Aimee Drayton

Age: 28 years old female

Patient

Patient's Story (Role player’s brief)

You are Aimee Drayton, 28 years old.

You booked this appointment because you’ve noticed some bleeding from your vagina over the last couple of days, and it’s made you quite anxious.

If the doctor asks for more detail, explain:

“You found out you were  pregnant about 5 days ago after taking a home pregnancy test. Your last menstrual period was 11 weeks ago, so you estimate that you are around 11 weeks pregnant.

For the past 2 days, you’ve had some light bleeding. It’s not heavy like a period, and there’s no pain, but it’s worrying you.

You repeated a pregnancy test this morning, and it still came back positive.

You feel physically well otherwise — no fever, no abdominal pain, and no dizziness.”

You’re just concerned something might be wrong and want to make sure everything is okay.

Social history:

You live with your husband, who is very supportive.   You smoke around 5 cigarettes a day and have been doing so for the past 2 years. You do not drink alcohol. You have a 2-year-old son at home, so this is not your first pregnancy.

You are currently not working and are on universal credit.

Ideas: You’re wondering if this could be a miscarriage.

Concerns: You’re not sure if this is something that needs a trip to the emergency department, but you are worried.

Expectations: You want the GP to tell you what to do.

SAY NO TO ANY OTHER QUESTIONS ASKED. 

If the doctor speaks to you nicely, accept his/her proposal to stop smoking. 

If the doctor offers same day admission—tell him/her it may not be possible as no one is able to take care of your son and husband is away in France for a job. 

If the doctor suggests a good alternative or explains why going to the hospital is important, you can say that you’ll ask your mum to help look after your son.