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Consider how the patient was dispensed with a 2-month supply of lorazepam (benzodiazepine). It is classed as a controlled drug and it should not be prescribed more than 30 days, unless in special circumstances. Most NHS trusts do not go beyond 14 days for prescriptions of controlled drugs.
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Advise and education is important as psychoeducation improves patients’ understanding of their own illness. Emphasise that the purpose of this consultation is not to be confrontational but to explore the patient’s views on smoking and motivations to change their behaviour.
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Explain the diagnosis of schizophrenia (Mrs Banton) PDF | Word (includes guidelines for information to be imparted) We’ve produced a brief video showing you how you can create your own OSCE stations and then organise them into circuits to share with others. 🙂 My mother doesn't know what a healthy diet is. It is important not to eat often and so I always tell my mum that I feel full. I refuse to open up about my diet, only stating that I eat very healthily. Advise the patient to commence the medication for 1-2 weeks before the quit date and complete a 12-week course At this point, it is also useful to briefly gauge what the patient’s understanding is of how their smoking impacts their health. This is a good starting point from which you can give information later on:
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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. Myers K, McRobbie H, West O, Hajek P. National Institute for Health and Clinical Excellence. Review 3: Barriers & facilitators for smoking cessation interventions in acute & maternity services. Published in 2012. [LINK] Set a quit date based on the patient’s willingness, motivation and agreement. This should usually be within 2-4 weeks (abrupt quitting is usually more effective than gradual quitting). Use the Stages of Change model to guide the assessment of behaviour modification. The stages of this model include: Now that I have explained some of the risks, I would really like to help you quit smoking so that we can make these risks as low as possible. Do you have any reservations about me giving you some advice?”I have been unhappy with my looks since the age of 10. I always thought I was ugly, my friends just lie that I'm pretty to make me feel better. Different therapies will be effective for different patients depending on their health and other factors which influence their smoking behaviours. Decide together Smoking is a significant risk factor for multiple conditions including cardiovascular disease, stroke and lung cancer. You can also use our software to study as a group easily by sharing a PIN with friends and assigning them their relevant roles (e.g. examiner, patient, student). OSCE group study practice
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allergies? Have they prescribed it in the correct section in the kardex? Marks for correct filling of It is important to establish early on if there are any specific topics that the patient doesn’t want to discuss. If clinicians repeatedly visit these topics it can make the patient feel uncomfortable and want to disengage from the consultation.Minor placenta praevia is when the leading edge of the palcenta is in the lower segment but not covering the internal cervical os It is the most effective pharmacological therapy, increasing successful cessation by greater than 2 times It will show an AKI. Fluid assessment should show that the patient is dry --- dry mouth, low UO etc.
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