Advise and education is important as psychoeducation improves patients’ understanding of their own illness. Explore the patient’s family history for evidence of malignancy (this may suggest an increased baseline risk for the patient). Social history

FRCEM OSCE practice 21/9/18 FRCEM OSCE practice 21/9/18

I am fit and well. I recently moved to this area with my husband and my son and I am now registered to this practice. I do not have any medical illness as far as I am concerned. Always fit and well. Minor placenta praevia is when the leading edge of the palcenta is in the lower segment but not covering the internal cervical os Even if the patient is not ready to quit, it is still important to advise them to quit (reducing frequency/quantity can be used as an alternative but complete cessation is still advised). 10 Assess Emphasise that the purpose of this consultation is not to be confrontational but to explore the patient’s views on smoking and motivations to change their behaviour.When asked about regular medications] However, I am currently taking 4mg of lorazepam daily for my ‘anxiety’ for two months now.

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At this point, it is also useful to briefly gauge what the patient’s understanding is of how their smoking impacts their health. This is a good starting point from which you can give information later on: Non-pharmacological therapies involve a selection of behavioural counselling programs which can be tailored to patient preferences and beliefs.Attempt to quantify the patient’s level of motivation by asking them to describe their level of motivation on a scale from 1 to 10; with 1 being the least motivated and 10 being the most motivated. Identifying common ground will also give you areas to focus on for the rest of the consultation when you come to discuss possible interventions. Tensions remaining Advise the patient to commence the medication 1 week before their quit date and complete a total course of 12 weeks

OSCE Cases with Mark Schemes: A - Yumpu Download [PDF] OSCE Cases with Mark Schemes: A - Yumpu

When prompted about hallucinations] I hear voices, in my head… when no one is in the room. I can’t stop them talking to me. It happened after I lost Dominica…unexpectedly and found him. Broke up with girlfriend and dropped out of uni, nothing to live for. Has Quinn V, Hollis J, Smith K, Rigotti N, Solberg L, Hu W et al. Effectiveness of the 5-As Tobacco Cessation Treatments in Nine HMOs. Published in 2008. [LINK] Smoking is a significant risk factor for multiple conditions including cardiovascular disease, stroke and lung cancer.