Station 34
Michelle Williams
Age: 23 years old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Michelle Williams, a 23-year-old woman attending a telephone consultation following a seizure episode that occurred last night.
Opening statement: “Doctor, I’d like to restart my epilepsy medication
IF ASKED TO EXPLAIN FURTHER
You think you had a seizure while asleep last night because you woke up to find you had wet yourself (Urine incontinence) and bitten your tongue — this only happens to you after a seizure. No one witnessed the episode, as you were alone at home.
ONLY SAY BELOW IF ASKED
Your last seizure was approximately 9 months ago. Your seizures are typically generalised tonic-clonic in nature (Jerky movements of your whole body), during which you lose consciousness. Prior to a seizure, you usually experience an aura of light-headedness, which gives you enough time to lie down on the floor or sofa to prevent injury. However, last night’s episode was not typical.
You are not aware of any specific triggers for your seizures.
Medication History: You stopped taking your epilepsy medication (Tegretol) about 7 months ago on your own decision. You believed the condition was under control since you had not experienced seizures for a while. You never had side effects from the medication.
Social History: You do not drink alcohol and do not smoke. You work as an accountant and drive to work daily. You are sexually active with a new partner. You started this relationship 3 weeks ago and are currently considering moving in together.
Ideas: You are unsure why you’ve had another seizure.
Concerns: You are worried about the return of your seizures.
Expectations: You would like to restart your epilepsy medication and are hoping the doctor will issue a new prescription today.
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.