels listened to and understood. This will allow you to reassure the patient and use shared decision-making. Assess the patient’s understanding of the consequences of smoking in relation to their own health condition(s).Non-pharmacological therapies involve a selection of behavioural counselling programs which can be tailored to patient preferences and beliefs. Forgotten the title or the author of a book? Our BookSleuth is specially designed for you. Visit BookSleuth 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. 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.