SPEAKING SUB – TEST
ROLE PLAYER’S CARD
NURSING SETTING / Hospital / PATIENT
You are 55 years old. You have End-stage Renal Disease (ESRD) and your health is steadily deteriorating. You are an inpatient in a Renal Ward and feeling lonely and depressed. You are reluctant to talk about your situation as you are scared. You require dialysis three times a week and are on a kidney transplant waiting list
- With reluctance, slowly explain your fears about your condition.
- Tell the nurse you hate having dialysis and feel that a donor will never be found in time.
- Demand to be nominated as Not for Resuscitation (NFR) if you have a cardiac arrest.
- Reluctantly agree to see a counselor.
- Tell the nurse that you want to be able to die with dignity with your family present.
NURSING SETTING / Hospital / NURSE
You patient is 55 years old. He/ She has End – stage Renal Disease (ESRD). You see his/her health is steadily deteriorating. The patient is an inpatient on your Renal Ward and you notice he/she appears lonely and depressed. He/she requires dialysis three times per week and is a candidate for a renal transplant.
- Ask the patient to tell you how he/she is feeling.
- Encourage the patient to talk about his/her fears about the condition.
- Inform the patient that without dialysis he/she would suffer more.
- Reassure the patient that there is always hope a donor will be found in time.
- Suggest that a counselor be consulted to support the patient’s decision to be listed as Not for Resuscitation (NFR).
- Provide reassurance that, if he/she wants to put his/her request in writing, it is hospital policy for staff to respect that, and having the family present is important.