Consoling Patients Or Colleagues Flashcards
Skye and Graham are good friends and are on the same placement, Skye notes a change in grahams behaviour he is more withdrawn and she believes this is due to a recent breakup that Graham endured.
How appropriate are the following
(1) ask Graham if he would like to speak about it after the shift
(2) monitor grahams behaviour over the next few weeks
(1) ask Graham if he would like to speak about it after the shift - VERY APPROPRIATE - as they are good friends and direct approach would be the most beneficial in order to identify problems promptly
(2) monitor grahams behaviour over the next few weeks - INAPPROPRIATE BUT NOT AWFUL - this is standoffish and could further alienate Graham
David is in an assessed anatomy session that is assessed by a consultant Dr Farr, David is paired with Jenny, and they have to take turns in demonstrating various physical examinations on one another. Firstly she takes his pulse but David is asked to show where Jennys pectoral insertion is, she says to David that she in uncomfortable with a male student touching her chest.
How appropriate are the following
(1) explain to jenny he will conduct the examination in a professional manner
(2) suggest to jenny that she tells Dr Farr that she is uncomfortable with a male student touching her chest
(1) explain to jenny he will conduct the examination in a professional manner - VERY APPROPRIATE. - as it acts to reassure her and demonstrates that he has a duty to professionalism with her and helps put her at ease
(2) suggest to jenny that she tells Dr Farr that she is uncomfortable with a male student touching her chest - APPROPRIATE BUT NOT IDEAL - it’s more appropriate that they look for mutually acceptable solutions rather than resorting to raising the issue with teaching staff
Tina is a dental student that is in a house with with other dental students, everyone was initially good friends but one girl has had a personality change, Emma has become increasingly irritable and sometimes even aggressive.
How important are the following
(1) the situation may resolve by its self
(2) Emma may not want to discuss it with Tina
(1) the situation may resolve by its self - MINOR IMPORTANCE - whilst potentially true there is not day on where or when this might happen
(2) Emma may not want to discuss it with Tina - NO IMPORTANCE - whether Emma wishes to discuss the matter is not important as she is having s detrimental effect on her flatmates
Li and Chris are working as junior doctors in an A&E ward but Li has noticed a change in Chris’ behaviour, he is becoming increasingly irritable with patients and staff and mentioned to Li that this is due to a recent breakup/ relationship problems
How important are the following
(1) Chris’ behaviour may affect the work load of other staff
(2) that Chris may have been irritable with patients
(3) that Chris may have been irritable with staff
(1) Chris’ behaviour may affect the work load of other staff - IMPORTANT - as it could have an affect on the quality of care for patients potentially compromising patient safety
(2) that Chris may have been irritable with patients - VERY IMPORTANT - this is always very inappropriate as it is indicative of a communication breakdown and could lead to them withholding information from Chris
(3) that Chris may have been irritable with staff - VERY IMPORTANT - this is also always unacceptable and is indicative of a communication break down and potentially could lead to compromised patient care
Dr Brown and Dr Patel have been good friends since medical school, recently Dr Brown has noticed a decline in Dr Patels performance and a change in his behaviour. Dr Brown has started picking up the additional slack to ensure no one notices the decline in Dr Patels performance.
How important are the following
(1) what the reasons are for Dr Patels decline
(2) whether undertaking additional work is affecting Dr Browns performance
(1) what the reasons are for Dr Patels decline - IMPORTANT - as there could be legitimate reasons but they aren’t the most important consideration in this case
(2) whether undertaking additional work is affecting Dr Browns performance - IMPORTANT - as it may indeed affect his patients care however this isn’t the most important thing to consider
Olivia is a med student on placement in a hospital and a fellow student Aoife comes back from a ward round with a senior doctor and expresses concern for answering his difficult questions incorrectly.
How appropriate are the follow
(1) maybe you should revise the topic he asked about so you can get them correct if he asks again
(2) you should speak to the doctor about your feeling
(1) maybe you should revise the topic he asked about so you can get them correct if he asks again - APPROPRIATE BUT NOT IDEAL - as whilst this is an important consideration Aoife however she would benefit the most from consoling and emotional support
(2) you should speak to the doctor about your - APPROPRIATE BUT NOT IDEAL - as whilst you are open and honest, again, Aoife would benefit the most from consolidation and emotional support
Maxine is a medical student on placement in an A&E ward where earlier a child josie was admitted following an anaphylactic shock after her brother mistakenly gave her a biscuit containing a peanut. She’s okay now but Maxine finds him in the hallway crying staying he’s never gonna be trusted again.
How appropriate are the following
(1) your parents would be silly not to trust you over an accident
(2) it is important to learn from the situation
(1) your parents would be silly not to trust you over an accident - INAPPROPRIATE BUT NOT AWFUL - as it offers reassurance but it makes an assumption about the unknown
(2) it is important to learn from the situation - VERY APPROPRIATE- as it offers reassurance and doesn’t make an assumption about the unknown
