!

"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers

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")*)+,-

1 mloote fot cooJlJote to move to stotloo/ teoJ tosk

10 mlootes fot cooJlJote to be ossesseJ oo O5c stotloo

1 mloote befote eoJ of stotloo, ptompt tbe cooJlJote fot o ploo, lf
tepolteJ.



./)01)+,-

8tlef slmoloteJ potleot/octots
(cbeck ooJetstooJloq of tbelt losttoctloos)

23*4)+- 4--0--05

e.q.
commoolcotloo skllls
Moooqloq o Jlfflcolt sltootloo
mpotby
Assessmeot of lJeos, coocetos ooJ expectotloos


!"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers

$&!"678"$%&! 9:#;$&96 < 2&#8=6

%>0/>)0?
1bls ls oo 11-mloote cooosellloq stotloo to test tbe cooJlJotes oblllty to
empotblse lo o Jlfflcolt sltootloo, ollevlote cooceto ooJ commoolcote tbe
cltcomstooces of o sltootloo effectlvely.


%@A0BC)>0-
1be cooJlJote sboolJ.
1. CommunlcaLe clearly & effecLlvely
2. AppreclaLe Lhe ldeas, concerns and expecLaLlons of Lhe daughLer
3. AcL approprlaLely based on Lhese Lo allevlaLe any
Lroubles/LhoughLs
4. Clarlfy anyLhlng LhaL ls unclear

84+5)54C0- "4-DE ?ou are a loundaLlon ?ear uocLor and have been
asked by Lhe nurslng Leam Lo have a chaL wlLh Lhe daughLer of an 83
year old man. Pe has a hlsLory of advanced demenLla buL has been
admlLLed followlng Lhe onseL of a fever and producLlve cough. Pe usually
resldes ln a nurslng home.

Pe ls currenLly recelvlng oxygen, flulds and lv anLlbloLlcs Lo LreaL llkely
CA buL prognosls ls poor. ?our consulLanL compleLed a unAC8 form
on Lhe mornlng ward round.

1hls was a blL of a shock Lo hls only daughLer who Lurned up Lo see hlm
ln hosplLal Lhls afLernoon and has Lo dlscuss Lhls wlLh you.


"4-D
1. ulscuss Lhe declslon of a unAC8 wlLh hls daughLer
2. ulscuss Lhe currenL LreaLmenL plan
3. Answer any quesLlons LhaL may arlse





!"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers
$&!"678"$%&! 8#&2$2#"9

()*+,-./012
?ou are a loundaLlon ?ear uocLor and have been asked by Lhe nurslng
Leam Lo have a chaL wlLh Lhe daughLer of an 83 year old man (Mr SmlLh).
Pe has a hlsLory of advanced demenLla buL has been admlLLed followlng
Lhe onseL of a fever and producLlve cough. Pe usually resldes ln a
nurslng home.

Pe ls currenLly recelvlng oxygen, flulds and lv anLlbloLlcs Lo LreaL llkely
CA buL prognosls ls presumed poor. ?our consulLanL compleLed a
unAC8 form on Lhe mornlng ward round.

1hls was a blL of a shock Lo hls only daughLer (Pelen) who Lurned up Lo
see hlm ln hosplLal Lhls afLernoon and has Lo asked Lo dlscuss Lhls wlLh
you.


"4-D
ulscuss Lhe declslon of a unAC8 and currenL LreaLmenL wlLh hls
daughLer and answer any quesLlons LhaL may arlse.



















!"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers
$&!"678"$%&! !$;7F#"92 =#"$9&" E 2&#8=6 !C4C)3+

?ou are Pelen, Mr SmlLh's daughLer, you have come ln Lo vlslL your
faLher on your day off. ?ou Lry Lo vlslL hlm as much as you can ln
beLween looklng afLer your 2 chlldren and worklng parL-Llme as a
recepLlonlsL. ?ou lnlLlally are very upseL abouL Lhe unAC8 Lhe nurses
have lnformed you of on Lhe way ln because you Lhlnk lL means your
faLhers golng Lo dle.

?ou wanL Lo know whaL lL means, why lL has been done and who has
done lL. lollowlng a 'good' explanaLlon of whaL C8 enLalls and Lhe
reasons for maklng such a declslon you agree LhaL you also belleve Lhls ls
ln Mr SmlLh's besL lnLeresLs. Powever followlng a 'bad' explanaLlon of
whaL C8 enLalls and Lhe reasons for maklng such as declslon you
become angry as Lo why you were noL lnformed abouL Lhls declslon
before lL was made. 1hls wlll Lhen requlre Lhem Lo allevlaLe your
concerns by provldlng a beLLer explanaLlon and sLaLe Lhls ls a medlcal
declslon made by Lhe medlcal Leam.

lollowlng Lhls you enqulre as Lo how Lhe LreaLmenL wlll help, whaL's lLs
dolng eLc. ?ou do noL undersLand much abouL whaL ls currenLly
happenlng, Lhe nurses have explalned LhaL he ls recelvlng LreaLmenL for
a chesL lnfecLlon buL Lhey change every day and you do noL wanL Lo
boLher Lhem Loo much. ?ou do noL know lf he ls geLLlng any beLLer or
how long he wlll need Lo be ln hosplLal so are very graLeful Lo Lalk Lo a
docLor abouL hls care. When Lhe docLor explalns abouL hls anLlbloLlcs
and flulds you are happy wlLh Lhls and agree LhaL lL ls besL for hlm.

?ou explaln LhaL you have found Lhe pasL few years very dlfflculL
however undersLand LhaL your faLher ls comlng Lo Lhe lasL years of hls
llfe and as long as he ls comforLable LhaL's all you wanL. ?ou need several

!"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers
reassurances LhaL Lhls wlll noL alLer hls medlcal LreaLmenL and LhaL he
wlll sLlll recelve all of hls medlcaLlon and nurslng care. AL Lhe end of Lhe
dlscusslon you feel beLLer and acLually Lhlnk lL ls Lhe rlghL declslon, you
apologlse for belng angry aL flrsL, as you slmply dld noL undersLand whaL
lL meanL.

.4BD,/3G+5 $+13/*4C)3+
?ou have been lncreaslngly worrled abouL your faLher oLher Lhe pasL
couple of years and found lL very dlfflculL when lL came Lo admlLLlng hlm
Lo a nurslng home as you were unable Lo cope wlLh hls care. 1he pasL
few monLhs have been beLLer however as he has seemed Lo seLLle lnLo
Lhe nurslng home, and you and your husband now know all of hls carers
well.
When he became unwell you found lL very upseLLlng Lo see hlm needlng
oxygen and feel LhaL hls demenLla has worsened ln hosplLal. ?ou have
found lL dlfflculL Lrylng Lo explaln LhaL he needs Lo keep hls oxygen Lube
ln and he seems a loL more unseLLled Lhan he has been before.











!"#"$%& (

SLaLlon courLesy of ur L.Lee, ur A.Craham, ur l.8eanland and ur S.Longwell. LdlLed by ur L.8ogers
;4/D !H00C< 2&#8=6 !C4C)3+

Lxamlner's name: CandldaLe name:

Scorlng: 0=lnadequaLe/noL done, 1=adequaLe, 2/3 =done well
1he global score reflecLs Lhe general aLLlLude and compeLence of Lhe candldaLe.


Sklll

Marks CommenLs
ALLlLude lnLroduces self, conflrms daughLers ldenLlLy &
relaLlonshlp wlLh paLlenL
0 1 2
reamble Asks lf she would llke anyone else Lo be around 0 1
Warnlng shoL 0 1
ldeas LsLabllshes prlor knowledge of currenL condlLlon 0 1 2 3
LsLabllshes prlor knowledge of currenL LreaLmenL 0 1 2 3
LsLabllshes prlor knowledge of unAC8 0 1 2 3
LsLabllshes prlor knowledge of plan 0 1 2
Concerns ldenLlfles concerns 0 1
AllevlaLes concerns where posslble 0 1
8ecognlses llmlLs of own knowledge 0 1 2 3
LxpecLaLlons LsLabllshes wlshes of paLlenL 0 1 2 3
rovldes approprlaLe Llme for quesLlons & recognlses
ones own llmlLaLlons
0 1 2 3
CommunlcaLlon Shows empaLhy and senslLlvlLy Lo lssue 0 1 2 3
Clear 0 1 2 3
rovldes sufflclenL Llme for lnformaLlon Lo be dlgesLed 0 1 2 3
uaughLers perspecLlve of approach & lnformaLlon 0 1 2 3 4 3
1C1AL /40

Lxamlners please make Lhls [udgemenL:

Clobal !udgemenL
Clear fall 8orderllne Clear pass very Cood
pass
LxcellenL
pass

=0/-3+4I J005@4BD 13/ 84+5)54C0K !G,,0-C)3+- L 83**0+C-