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Adam is a doctor in primary care.
Adam is a doctor in primary care.
He sees a patient who is unwell with suspected pneumonia and refers them to the medical on-call team.
He sees a patient who is unwell with suspected pneumonia and refers them to the medical on-call team.
The next day Adam finds out from the reception staff that the patient did not go in. On following up, Adam finds out that they have a cat that they needed to care for. After speaking to the patient again, the patient realises how unwell they actually were and agrees for an ambulance transfer.
The next day Adam finds out from the reception staff that the patient did not go in. On following up, Adam finds out that they have a cat that they needed to care for. After speaking to the patient again, the patient realises how unwell they actually were and agrees for an ambulance transfer.
Adam is really curious to learn what he could have done better.
Adam is really curious to learn what he could have done better.
He talks to his peers, reviews the guidelines and reflects on this experiences.
He talks to his peers, reviews the guidelines and reflects on this experiences.
- What initial thoughts do you think Adam might be experiencing?
- What might Adam resolve to do differently?
- What different avenues might Adam use to convey these reflections?
- Have you ever experienced anything on placement that you continued to think about afterwards?
After reflecting,
After reflecting,
Adam now resolves to check more thoroughly if patients understand his instructions and explore barriers more actively in his practice.
Adam now resolves to check more thoroughly if patients understand his instructions and explore barriers more actively in his practice.
Adam also decides that a deeper understanding of the ‘illness’ in the context of the patients symptoms and social life would have helped to understand better what matters to the patient. He thinks that this approach would have allowed him to better explore how the patient could have left the cat with the neighbour so that he could go to the hospital.
Adam also decides that a deeper understanding of the ‘illness’ in the context of the patients symptoms and social life would have helped to understand better what matters to the patient. He thinks that this approach would have allowed him to better explore how the patient could have left the cat with the neighbour so that he could go to the hospital.
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