englishmelon
Role Play Card 52
Interlocutor Role Play Card
Patient Setting: Rural Community Health Clinic
You are visiting your local community health clinic today because your GP is on holidays and the locum who is replacing him is fully booked for the next few days. You have been feeling unwell for a few days. Symptoms include mild fever, tiredness, nausea & recent vomiting. In addition you have noticed that your eyes have a yellowish tinge and your urine is dark. You have recently returned from a holiday in India and you wonder if this could be the cause of your condition. Although while you were in India, you stayed in first class hotels and took precautions such as drinking bottled water only and avoiding local food.
Tasks
- Describe your symptoms to the nurse.
- Express concern at the diagnosis as you are a frequent traveler and are always careful.
- Ask about treatment options & recovery time.
Candidate Role Play Card
Nurse Setting: Rural Community Health Clinic
A patient has come to see you today because his / her regular doctor is on holidays and the locum is fully booked for the next few days. He / She is presenting with symptoms suggestive of hepatitis A including mild fever, tiredness, nausea, vomiting and jaundice.
Task
- Ask the patient about the symptoms (Prompt to describe each symptom in detail, including the onset and severity. Any other unusual symptoms).
- Explain that you suspect hepatitis A and he / she will need blood tests including Liver Function Test (LFTs) to confirm the diagnosis.
- Recommend that the patient contact his regular GP’s receptionist, explain the situation, and request that he be fitted in to see the locum ASAP. [Advise the patient to call their regular GP’s office, explain their symptoms and recent travel history, and request an urgent appointment with the locum).
- Explain that hepatitis A is a virus and that it can spread through contaminated food & water, eating utensils, poor hygiene practices. It is more common in developing countries than Australia (Provide detailed information on how hepatitis A is transmitted, including through contaminated food and water, utensils, and poor hygiene. Mention that it is more prevalent in developing countries)
- People with hepatitis A are considered infectious for a week after the onset of jaundice (Inform the patient that they will be contagious for about a week after jaundice begins and should take precautions to avoid spreading the virus).
- Explain the usual duration of the illness (about 1 month to fully recover; expect a gradual recovery over this period. Offer advice on rest and hydration during recovery).
- Summarize the roleplay.
