Osteomyelitis

Asked for 12 SEP 2020 OET speaking session

PATIENT. Role play. SETTING: Hospital Ward 
You are 48 years old and are in hospital because you have developed a bone infection (osteomyelitis) in your leg. 
TASK
•When asked, say that you’ve been feeling a bit feverish since you woke up today.
•Say you’re still in a lot of pain.
•Say the pain isn’t any better or worse than it was before. Say you don’t understand why the nurse is asking you about changes in pain.
•Say you’re not very clear why you can’t just take antibiotic tablets instead of the drip and then go home.
•Ask how long you’ll need to take antibiotics for.
•Agree to let the nurse do the checks.
NURSE. Role play. SETTING: Hospital Ward 
You are checking on a 48-year-old patient who has developed osteomyelitis (a bone infection) in his/her leg. 
TASK
•Explain your role (e.g., monitor wound, take vital signs, check intravenous drip, etc.). Find out how the patient is feeling.
•Describe the symptoms of osteomyelitis (fever, pain, etc.). Reassure the patient about his/her progress(reduction in fever, positive effect of antibiotics, etc.). Find out more details about the pain (change in level, change of location, any new pain, etc.).
•Give reasons for exploring changes in pain (e.g., importance of monitoring, possible sign of secondary infection, etc.). Advise the patient to communicate any changes in pain. Find out if the patient has any other concerns.
•Explain treatment stages before discharge (control infection, switch to oral antibiotics, establish self-medication routine, etc.).
•Describe antibiotic treatment plan (several more days intravenously in hospital, 4-6 weeks in tablet form at home). Establish the patient’s willingness for you to do the necessary checks 

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