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 Forgotten the title or the author of a book? Our BookSleuth is specially designed for you. Visit BookSleuth The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatment Sections, UniAdmissions

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Assess the patient’s understanding of the consequences of smoking in relation to their own health condition(s). Make sure the patient is aware that this is entirely their choice and offer them time to think about their decision. You might also be interested in our collection of 500+ OSCE Stations that cover clinical examination, procedures, communication skills and data interpretation. 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 AssessStation 14 – Hand examination – with questions at the end, differential diagnosis and look at picture history- direct them towards doing a fluid assessment. If they don’t ask for the U&E show it to them. When prompted] I have butterflies in my stomach and difficulty breathing. I also experience numbness and chest discomfort, almost like an out-of-body experience, as though my own body isn’t real. It has been around a year now since I first noticed the issue. When prompted about what I want to do if I’m being sent home] I wanna go home. I don’t need to be in the hospital… I just want to lie in my bed and be away from people. Different therapies will be effective for different patients depending on their health and other factors which influence their smoking behaviours. Decide together

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The Ultimate OSCE History Guide: 100 Cases; Simple History Frameworks for OSCE Success; Detailed OSCE Mark Schemes; Includes Investigation and Treatment Sections; UniAdmissions Try to gain an understanding of the patient’s smoking history. Include a brief general medical history to get a better idea of the patient’s health and lifestyle:The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatme

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It’s important to take a comprehensive smoking history before counselling a patient about smoking cessation. In an OSCE, you may be provided with these details in the brief and asked to move straight on to counselling. I am even bad at work. I could not concentrate, and I get agitated at my clients. My boss told me to take time off. 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. 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.

By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU. This part of the consultation is all about understanding the patient’s thoughts and feelings about smoking. This will give you a good understanding about what motivates the patient, and will therefore give you common ground to work from. If pushed]I am looking after myself to lose weight. I am very proud of going from a size 14 to a size 8 because of how healthy I am feeling and looking. I have done so well in the last 6 months!

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Station 13 – Sepsis station – Patient lying in bed confused, doesn’t answer any questions. Examiner Smoking cessation counselling is frequently delivered in a general practice setting as primary care physicians have the unique opportunity to harness long-term patient-doctor relationships. 3 Cardiovascular disease and cardiovascular risk factors (e.g. coronary artery disease, hypertension, diabetes, hyperlipidaemia)Does the patient experience any withdrawal symptoms? (e.g. craving, irritability, dizziness, low mood, fatigue, insomnia) I can't be ill, I'm doing so well in school". I am aiming for A* in my A-level exams and I am doing very well.