Station 42
Andrew Coleman
Age: 50 years old male
Patient
Patient's Story (Role player’s brief)
Patient’s Story
Opening Statement: “Doctor, I’d like to be started on blood pressure tablets”.
You are Andrew Coleman, a 52-year-old man. You’ve booked this telephone consultation because you were told your blood pressure was raised
You work as a tree surgeon and recently sustained a cut to your right wrist while on the job. You were seen in A&E where the wound was treated, and your blood pressure was found to be high.
You’re worried about the risks of high blood pressure and want to discuss starting medication, as you understand how serious it can be.
You are generally fit and well with no known medical conditions. Your wrist is healing as expected, and you’re scheduled to see the hand surgeons in two days for stitch removal and further review.
Social History: You are a non-smoker, no alcohol use, live with wife and 2 kids and you work as a tree surgeon. Your diet is not the best as you eat junk foods most days.
Family History: Your grandmother had hypertension and died of a stroke
Ideas: You believe you may have high blood pressure.
Concerns: Your grandmother had hypertension and died of a stroke. You’re worried the same could happen to you.
Expectations: You would like to start antihypertensive medication now.
If the doctor suggests waiting before starting treatment, politely ask:
“Can I ask why we wouldn’t start medication now, considering how serious high blood pressure can be?”
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.