SPEAKING SUB – TEST
ROLE PLAYER’S CARD
NURSING / SETTING / Home Visit / PATIENT
You are a busy 50-year-old waitress, recently diagnosed with Type 2 diabetes. You had a wedge resection 12 days ago and have post-operative infection in your right large toe. You are resting at home and the district nurse is visiting to change your dressing.
- Admit that you should have followed the surgeon’s advice, but did not, so now you have an infection.
- Argue that you need a quick fix to the toe because you need to get back to work; the antibiotics obviously aren’t working.
- Agree to use the nurse’s list of suggestions and accept that you did not cause your own infection.
- Tell the nurse that you know the risks that diabetics experience with circulation, but would like a brochure on how to manage your illness.
NURSING SETTING / Home Visit / NURSE
Your patient is a busy 50-year-old waitress, recently diagnosed with Type 2 diabetes. The patient had a wedge resection12 days ago and has post-operative staphylococcus aureus (staph infection, non- MRSA) on the right large toe. You are visiting the home to change the dressing whilst the patient is resting from work duties.
- Find out about the patient’s general daily habits after the operation. Did the patient rest adequately?
- Highlight the fact that sometimes people get post operative infection but it is not really their fault.
- Persuade your patient to rest and that the toe will heal with attendance to dressings, fresh air and daily exposure to the sun, antibiotics, etc.
- Explain the risks of circulation problems for diabetics and sometimes greater risk of infection.
- Supply a patient information brochure to the patient and agree to call again next week.