GP Virtual CCA Station

 

 

 

 

 

Patient Interview (Chronic Pain)

 

 

10-minute station

 

 


This is a 10-minute station.

 

You are a medical student on a general practice placement.

 

Kebo has come to see GP today for follow up of her chronic pain. She has agreed to talk to you, prior to seeing the GP

 

 

Tasks:

 

 

Mark Scheme

 

 

 

1.     Introduction and orientation (name and role, explains purpose of interview, confirms patient agreement) (2=does well 1=adequately, 0=poorly or not done)

2

1

0

2.     Rapport (shows interest, concern and respect, )

(2=does well, 1=adequately, 0=poorly or not done)

2

1

0

3.     Listening skills (attentive listening, responds to answers, picks up on patient cues) (2=does well, 1=adequately, 0=poorly or not done)

2

1

0

4.     Questioning skills (appropriate open and closed questions, avoids leading or multiple questions, avoids jargon) (2=does well, 1=adequately, 0=poorly or not done)

2

1

0

5.     Structure - demonstrates a logical approach without interrogating the patient (2=does well, 1=adequately, 0=poorly or not done)

2

1

0

Establishes:

 

 

 

6.     Chronic pain (1) for 3 years (1) Constant dull pain

2

1

0

7.     No obvious trigger (1) Some radiation left leg (1)

2

1

0

8.      Affects sleep (1) Can limit activities (1)

2

1

0

9.     No previous episodes of chronic pain

 

1

0

2

1

0

Associated symptoms (Mental Health)

 

 

 

10. Mood variable (1)   Feel overwhelmed (1)

2

1

0

11.  No thoughts of self harm

 

1

0

 

 

PMH 

 

 

 

12.   No other significant illness (1)

2

1

0

Medication

 

1

0

13.  Tramadol (1) Can over use (1)

 2

 1

0 

14.  Does not take recreational drugs or smoke cigarettes (both for 1 mark)

2

1

0

 

1

0

 

 

Social History

 

15.  Does not take recreational drugs or smoke cigarettes (both for 1 mark)

 

1

0

16. Alcohol 21 units (1) Can rely on for stress relief (1)

2

1

0

17.  Partner supportive (1)  Financial concerns from not working 1

2 

1

0

18.  Financial concerns from not working

 

1

0

Expectations

 

 

 

19.  Concern never going to get better (1) Would like to have operation (1)

2

1

0