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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 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 have 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.
ANWER 1
Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.ANWER 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.
ANWER 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.
Question 1,
The Doctor has recommended the AF app for charles looking at his medical history that has been taken and also looking at the fact that he has lived with this health issues for about 5years it will be approparite for the doctor to have a regular check of charles heart readings so that he will have a close monitoring of his palpitation and the breathlessness he is experencing. Therefore if charles is struggling to acess the AF machine it will be of great importance for the doctor to teach Charles how to assess and use the app so that it will be convenient and more understanding for charles to use it and how he will use it effectively so that the aim of the Doctor asking charles to download the app will be acheived if charles is able to use accurately.Question 2.
It is very important i make charles understand the importance of speaking with the Doctor in charge of his care if he can go back to cycling. I will try to explain to charles that he has a heart issue that needs to be managed properly so that he can live a normal life. But he needs to understand that with this type of illness comes with some life style changes and he has to follow all clinical guide lines from his Doctor so that he can get the best care he derserves and then he can go back to living his normal life though most times an adjustment is needed to be done.
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. Also i can show charles some yotube vidoes showing the signs and symptoms of stroke and also give charles some reassurances to help him remain calm and just walk with his Doctor so that he can continue to get the best care.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?
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?
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?
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: Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.
By spending time showing Charles how to use the app, he may be able to learn how to use it therefore will be able to add his data to the app and manage his condition in a more organised and structured way, which can also be shared with his doctor. However, everyone is different and may not understand the way information is being communicated too them therefore may benefit from information to be provided in an alternative format which may be easier for them to understand.
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.
Although exercise is good for the heart and as nurses we should promote a healthy lifestyle, we also need to consider our patients’ current physical health conditions and the need of rest ect. If I was not 100% certain of my answer, I would ensure I seek advice from the medical team and senior nurse/ advice Charles to speak to the medical team and senior nurse.
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.
Having AF can put you at higher risk of having a stoke, therefore you would not tell Charles he was not at risk of a stroke. Advising Charles to have someone with his at all times is unsustainable and unnecessary. As professionals we should be open and honest with Charles and he should be educated about the signs of a stoke so he knows when and who to contact for help if he recognises any of the signs.
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 would offer to show Charles how the app works during the appointment and provide the information in an alternative format if appropriate. If during the appointment Charles manages to gain access to the app I would then advise that he goes home and uses it and offer to arrange an interim follow up appointment / telephone call to further support and encourage Charles to use the app.
Q2: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
As a junior nurse, 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 ask whether Charles has had any input from the therapy services like physio or OT and if appropriate refer him.
Q3. Charles is concerned about his risk of stroke in the future. He asks you about the signs of a stroke.
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 direct Charles to recognised sources of information like NHS.uk to help support him gain a wider knowledge of his risks and the condition including signs and symptoms.
1. Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.
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.
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.
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.
I’m quite quick at explaining basics on an app, so would choose this option. I’d show the main features very briefly but also direct him to the ‘i’ button which has information and ‘how to use’ section. I may suggest using an ipad or larger device if it’s difficult on his phone.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 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 advise him beyond my level of training or knowledge. By referring him to others more senior, it will ensure that he’ll get the best possible advice. I would not want to cause his health issues to escalate by saying to just go ahead and continue cycling.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.
I’d also give him a leaflet or printout with this information to take away with him and encourage him to discuss this with his partner so that they also know what to look out for. At the same time, I’d explain that it’s good he’s come for an assessment at this point, as we’ll hopefully be setting up action plans to reduce his chances of stroke. I’d encourage him to follow advice from his GP and from the doctor he has recently seen.I like how you have said that you could show him a video (FAST), I think there are sometimes adverts on the TV for the public too help them be more aware of the signs and symptoms. It is good that an alternative format was considered as some people understand information more easily when they see a visual compared to verbal information.
A good idea Helen to also direct the patient to NHS.uk and other sites for further information about his condition. Especially if we’re unsure, eg about the effects of him continuing to cycle, always good to point clients to trusted sources.
Also Immaculate (post 9186) reiterates the importance of Charles speaking to his doctor re levels of activity. This is crucial, and it’s possible that he may be able to continue cycling, just at a reduced level or something. Maybe he’d be advised to stop completely if his symptoms worsened – it’s the doctor’s responsibility to give him clearance to exercise or not.
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?
A1: I would Offer to show Charles how the app works during the appointment, such as main things he would need to know and advise that he should have a better look at it at homeQ2: Charles is keen to return to riding his bike but is unsure when or if he can do this now. What would you advise?
A2: 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?
A3: 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 and for those around him to observe him for any changesFrom my experience when attending appointments with health professionals, they always briefly answer questions and then advise me to look at certain websites, text me links or give me leaflets of relevant information therefore I agree with my colleagues in terms of letting Charles know of websites or other resources that will offer information and help. It not great but health professionals have time limits on appointments so it would be unlikely that you would sit there for hours showing someone how to use something as other patients would be patiently waiting for their turn to be seen so we need to be practical.
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 – I would show Charles how to use the app during the appointment and also encourage him to practice as much as possible at home so that he is used to how the app works and can utilise it in the best way possible.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 talks to the medical team and the senior nurses before undertaking this so that it is progressed and done at the right time – Charles should not be denied the things he enjoys as long as they can be done in a safe way. Advising him to talk to the medical team and senior nurses ensures that returning to bike riding will not have a significant negative impact on his health.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 – It is imperative that Charles is aware of the signs of a stroke and his risk of having a stroke. We have to be honest with him about his health by not making false promises about not having a stroke.I agree Rebecca, we should be honest with Charles about his health and should not be making any false promises about him not having a stroke. Also by us educating him, the sooner he will recognise if his health is deteriorating and therefore will hopefully ask for help quicker.
Question 1
Offer to show Charles how the app works during the appointment. If it is accessible for Charles, provide the information in an alternative format.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.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.
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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.
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.
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.
I will ensure that I show Charles how the apps works during the appointment if it is accessible for Charles, provide the information in an alternative format. Also, to check if there any leaflets that provide any informations that he can use at home. I will 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: Charles is keen to return to riding his bike but is unsure when or if he can do this now.
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.
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.
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