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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). When prompted about hallucinations] I hear voices, in my head… when no one is in the room. I can’t stop them talking to me. It happened after I lost Dominica… It is the most effective pharmacological therapy, increasing successful cessation by greater than 2 times
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Identifying common ground will also give you areas to focus on for the rest of the consultation when you come to discuss possible interventions. Tensions remaining
Station 4: FEBRILE CONVULSIONS
The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatment Sections, UniAdmissions Advise the patient to commence the medication for 1-2 weeks before the quit date and complete a 12-week course 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. When asked about regular medications] However, I am currently taking 4mg of lorazepam daily for my ‘anxiety’ for two months now. 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.
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Using the answers to these questions as a baseline, you should then explain the risks of smoking using relevant links to the patient’s ideas, concerns and expectations. This makes the explanation more relatable for the patient and helps to illustrate your points: 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: If asked about laxatives directly] I got some laxatives from the pharmacy because the food I was eating wasn't coming out. It is only for constipation. I sometimes take a couple of doses a day until I'm getting it all out.
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My mother doesn't know what a healthy diet is. It is important not to eat often and so I always tell my mum that I feel full. I refuse to open up about my diet, only stating that I eat very healthily. 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.” The key to OSCE preparation is practice! Our OSCE stations make that easy by providing everything you need, including student, patient and examiner instructions and the answers to commonly asked viva questions. Student instructions Remove all tobacco products as well as recommending counselling programs and pharmacological therapies as indicated (see below).
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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 Advise the patient to commence the medication 1 week before their quit date and complete a total course of 12 weeksYou can then use our ‘Group Study Mode’ to assign roles (e.g. student, examiner, patient) for each station easily using a PIN. By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU. Our OSCE bank (a.k.a. OSCE cases) is ideal for students at all stages of training, including those wanting to practice OSCE stations for medical finals. We also provide free sample OSCE stations for all of the station types. New: AI virtual patients
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We’ve produced a brief video showing you how you can create your own OSCE stations and then organise them into circuits to share with others. 🙂 The Geeky Medics bank of 900+ OSCE stations provides everything you need to practise your clinical skills and prepare for your OSCEs. It will show an AKI. Fluid assessment should show that the patient is dry --- dry mouth, low UO etc. I would like to understand a bit more about your smoking and how it is affecting you. Could I ask you a few questions?” I have been unhappy with my looks since the age of 10. I always thought I was ugly, my friends just lie that I'm pretty to make me feel better.
Attempt to quantify the patient’s level of motivation by asking them to describe their level of motivation on a scale from 1 to 10; with 1 being the least motivated and 10 being the most motivated.
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