Acute pyelonephritis OET role play

Interlocutor Role Play Card Setting: Hospital Ward
Patient: You are 33 years old and were hospitalized two days ago due to a kidney infection. You feel a little better now but still find it difficult to consume food or fluids. The doctor feels you are not ready to be discharged. You have two children at home who are being cared for by your husband/wife. You are desperate to go home and are upset and angry about the situation.
TASK
When asked by the nurse, explain why you want to be discharged (feeling better, can take medication/care of self at home, wish to be with/assist family).
Resist the idea of staying in hospital and insist that you can continue the treatment at home with home visits if needed.
Be difficult to convince, but reluctantly agree to stay if help can be provided for your family.
Candidate Role Play Card Setting: Hospital Ward
Nurse: You are speaking to a 33-year-old patient who was admitted two days ago, and was diagnosed with acute pyelonephritis (kidney inflammation due to bacterial infection). He/ she has a fever, has not been able to eat or drink anything, and has been given intravenous therapy. He/she wants to be discharged from the hospital, but the doctor feels they are not fit to go home at present. The patient appears upset and agitated.
TASK
Find out why the patient wants to be discharged early.
Explain why staying in the hospital is necessary for their current condition (e.g. intravenous therapy needed because body rejecting food/fluids/oral medication, close monitoring of blood and urine to track infection, etc.).
Try to persuade the patient to remain in hospital (e.g. potential kidney damage/failure, risk of blood poisoning, unable to provide care at home, etc.).
Suggest home help be organized by hospital social worker for the family.

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