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Collaborative Questions to Discuss for Charles Collins
Q1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
What would you do?
1.Tell Charles he needs to contact the app developers
2. Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.
3. Tell Charles that he needs to go home and practice with it and see if it is useful. At his next appointment if it is not working then you will change the plan.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
What would you advise?
1. Advise Charles not to continue riding as that has clearly caused too much stress on his heart.
2. Advise Charles to keep cycling straight away. If he does not then he will gain weight and having an increased BMI will be bad for his heart.
3. 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.
Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
What do you say?
1.Direct Charles to the following advice, 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, get help.
2.Advise that he has someone with him at all times that can see if he is acting differently.
3. Advise Charles that he will not have a stroke.
Q1: I would choose Option 2 and look to demonstrate the app for Charles, as this will give me an opportunity to build my therapeutic relationship with him, as well as tailor my advice to his specific needs. I would also incorporate Option 3 into my advice, requesting that he familiarises himself with the app for next time, and if he still finds it difficult, we could consider further alternatives.
Q2: I would choose option 3- it would be important that Charles follows specialist medical advice regarding his exercise routine and the pressures on his heart. I believe it would be important to encourage Charles to follow a healthy lifestyle routine- which includes exercise- where possible, as healthy lifestyle has known benefits, however it would be important that the stresses on his heart were properly managed.
Q3. I would choose Option 2, direct Charles to further information, including NHS websites, information pamphlets, as well as the FACE advice. As Charles lives alone, we could discuss Charles using Personal Alarm Service, so that he can call/press for help if he suddenly feels unwell. This would add an extra layer of protection for Charles, and hopefully some reassurance. We could also look through Charles’ lifestyle together to advice him of anything that could exacerbate his risk of stroke, but also reassure him that at present his BP, RR etc are in normal levels.
Q1: I would choose option 2- Because I have already downloaded and familiarised myself with this app on my phone, I am pleased to demonstrate to Charles how to use it properly. I will make sure that he has made an account and entered his details. Also, reassure him that he can contact the hospital at any time if he requires assistance.
Q2: I would choose option 3- Also, before riding his bike again, Charles should consult the special medical team and the senior nurse. I am sure he wants to lead a healthy life and perform some exercise and nutrition control. However, the medical staff can offer him the essential information.
Q3: I would choose option 1- Because he has inquired about the symptoms of a stroke, it would be more helpful if he is familiar with FACE. The personal call alarm must be activated and that assistance is requested when necessary. Encourage him to live a healthy lifestyle in order to prevent additional complications.
Q1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
option2: During the session, offer to show Charles how to use the app. This will empower him to monitor his own health status and share them with healthcare providers, who will be able to access his own records remotely.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
Option 3: Regular exercise is an excellent method to keep him healthy in a variety of ways. However, before cycling, he should always consult with his doctor. Based on his current physical state, his medical professional will be able to inform him if he should continue riding or slow down to avoid overworking his body.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
Option1: advise him to do a FACE check because the main stroke symptoms can be remembered with the word FAST: Face – the face may have dropped on 1 side. Also, a lifeline/personal alarm system offers the essential benefit of allowing for faster medical assistance. He instantaneously communicates with a real human with a simple button press, who can then dispatch an ambulance, increasing the odds of recoveryQ1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
option2: During the session, offer to show Charles how to use the app. This will empower him to monitor his own health status and share them with healthcare providers, who will be able to access his own records remotely.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
Option 3: Regular exercise is an excellent method to keep him healthy in a variety of ways. However, before cycling, he should always consult with his doctor. Based on his current physical state, his medical professional will be able to inform him if he should continue riding or slow down to avoid overworking his body.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
Option1: advise him to do a FACE check because the main stroke symptoms can be remembered with the word FAST: Face – the face may have dropped on 1 side. Also, a lifeline/personal alarm system offers the essential benefit of allowing for faster medical assistance. He instantaneously communicates with a real human with a simple button press, who can then dispatch an ambulance, increasing the odds of recoveryQ1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
option2: During the session, offer to show Charles how to use the app. This will empower him to monitor his own health status and share them with healthcare providers, who will be able to access his own records remotely.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
Option 3: Regular exercise is an excellent method to keep him healthy in a variety of ways. However, before cycling, he should always consult with his doctor. Based on his current physical state, his medical professional will be able to inform him if he should continue riding or slow down to avoid overworking his body.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
Option1: advise him to do a FACE check because the main stroke symptoms can be remembered with the word FAST: Face – the face may have dropped on 1 side. Also, a lifeline/personal alarm system offers the essential benefit of allowing for faster medical assistance. He instantaneously communicates with a real human with a simple button press, who can then dispatch an ambulance, increasing the odds of recoveryQ1: I would choose option 2- nTo Make a rapport with a patient I will be happy to demonstrate how the application works to Charles and discuss all the issues and concerns about it. I’ll make sure that Charles can understand how to use the application correctly and how to input and read its data.
Q2: I would choose option 3- Before riding his bike again, Charles should consult the specialist and have the relevant tests done.
It is understandable that he wants to lead a healthy lifestyle and be active, but with his condition, he has to be on the safe side and listen to the doctor’s opinion first.Q3: I would choose option 1- As FAST acronym is easy to remember. Also, I will provide Charles with the brochure about strokes and the link to the NHS site on how to spot a stroke.
Just re-read my answers and Question 3 is supposed to say ‘I would Choose option 1’, I accidentally typed 2, the rest of my answer to that question still applies!
Q1. I would choose option 2 by supporting Charles with the use of the app. I would also discuss any issues that he maybe having and try to deal with these for him. If he had any questions that I was unable to answer then I would see if someone could also assist me in explaining to Charles . I feel it is important that Charles is able to access and use the app before he leaves.
Q2. I would suggest option 3 with gaining advise from the specialist as to how much he can exercise and if he can return to riding his bike.
Q3. I would choose option 1 for this question as this is the acronym that is used to look out for strokes in people.
Q1 – I chose option 2 because helping Charles to use the app will be beneficial to him in the long term. He will be able to monitor his own health and make him feel he is part of the decision making process thus aiding in the person centred care process.
Q2 – I chose option 3 because Charles should seek the advice from the medical team to ensure riding his bike with be a safe for of exercise for him.
Q3 – I chose option 1 because FAST is the national campaign acronym and it will be easy for Charles and his family to remember.Q1 I would do the second option and go through the app with him. Like some of my peers above, I would also advise number 3, that he explores the app at home and then asks questions when he’s back with health care providers to clarify them and help him further, if needed.
Q2 I would do the third option, while exercising is always good for any of us, a person like him will need to be monitored at first and the retaking of activities will have to happen as a progression.
Q3 I think the first option is the first one, reminding him of the acronym FAST but option 2 can also make sense he can have help and company at home, as much as his life and that of his relatives allows. In the times where he has to be alone, he could be advised to have a personal alarm in place. The third option could be explained differently and be used him for a bit of reassurance in that he is monitored continuously and how that relates to the chances of having a stroke and the chances to catch the symptoms early enough.Q1 – I would choose option 2 because I think it would be beneficial to show Charles how to use the app, but to also offer the information in a different format incase he really isn’t happy with the modern technology because not everyone will be familiar with smart phones and apps.
Q2 – I would choose option 3 because Charles needs to seek medical advice from his team before undertaking any activity that may elevate the heart rate, as this may be detrimental to his health.
Q3 – I would choose option 1 as this describes the vita signs of a stroke. I would show him the acronym as an easier way to remember all the signs, but stress the importance of dialling 999 if this ever happens.
1). option 2 and 3- Collin may be unfamiliar with technology so I would offer to show him how to use the main features of the app and tell him to explore the rest at home, if he is still struggling these can be looked at the next appointment.
2). option 3- I would show my understanding that he is keen to get back to cycling but I would make him aware that it needs to be done in a safe manner. I could help him arrange an appointment to speak to his consultant to get advice on how and when to start again.
3). option1- I would try to ease Collins mind about having a stroke as he can’t live in fear. I would signpost him to information such as FAST and the NHS website. As he lives alone he may want to enquire about a personal alarm to ease his anxiety.Q1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
I will choose option 2. Because Charles will be using this app to record his vital sign, which is very important, as it will enable him to share his data with the health care professionals, which will be examined and ready for be discussed in his next appointment.Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
I will choose option 3, because, I believed the reason why Charles was told to download the app is to help the medical team monitor his vital signs, so I will advice him to wait and speak with the team as they will know the best time to advice him to start riding his bike after looking into the data he shared with them.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
I will choose option 1, because as health care professional, we have been taught that the FAST acronym are the signs of stroke. I also advice that he calls 999 if he ever experienced those signs and ask questions when ever he attends his appointment.Q1 I would choose option 1, it will allow Charles too independently monitor and record his own vital signs.
Q2 I would choose option 3. Specialist advice will be suitable due to Charles condition they can monitor what the right amount of exercise a day would be suitable for him without putting himself at risk or injury to himself.
Q3 I would choose option 1. According to Harvard health Not all strokes are preventable. However educating Charles the signs and symptoms of a stroke may prevent the cause of long term disability (The Importance of Stroke Awareness and Prevention, 2018).
Q1 I would choose option 2 because, as we nurses, we are health educators. We need to educate the patient on how to use the app, which will give him empowerment about his health as he can check it and control it himself.
Q2 I would choose option 3 because the surgical team would have a broader view of the situation. As nurses, we have general knowledge of many different areas, but as his question is particular and I am not sure how much pressure exercise would do to his condition, for the patient’s best interest would be better to speak with the surgical team or a nurse specialist.
Q3 I would choose option 1 because, as I mentioned before, as nurses, we are also health educators. If we teach him the signs of stroke and advise him on what to do in case he is having a stroke, it could be the difference between life or death for that patient.
Q1/ I would choose option 2 because showing Charles the correct way to use the AF app will be more beneficial for both of us, as he will be able to add all information correctly. It will also show that I am approachable and helpful if he needs to ask anything in the future.
Q2/ I choose option 3 because this isn’t a decision I could make as a student nurse. The medical team would be able to advise Charles the best way to exercise and when it is safe to ride his bike again.
Q3/ I choose option 1 because directing Charles to view the NHS website and provide leaflets for guidance on signs and symptoms of stroke. If he continued to be concerned about this and living on his own there is aids available to reassure him.
Q 1) option 2 the reason for this is that we as nurses are here to support and educate our patients when needed. The time spent is also allowing us to build a rapport with the patient and make them understand whatever intervention is put in place for them.
Q 2) option 3, advising them to speak to medical teams who will be able to advise him better to avoid more strain on his heart which can lead to more complications.
Q 3) option 1, advising him on the FACE checks and the symptoms of stroke can save his life when acted promptly.
Q1- Answer 2 is best way to answer the Charles question. As a nurse you are proposing the patient a tool to use, you must have a basic understanding of how it works. therefore, you can explain and demonstrate to the patient how to use it.
Q2- Answer 2 is correct because the advise in this situation should come from the medical team, as the answer. The medical team must be satisfied that Charles is not putting too must strains on his heart before they can have a greater idea of what is happening.
Q3- Answer is correct. Explained to Charles the “FAST” symptoms and what to do if that happen. Also provide him with leaflet so he can review the instruction later so does not forget as that can save his life if that never happen to him.
Q1: Charles is happy to use the AF App you have recommended but is struggling to access it and has asked you to help him during his appointment.
What would you do? Option 2. Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format- I would provide the support that the patient needs, as it is very important for him to understand how to use this app and it would not take much time for me to go through this and would majorly benefit him.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
What would you advise? Option 3. 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 wouldn’t want to provide the patient with any of the wrong information and therefore the best option would be for him to speak to the correct relevant team to get the right information from.
Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
What do you say? Option 1.Direct Charles to the following advice, 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, get help. This would be the best advise, so that he is aware that if any of these symptoms happen he can get the help he requires straight away.
Q1- I would choose option 2. Technology is quite advanced, and elderly patients are not as familiar with smart phones and technology that is out there. It is important to be patient with elderly patients and make sure that we provide as much education and information in the least complex format. It may be that Charles needs to be shown more than once and will then get the hang of how to use the app. Also the information that will be stored on the app is vital, so it is important it is understood and read correctly.
Q2- I would choose option 3. Charles needs medical re-assurance before taking part in any physical activity that could be deemed risky. If Charles is exercising too much while he is frail he will put his health at risk, therefore i would recommend that Charles seeks medical advice on when he is able to return to cycling.
Q3- I would choose option 1 out of the three. I would chose this because out of the options available this seems more logical. If Charles notices a change within himself and he has been given details of the symptoms of a stroke he may be able to act quickly before he deteriorates. However if Charles was mid-stroke he may not be fully alert enough to notice the symptoms for himself, especially if it is a sudden and severe stroke. Therefore i do think it would be beneficial for him to have somebody with him as frequent as possible. Charles may not have the time to call 999 himself depending on the severity and speed of the stroke. I was conflicted with this answer.
Q1. I would choose option 2, I would ask Charles what in particular he is struggling with and try to show him in the simplest way how to use the features he needs to. I would also recommend Charles to keep persevering with the app and if at the next appointment he still couldn’t manage using it then I would explore other options. I could also contact Charles in a few days / week to see how hes getting on and offer support.
Q2. I would choose option 3, ask Charles to speak to the medical team and the specialist nurses so they can advise accurately and slowly re-introduce Charles back to rising his bike.
Q3. I would choose option 1, as Charles is at increases risk of CVA it is important to highlight the signs and symptoms of a stroke to him. It would also be helpful to give Charles information on how to make lifestyle changes that reduce his risk of having a stroke.
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