Case: COPD

This is the role card for the SP who will portray a patient with COPD in the role play. It contains the background and medical information for preparing the SP for the role play. The patient has come to the Outpatient Department of a hospital for the first time, and the nurse will help with filling out the admission form and taking the patient's medical history.

(Please adapt the name, age, address, phone number and any other details to match your SP's character and context.)

These are the instructions for the SP portraying the patient with COPD. It includes information on consent, students' backgrounds, meeting details, and descriptions of the tasks included in the role play: taking a history, vital signs, morning rounds as an inpatient, and receiving advice on discharge.

(Please adapt the details to match your context.)

This is the role card for the nursing student who will portray a nurse called to the Outpatient Department to help a patient that does not speak Japanese. It includes a checklist of tasks for the nurse role to complete in the role play, which will be evaluated by the examiner, including chief complaint, medical/medication history, family history, and lifestyle.

(Please adapt the checklist to match your goals & context.)

This is the nurse's role play card for the second task of the COPD patient role play. In it, the nurse will check the patient's vital signs: temperature, blood oxygen, pulse and breathing, and blood pressure. The nurse then checks the patient's Activities of Daily Living (ADL) related to the patient's current condition. The nurse then wraps up by explaining the overnight treatment the patient will receive in hospital.

(Please adapt the checklist to match your goals & context.)

This role play card includes the third task, which involves checking on the patient in the morning after an overnight stay for oxygen treatment, as well as taking a blood sample. The nurse begins by inquiring into the patient's condition, followed by explaining the reason for and then taking a blood sample.

(Please adapt the checklist to match your goals & context.)

This final role play task for the nurse is to explain about the patient's discharge. This includes giving advice to the patient regarding their current condition, smoking and how to quit, how to sleep better, diet, and their coming appointments.

(Please adapt the checklist to match your goals & context.)

This is the role card for the examiner who will evaluate the nurse's role play interaction. It consists of a checklist coordinating with the nurse's role play card and should be used by the examiner to assess the role play.

(Please adapt the checklist to match your goals & context, for example, adding Communicative Skills.)

This role card is to be used by the examiner to evaluate the nurse role in the second task of this case. It has a checklist for the nurse's opening, the checking of five vital signs (temperature, SPO2, pulse and breathing, and BP), and the nurse's enquiring into the patient's Activities of Daily Living (ADL). It also includes a section for language and how the nurse exits the interaction with the patient.

(Please adapt the checklist to match your goals & context, for example, adding more Communicative Skills.)

This is the checklist for the third task of the role play, in which the nurse is conducting morning rounds on the Inpatient Ward and checks in on the patient after a night in hospital. The nurse is evaluated on the greeting, checking on the patient, taking a blood sample, and language.

(Please adapt the checklist to match your goals & context.)

In this final checklist, the examiner evaluates the nurse's greeting, language, and exit during the patient interaction, as well as educating the patient on stopping smoking, diet, lifestyle and sleep. The nurse also informs the patient what to expect next.

(Please adapt the checklist and points to match your goals & context.)

This is a leaflet on the effects of smoking and on quitting. It was adapted from the Australian Medical Council Handbook of Clinical Assessment14. 

It is a resource that the nurse introduces, explains, and gives to the patient in the final role play task of giving advice prior to the patient's discharge from the hospital.

These are the results from the patient's tests regarding their COPD symptoms and condition. They include an elevated heart rate, overbreathing, high blood pressure, and a low blood oxygen level. The test results data have been corroborated by medical professionals.

This resource also includes a chest x-ray showing hyperinflated lungs. It comes courtesy of Jeremy Jones on Radiopaedia.org rID-641015