Q1. Option 2: since Charles is happy to use the App i would offer him to help him access the app during the appointment. This will give Charles the chance to learn how to navigate the app better. I would also provide Charles information leaflet on the app or direct him to a website that has all the relevant in formation.

Q2. Option 3: I would advise Charles talks to the medical team and the senior nurses before undertaking this so that it is progressed and done at the right time. I would also explain the risk of putting too much pressure on his heart considering his condition.

Q3. Option 1: I would explain the risk of his condition which includes possible stroke. I would reassure Charles and explain the signs of stroke (Face – does your face look different on one side? Arms – can you raise your arms? Speech – is your speech slurred or different? Time to act – call 999). Acquiring this information will provide Charles with empowerment to deal with his condition better.