OSCE 23 Post-Op Flashcards
1
Q
Name
A
Matthew Bright
2
Q
DOB & Age
A
- 29/05/1970
- Age 53
3
Q
Immediate history (3)
A
- Hospital for 24 hours
- Emergency operation to remove a strangulated hernia
- Operation went ok
4
Q
Post-operation?
A
- Not in pain
- Been told I can eat and drink again
5
Q
Alcohol use (4)
A
- six glass of wine a day
- 250ml glasses
- 14%
- 14 bottles a week
6
Q
Drinking pattern during day (6)
A
Over the last couple of months
- a drink first thing in the morning
- otherwise I feel unwell (tremor, sweating, anxious)
- don’t drink at work
- start drinking again when I get back from work
- drink until I go to bed
7
Q
Drinking pattern over time (4)
A
- first drink with friends aged 16
- used to drink only a pint or two socially
- last year began drinking at home to cope with stress
- glass of wine a night, but gradually increased
8
Q
Trigger for increased drinking? (3)
A
- New manager at company who is very critical of my work
- Been in company for over twenty years
- Had a very good relationship with previous manager
9
Q
My views about my drinking (5)
A
- Need to cut down
- Unsure how because I feel unwell when I wake up and need a drink first thing
- Haven’t tried giving up yet for this reason
- My family are concerned
- Feel guilty about the impact my drinking is having on them
10
Q
Current alcohol withdrawal: (5)
A
- Last drink about 48 hours ago
- Been feeling nauseated, sweaty, anxious
- Very slight tremor
- A few minutes ago thought I could see bugs crawling over my hospital bed
- No odd sensations of things crawling on my skin or heard anything unusual no-one else has heard
11
Q
Physical health:
A
- No other problems
- Avoiding seeing GP as worried about impact of drinking
- No seizures
12
Q
Relationships (5)
A
- Wife concerned
- Wife has thrown drink away which has led to arguments
- Children (13 & 15) are worried and asked me to get help
- Started avoiding kids school events and parents evenings so I can drink at home
- Haven’t physically hurt any of my family
13
Q
Job (4)
A
- Dread going into work
- Occasionally call in sick as I can’t face the day without alcohol
- Manager becoming more frustrated
- Have been warned the company will be making some staff redundant soon
14
Q
Driving (4)
A
- Live in a rural area
- Only way to/from work is driving
- Had a minor accident recently where I swerved and hit a bush.
- Unwitnessed and trying to take more care driving since
15
Q
Diet (2)
A
- Not eating much in mornings or evenings due to the nausea
- Have lost weight but not sure how much
