| Interlocutor: SETTING: HOME VISIT |
| PATIENT: You have mild COPD, and have been given a home oxygen cylinder to ease your breathlessness after a recent flare-up. Your GP has asked the community nurse to visit you at home to see how you are. TASK: – When asked, explain that overall you feel better and less breathless, but your throat feels a bit dry and sore. – Explain that you have not been getting any headaches or feeling confused. Tell the nurse that the mask feels uncomfortable sometimes and irritates the skin underneath. – Tell the nurse that you will try some moisturizing cream before changing to nasal prongs. – Say that you stopped smoking a year ago. Explain that you have been having some trouble sleeping, so you sometimes take one of your partner’s sleeping pills to help. – Agree to the nurse’s suggestions about sleeping pills. |
| SETTING: HOME VISIT |
| NURSE: You are a community nurse, visiting a patient with mild COPD who recently had a flare-up. Last week, he/she was given an oxygen cylinder for short-burst therapy at home. The patient’s GP has asked you to check on the patient to see how he/she is coping. TASK – Greet the patient and introduce yourself. Find out how he/she is feeling and how he/she is coping with the oxygen therapy. – Reassure the patient that what he/she is feeling is normal. Explain the reason (drying of the mucous membrane in the respiratory tract) and suggest solutions (e.g. keeping hydrated). – Ask about any other side-effects (e.g. headaches, feeling confused). – Sympathise with the patient and suggest that he/she use moisturising cream to help. Find out if he/she knows about the option of nasal prongs rather than a mask. – Check that the patient no longer smokes at all, and ask if he/she has any remaining concerns. – Sympathise with the patient but stress why he/she should avoid sleeping tablets (they cause slow breathing). Suggest alternatives. |
Tag Archives: COPD OET role play
COPD OET role play
| Interlocutor: SETTING: Patient’s Home |
| CARER: Your spouse is suffering from Chronic Obstructive Pulmonary Disease (COPD) and requires continuous oxygen. Mobility is now a problem. You have been caring for your spouse at home for two years but have recently returned to work. The nurse has just completed an assessment of his/her needs and is discussing full-time care options with you. TASKS When asked, say you have recently had to go back to work so are balancing being a carer and working full-time. You have put a fridge and microwave in the bedroom, and leave meals out every day, but you are worried it is not enough. Admit you knew that eventually your spouse would need more round-the-clock support, but you hoped it wouldn’t be so soon. You have no idea what you are going to do now. Say there is no way you can give up work and be a full-time carer as you need the money. Agree that a nursing home is a good option but there is no way your spouse will agree to it. Ask how you will know which nursing home to choose. Say that you will talk to your spouse about the option of a nursing home and let the nurse know what he/she says |
| SETTING: Patient’s Home |
| NURSE: You are making a home visit to a patient who is suffering from Chronic Obstructive Pulmonary Disease (COPD) and requires continuous oxygen. Mobility is now a problem. The patient’s spouse has been caring for him/her at home for two years but has recently returned to work. You have just completed an assessment of the patient’s needs and are discussing full-time care options with his/her carer. TASKS: Find out how the spouse has been managing since your last visit. Reassure the spouse about his/her situation (doing all he/she can, very difficult to care and work full-time, etc.). Explain your assessment of the patient (e.g., needs constant monitoring, round-the-clock assistance, etc.). Outline options (full-time carer or a nursing home). Explore the option of the spouse giving up work again. Explain the benefits of a nursing home (high level of round-the-clock care, experienced staff, etc.). Advise on choosing a nursing home (make a list of requirements, visit different options, speak to staff/residents, etc.). Offer to suggest local nursing homes for consideration. |