Malaria prophylaxis

Asked for 23 JAN 2021 OET speaking session

PATIENT. Role play. Setting: Community Heath Centre.
You are 35 years old and are going on a rip soon. You know that you need to take Malaria medication but are concerned as you have suffered from depression in the past, and you’ve read that there is some malaria mediation you shouldn’t take.

Task:
§ When asked, say you’re going on a trip around southeast Asia soon. Say you know you need to take malaria medication but you’ve had depression in the past and you’ve read that there is some malaria medication you shouldn’t take.
§ Say you’re going to be traveling for a month and will be mainly in rural areas, but plan to visit some cities too.
§ Say you’d rather not take medication for so long when you return, so maybe you can just try to avoid getting bitten.
§ Say you don’t want to take medication for a long time because you’re worried about the side effects.
§ Say you don’t want to have those problems. Agree to take the medication.
Nurse. Role play. Setting: Community Heath Centre.
You see a 35-year-old patient who is going on a trip soon and needs to take malaria medication. He/she is concerned about taking this medication as he/she has suffered from depression in the past, and has read that there is some malaria medication he/she shouldn’t take.

Task:
• Find out reason for patient’s visit.
• Find out relevant details about trip (length of visit, rural/urban, etc.),
• Recommend doxycycline for malaria prophylaxis (no contraindications for patients with history of depression, etc). Give details of dosage (100mg daily with food, Iwo days before trip, during trip and four weeks after return, etc).
• Stress the need for both medication and bite prevention measures (e.g., high-risk area visited, length of visit etc). Give reasons for long dose of doxycycline (e.g.: reluctance to take medication over long period of time).
• Give details of possible side effects (e.g., Heartburn, upset stomach, increased risk of sunburn etc.) Warn patient of risks of not taking medication if malaria is contracted (e.g.: heart/kidney problems, etc).

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