| Interlocutor Role Play Card Patient Setting: Community Health Centre |
| You are a 30-year-old university lecturer who has recently (2 weeks ago) had your lower bowel removed due to Crohn’s disease and you have been fitted with a colostomy bag. Your vital signs are fine. However, you are depressed and embarrassed about the colostomy bag which you hope will be able to be removed in a few weeks. TASK When asked, tell the nurse that you’re feeling very depressed and embarrassed about the colostomy bag. Tell the nurse that you fear you won’t be able to have close contact with students and that sexual relations with your partner will be problematic until it is removed in a few weeks. Express dismay when told by the nurse that the colostomy bag is irreversible. Express concern that despite the nurse’s instructions you won’t be able to manage changing the bag. |
| Candidate Role Play Card Nurse Setting: Community Health Centre |
| The patient is a 30-year-old university lecturer who has recently (2 weeks ago) had his/her lower bowel removed due to Crohn’s disease and has been fitted with a colostomy bag. The patient’s vital signs are fine. The surgeon has informed the patient that wearing the colostomy bag is irreversible. The patient appears depressed. TASK Greet the patient and ask how he/she is feeling. Respond to the patient’s concerns but explain why the colostomy bag is needed. Explain sympathetically that wearing the bag is irreversible. Empathise with the patient while informing the patient that although lifestyle changes will need to be made, his/her fears are unnecessary and explain why. Then give brief instructions about management of the stoma and bag. Tell the patient that community health assistance is available whenever he/she needs it. Ask the patient to come back in 3 days’ time for another assistance session. |