Blood Pressure Flashcards
Name
Martin Collins
Age
55
Job
- Store Manager, Screwfix
- Bit stressful with colleagues talking about cost of living crisis and wages, but otherwise fine
Opening Line
“I’m so sorry to waste your time. I feel absolutely great!’
Background (3)
- Getting texts and letters saying my blood pressure review is out of date
- Prescription cut from 28 to 14 pills
- “Blooming cheek of it, I pay for my prescriptions!”
Immediate circumstances (3)
- Nurse took my blood pressure
- Said it was far too high
- Told me to come and see you immediately (fortunately day off)
Blood Pressure Today
175/95
Symptoms (2)
- No Symptoms
- Say no to all enquiries about headaches, shortness of breath etc
Blood pressure history (3)
- High blood pressure for about 5 years
- GP started me on medication, and then added a second one a couple of years ago
- SUPPOSED to be taking pills
Blood Pressure History - MUST MENTION
“I’m SUPPOSED to be taking blood pressure tablets….”
Blood Pressure Pills (2)
10mg ramipril - one a day
5mg amlodipine - one a day
After further enquiry, admit… (4)
- Haven’t taken pills today
- Only take them when I remember
- A couple of times a week
- Be embarrassed to admit this
Other medication (3)
- Nothing prescribed
- Take Piriton for hay fever
- No other allergies
General health (6)
- I think I’m generally fit and well
- No medical problems (except the high blood pressure!!!)
- Told I had pre-diabetes two years ago
- Think I need a repeat blood test for this, but keep forgetting to book
- Cholesterol fine
- No operations
Family History (3)
- Father died heart attack aged 52
- But he was a heavy smoker - 20/day
- No other family history
Home life (4)
- Live at home with partner
- They’ve been nagging me to come for a while
- Things otherwise fine
- Two older kids at uni
Smoker
No
Drink
5 pints a week
Drugs
No
Exercise (2)
- Tennis once a week, a friendly game
- Club got closed during pandemic
Weight (5)
- On high side
- BMI 28
- Put on weight during lockdown (tennis club closed and difficult to get any exercise)
- Maybe a stone over the last few years
- Think it’ll be easy to get rid of this
Ideas (2)
- Blood pressure is a bit of a fuss over nothing isn’t it?
- Just numbers
Concerns
I’m gonna get told off
Expectations
That I’m gonna be given a bit of a lecture
Impact (2)
- None from blood pressure
- Getting time off work for appointments always a bit tricky.
Emotions
- Irritated with all the text/mail reminders, given it’s not that important.
Scenario 2 Questions (3)
- What is high blood pressure?
- Why is it important to treat?
- I feel fine so what’s the problem?
Problem with current medications
I get dizzy taking both pills at the same time.
Challenge scenario 3 - opener (2)
o- “What’s student life like then?”
- Open with soft questions
Challenge Scenario 3 - question
“Look–you’ve been really helpful—could I have your phone number in case I have more questions?”
Challenge Scenario 3 - veiled complaint
“The thing is, you’ve been really nice and explained it so well, can I contact you with any problems because it’s so hard to get a GP appointment these days…”
