Pneumococcal Polysaccharide Vaccination (PPV)

Asked for 26 Sep 2020 OET speaking session

PATIENT. Role play. Setting: Suburban Clinic 
You are 62 years old and have rheumatoid arthritis. You are attending an appointment to get information about the Pneumococcal Polysaccharide Vaccination (PPV) which you have been advised to have.

Task
§ When asked, say that the clinic sent a letter to say you had to have the vaccination. Say that you don’t think you need to have it.
§ Say that you always get an annual flu jab; you thought that would be enough protection.
§ Ask if you are likely to feel unwell after you have the vaccination.
§ Say you had an annual flu vaccination two weeks ago so maybe it is better to wait before you have another vaccination.
§ Say you felt fine after the flu vaccination; it didn’t cause any problems at all.
§ Agree to have the vaccination.
NURSE. Role play. Setting: Suburban Clinic 
You see a 62-year-old patient who has rheumatoid arthritis. He/she is attending an appointment to get
information about the Pneumococcal Polysaccharide Vaccination (PPV) which he/she has been advised to have.

Task:
• Confirm the reason for the patient’s visit (PPV).
• Explain the need for the vaccination (e.g., rheumatoid arthritis patients at higher risk of pneumococcal infections/compromised immune systems, etc.). Stress the importance of immunisation against pneumococcal infections (e.g., pneumonia, septicaemia, etc.).
• Give details about the vaccines: PPV (bacterial, remains the same, given every three years, etc.) and flu (viral, strain constantly changes, given yearly, etc.).
• Outline possible temporary mild side effects (e.g., slight temperature, redness/swelling at injection site, etc.). Recommend making an appointment with a GP if not well.
• Ask the patient about any reaction to the flu vaccination (e.g., high temperature, muscle aches, fatigue, etc.).
• Reassure the patient about having the PPV today (e.g., no adverse reaction to flu vaccine, suitable interval since earlier vaccine, etc.). Establish the patient’s consent to have the PPV.

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