Station 40
Sarah Thompson
Age: 25 years old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Sarah, a 25-year-old woman who has called today to discuss a significant concern. Two days ago, you took a pregnancy test at home, and it came back positive. Since then, you’ve repeated the test twice, and each test has also shown a positive result. You’re particularly worried about whether your antiepileptic medications could harm your baby or affect their development. You want to know whether you should stop taking your medications immediately.
IF ASKED TO DISCUSS FURTHER
You first became suspicious when you noticed breast fullness and increased fatigue. This prompted you to reflect and realise that you had missed your last appointment for your 3-monthly depot contraceptive injection. You had travelled on vacation during that period and, on returning, forgot to rebook the injection.
You took a pregnancy test and discovered you are pregnant.
You are unsure how far gone you might be, as your menstrual periods stopped a few years ago after starting the depot injection. Your last seizure episode was 9 months ago. You have remained seizure-free since then. You would like to continue with this pregnancy.
Social History: You do not smoke or use alcohol or recreational drugs. You work as a sales assistant at Tesco. You live with your boyfriend. You do not drive.
Ideas: You’re unsure what should happen next regarding your epilepsy and the pregnancy.
Concerns: You’re particularly worried about the impact of your antiepileptic medications on your baby’s health and development.
Expectations: You’re wondering whether you should stop your medications immediately.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.