OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals

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Use the Stages of Change model to guide the assessment of behaviour modification. The stages of this model include: Tell family and friends. Advise the patient to make family and friends aware that they are quitting to provide further accountability and support. Remove all tobacco products as well as recommending counselling programs and pharmacological therapies as indicated (see below).

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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.Use our interactive mark scheme to get an your score with a breakdown. Identify your weak points and use it to inform your revision. I can't be ill, I'm doing so well in school". I am aiming for A* in my A-level exams and I am doing very well. Attempt to quantify the patient’s level of motivation by asking them to describe their level of motivation on a scale from 1 to 10; with 1 being the least motivated and 10 being the most motivated. 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]

Smoking Cessation Counselling – OSCE Guide - Geeky Medics Smoking Cessation Counselling – OSCE Guide - Geeky Medics

When prompted] I have butterflies in my stomach and difficulty breathing. I also experience numbness and chest discomfort, almost like an out-of-body experience, as though my own body isn’t real. It has been around a year now since I first noticed the issue. Before OSCEhub: Hectic OSCE practise, stations aren't challenging, and no idea if you're improving.

Station 4: FEBRILE CONVULSIONS

Make sure the patient is aware that this is entirely their choice and offer them time to think about their decision. 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). If asked about laxatives directly] I got some laxatives from the pharmacy because the food I was eating wasn't coming out. It is only for constipation. I sometimes take a couple of doses a day until I'm getting it all out. We have also included an alternative approach using the ‘ UNITED’ structure which can be used for motivational interviewing.