Blood Pressure

Question 1

Name

Answer 1

Martin Collins

Question 2

Age

Answer 2

55

Question 3

Job

Answer 3

• Store Manager, Screwfix
• Bit stressful with colleagues talking about cost of living crisis and wages, but otherwise fine

Question 4

Opening Line

Answer 4

“I’m so sorry to waste your time. I feel absolutely great!’

Question 5

Background (3)

Answer 5

• Getting texts and letters saying my blood pressure review is out of date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!”

Question 6

Immediate circumstances (3)

Answer 6

• Nurse took my blood pressure
• Said it was far too high
• Told me to come and see you immediately (fortunately day off)

Question 7

Blood Pressure Today

Answer 7

175/95

Question 8

Symptoms (2)

Answer 8

• No Symptoms
• Say no to all enquiries about headaches, shortness of breath etc

Question 9

Blood pressure history (3)

Answer 9

• 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

Question 10

Blood Pressure History - MUST MENTION

Answer 10

“I’m SUPPOSED to be taking blood pressure tablets….”

Question 11

Blood Pressure Pills (2)

Answer 11

10mg ramipril - one a day
5mg amlodipine - one a day

Question 12

After further enquiry, admit… (4)

Answer 12

• Haven’t taken pills today
• Only take them when I remember
• A couple of times a week
• Be embarrassed to admit this

Question 13

Other medication (3)

Answer 13

• Nothing prescribed
• Take Piriton for hay fever
• No other allergies

Question 14

General health (6)

Answer 14

• 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

Question 15

Family History (3)

Answer 15

• Father died heart attack aged 52
• But he was a heavy smoker - 20/day
• No other family history

Question 16

Home life (4)

Answer 16

• Live at home with partner
• They’ve been nagging me to come for a while
• Things otherwise fine
• Two older kids at uni

Question 17

Smoker

Answer 17

No

Question 18

Drink

Answer 18

5 pints a week

Question 19

Drugs

Answer 19

No

Question 20

Exercise (2)

Answer 20

• Tennis once a week, a friendly game
• Club got closed during pandemic

Question 21

Weight (5)

Answer 21

• 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

Question 22

Ideas (2)

Answer 22

• Blood pressure is a bit of a fuss over nothing isn’t it?
• Just numbers

Question 23

Concerns

Answer 23

I’m gonna get told off

Question 24

Expectations

Answer 24

That I’m gonna be given a bit of a lecture

Question 25

Impact (2)

Answer 25

• None from blood pressure
• Getting time off work for appointments always a bit tricky.

Question 26

Emotions

Answer 26

• Irritated with all the text/mail reminders, given it’s not that important.

Question 27

Scenario 2 Questions (3)

Answer 27

• What is high blood pressure?
• Why is it important to treat?
• I feel fine so what’s the problem?

Question 28

Problem with current medications

Answer 28

I get dizzy taking both pills at the same time.

Question 29

Challenge scenario 3 - opener (2)

Answer 29

o- “What’s student life like then?”
- Open with soft questions

Question 30

Challenge Scenario 3 - question

Answer 30

“Look–you’ve been really helpful—could I have your phone number in case I have more questions?”

Question 31

Challenge Scenario 3 - veiled complaint

Answer 31

“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…”