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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: 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.
A: I would offer to help Charles with the setting up and navigation of the App during the appointment if time allows.
I would then recommend that he familiarises himself with the App and if it is not working then offer to revisit this at the next appointment.Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
A: I would advise Charles that exercise and adopting a healthy lifestyle is key to better health and wellbeing and if it is something he enjoys then it can only be a good thing. This is providing he has had the go-ahead from physicians to exercise after his treatment.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
A: It is always a good thing to be aware of the potential health risks associated with a condition that you may have and I would certainly advise Charles and people around him to be knowledgeable in stroke assessment.
Having someone with Charles at all times is not physically possible as he lives alone. I would advise him to make people that he knows aware (work colleagues, friends and family) of his condition so that they can intervene with getting him immediate treatment if his condition worsens.Q1. I would do a mixture of the last 2 answers, offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format. Also 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. 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. exercise is important and helps in the treatment of AF.
Q3. I would 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. I would also advise Charles of the AF has on stroke and offer advice on way he could help himself to reduce the risk, for example exercise, giving up smoking.Question 1) I would offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format and then 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.
Question 2) 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.
Question 3) 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.
For Question 1, I would go for option 2, as if Charles is unable to use the app correctly, he may mis-record information and therefore the data gathered from it may be misleading. Furthermore, by offering to help Charles and support him to monitor his own condition you are empowering him to manage certain aspects of his own health and recognize things that may be triggering his symptoms as he logs them, which can be discussed during the next appointment. This could also be useful in encouraging Charles to engage in his own treatment plan and maybe stop smoking.
For Question 2, I would follow option 3 to ensure he isn’t putting strain on his heart, however cycling may be an important part of feeling healthy for Charles, exercise is shown to be beneficial for mental health. He might also be part of a riding group or go cycling with a friend which, if stopped, could have a negative impact on his social health. Furthermore, we don’t know how often he cycles, how far he goes or even if his cycling is a vigorous activity, her may just slowly ride along. All these factors need to be considered to ensure Charles remains healthy and can keep to a routine that works for him. We don’t want to stop him from doing something he enjoys, but maybe the medical team will advise based on his normal habits and what they feel is an appropriate compromise to maintain Charles health.
For Question 3, I would follow option 1, introducing him to the FAST acronym (Face, Arms, Speech, Time) but I would also reassure him that (based on task 2) his risk of stroke score is low, and that the Rivaroxaban he is on should further reduce that risk as it helps to prevent blood clots from forming. I would also advise that if he is concerned about having a stroke, then maybe he could talk to friends and family and educate them about his condition, so they know what to look out for as well.
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.
A:
Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
A:
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.
A:
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.Q1) Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.
Q2) 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) 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.
Question 1) I would choose option two and offer to show him how the app works. The more knowledge he has the better. If he did not work for him then I would suggest something else maybe, but I would take the time to ensure he understands what he is doing.
Question 2) I would choose option 3, to discuss it with the medical team. With all of the information he can then make an informed decision, following from medical advice.
Question 3) I would choose option 1. Again, the more information that Charles has and can access, the better. The more he knows about his condition, the more likely he is to notice changes etc and if or when he may need medical attention.
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?
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.
At Charles next appointment I would follow up to see how he was getting on with the app.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?
3. Advise Charles to talk 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.
Also providing Charles with additional links to reading, so he can gain more knowledge of what to look at for, dietary/lifestyle changesQ1: 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?
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.
At Charles next appointment I would follow up to see how he was getting on with the app.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?
3. Advise Charles to talk 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.
Also providing Charles with additional links to reading, so he can gain more knowledge of what to look at for, dietary/lifestyle changesQ1: 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?
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.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?
3. Advise Charles to talk to the medical team and the senior nurses before undertaking this so that it is progressed and done at the right time. It is important this is assessed due to Charles having AF.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. offering a leaflet with the information on is important so Charles can refer back to the information if needed.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.
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 also get Charles to attempt using the app in my presence before he leaves to just make sure he is ok using it.Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
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.
This is because he need to take extra care due to the medication that he is on such as Rivaroxaban to avoid any bleeding or bruising in case of an incident or injury. Also further investigations need to be done to identify what is causing him to have be breathless and dizzy.Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
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. I would also give him any literature that can give him more detail on stroke for him to further read when he gone home.Q1: A: 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.
Q2: A: 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: A: 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.
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.
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.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
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.
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..
Q 1: A. Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.
Q 2: A. 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.
Q 3: A. 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.
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