Station 36
Adam Leatherhead
Age: 6 years old male
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Ruby Leatherhead, the mother of 6-year-old Adam, and you’re calling today because you’ve noticed that Adam has started wetting the bed over the past 3 months.
If asked for more detail:
- Adam wets the bed almost every night, typically 3–4 times a week, and this has been going on for the last 3 months.
- He had been fully dry at night since the age of 4, so this change is causing you some concern.
Only disclose the following information if specifically asked:
Adam sometimes wakes up after wetting the bed, but not always. He has had constipation for the last 6 months and was prescribed Movicol (2 sachets daily), which he still takes. Despite this, he still strains occasionally and passes hard stools.
His diet is poor, with frequent junk food (e.g. McDonald’s) and fizzy drinks. You’ve tried to encourage healthier eating, but he strongly prefers these foods.
Adam passes urine normally during the day. No daytime wetting, pain, or blood in the urine. He is fully toilet trained. You have not noticed any weight changes
Social History: Adam lives at home with you (his mother), his father, and his older brother. He shares a bedroom with his 10-year-old brother, but they sleep in separate bunk beds. The bedroom is close to the bathroom. No issues at school or home, and no concerns about bullying. Adam is generally happy, active, and plays well. You don’t blame him, but you suspect something may be wrong.
Birth and developmental history are unremarkable: normal pregnancy, vaginal delivery, and up to date with immunisations.
Idea/Concern: If asked what you think might be causing the bedwetting, you are worried it could be diabetes, especially since Adam’s father was diagnosed with Type 1 diabetes as a child with similar symptoms.
Expectation: You would like the doctor to test Adam for diabetes.
Say NO to any other questions/symptoms asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.
Special Instructions for Role Player:
If the doctor offers an enuresis alarm, ask: “How does that work?”
Then mention: “He shares a room with his older brother, wouldn’t that also disturb the brother’s sleep?