Download Csa Book Mrcgp Csa Cases Mrcgp Course PDF

TitleCsa Book Mrcgp Csa Cases Mrcgp Course
TagsPregnancy Public Health Wellness Health Care
File Size3.9 MB
Total Pages22
Document Text Contents
Page 2

Practice
 CSA
 Cases
 &
 Communication
 Skills
 for
 the
 MRCGP
 Exam
 











MRCGP
 CSA
 CASES
 
!

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4.#!&5(!67)8"!)*+!9:$/!


 

 

Muhammed
 Akunjee
 
 
GP
 Principal
 


 
Nazmul
 Akunjee
 
 

GP
 Principal
 

 

 

 

 

 
!
!

)3'1'%$3!"#(;
 Publishing
 
London

Page 11

MRCGP
 CSA
 Cases
 

Actor’s
 brief
 

 
M$%2H#[email protected]!You
 are
 Margaret
 Kennie,
 a
 31
 year
 old,
 IT
 columnist
 for
 an
 online
 
technology
 magazine.
 
!
+;;#.$%5I!You
 are
 well
 dressed
 and
 are
 softly
 spoken.
 You
 are
 a
 confident
 
middle-­‐class
 lady.
 
!
A;(1'1H!,&$&(/(1&I
 NJ.%&.#O!P!H0(,,!?.0!21.L!PE/!;#(H1$1&O!<0&!P!$/!$!3'&&3(!
L.##'(@FQ
 


 

History
 

A;(1!5',&.#?
 

● You
 have
 been
 trying
 for
 a
 baby
 for
 a
 while
 with
 your
 partner
 and
 have
 
just
 got
 pregnant.
 You
 are
 obviously
 very
 happy
 but
 also
 very
 anxious
 to
 
make
 sure
 your
 baby
 is
 born
 healthy
 (verbal
 cue).
 

● R(#<$3!%0(I!You
 know
 you
 missed
 your
 appointment
 as
 you
 had
 been
 
=.S(#L5(3/(@!L'&5!(S(#?&5'1HEF
 


 

Reveal
 history
 if
 asked
 

JT+
 

● You
 have
 been
 quite
 anxious
 about
 whether
 your
 child
 will
 be
 born
 
health.
 After
 your
 partner
 and
 you
 had
 the
 blood
 test
 you
 were
 
‘overcome
 by
 nerves’
 and
 could
 not
 face
 hearing
 the
 results.
 You
 already
 
know
 that
 your
 partner
 is
 a
 carrier
 of
 the
 CF
 gene.
 

● You
 missed
 the
 appointment
 but
 now
 having
 done
 some
 research
 on
 the
 
web
 are
 more
 confused
 than
 ever.
 You
 managed
 to
 pluck
 the
 courage
 
and
 book
 the
 appointment
 today
 with
 the
 doctor
 to
 know,
 =.1%([email protected]!4.#!
$33EF
 


 

)?,&'%!C'<#.,',
 

● You
 have
 a
 nephew
 called,
 Daniel,
 who
 was
 diagnosed
 with
 cystic
 
fibrosis.
 He
 is
 the
 son
 of
 your
 aunt
 (Martha)
 on
 your
 dad’s
 side.

Page 12

Practice
 CSA
 Cases
 &
 Communication
 Skills
 for
 the
 MRCGP
 Exam
 


● Your
 aunt
 and
 her
 partner,
 Tom,
 had
 a
 very
 difficult
 time
 bringing
 up
 
Daniel.
 They
 were
 told
 that
 he
 would
 die
 before
 he
 passed
 his
 teenage
 
years
 but
 instead
 he
 is
 still
 alive
 and
 is
 currently
 22
 years
 old.
 
 

● When
 he
 was
 younger
 he
 had
 lots
 of
 chest
 infections
 and
 was
 quite
 
unwell
 needing
 constant
 one-­‐to-­‐one
 lung
 physiotherapy.
 He
 was
 ‘always
 
in
 and
 out
 of
 hospital’
 and
 had
 a
 few
 close
 brushes
 with
 death
 due
 to
 
pneumonia.
 However,
 he
 is
 more
 stable
 now
 and
 he
 is
 keen
 to
 be
 a
 
physiotherapist
 and
 help
 others
 with
 the
 same
 condition.
 
 

● After
 seeing
 how
 Daniel
 grew
 up,
 you
 know
 enough
 about
 CF
 and
 its
 
treatment.
 However,
 now
 that
 you
 are
 pregnant
 -­‐
 =P&E,!5'&&'1H!5./(O!P!
1((@!&.!21.L!'4!/?!%5'[email protected]!5$,!'&!.#!1.&UE
 

● You
 do
 not
 want
 an
 explanation
 about
 the
 condition.
 

 

● Ideas:
 You
 want
 to
 know
 the
 blood
 results:
 whether
 your
 child
 has
 cystic
 
fibrosis
 or
 not.
 

● Concerns:
 You
 are
 worried
 that
 your
 child
 has
 cystic
 fibrosis.
 
● Expectations:
 You
 want
 the
 results
 of
 the
 genetic
 tests
 as
 you
 want
 to
 

know
 with
 certainty
 whether
 your
 baby
 has
 Cystic
 Fibrosis
 or
 not.
 
 

 

"$,&!/(@'%$3!5',&.#?
 

● You
 have
 suffered
 with
 Asthma
 for
 over
 10
 years
 but
 are
 well
 controlled
 
with
 inhalers.
 For
 the
 last
 1-­‐year
 you
 have
 not
 needed
 to
 use
 your
 
inhalers
 at
 all.
 


 

"$,&!.<,&(&#'%!5',&.#?
 

● You
 have
 no
 previous
 pregnancies,
 children
 or
 terminations.
 
● You
 have
 been
 previously
 reluctant
 to
 get
 pregnant
 with
 your
 knowledge
 

that
 something
 was
 wrong
 with
 the
 genes
 in
 your
 family.
 However,
 you
 
are
 overtly
 aware
 that
 =&'/(!',!#011'1H!.0&[email protected]!1$&0#([email protected](,!1.&!L$'&!4.#!
$1?.1(EF
 

● You
 are
 really
 excited
 with
 your
 pregnancy
 but
 you
 are
 finding
 it
 hard
 to
 
celebrate
 with
 this
 hanging
 over
 you.
 


 

C$/'3?!5',&.#?
 

● As
 above
 regarding
 CF.

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