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MMI Scenario 24
Mrs Patel has come to you to request another prescription of her GTN spray. You notice that she has been requesting this every month since she was initiated on it. Upon questioning her she tells you that she uses it when she feels like it and not necessarily, if she needs it. She sprays it at the back of her throat to ensure it works properly. Explain what counselling points you would discuss with the patient.
Example Answer
Medication Use: Ascertain if the patient is using it to relieve symptoms of angina and ask her about her symptoms to clarify this.
Patient Understanding: Ascertain from the patient about her understanding of the purpose of the GTN spray and her understanding of why she was prescribed this. It would be important to also clarify with the patient her knowledge of the symptoms of angina and clarify with the patients understanding of what actions to take if she experiences such symptoms.
Correct Use: Counsel the patient on the correct use of the spray and the importance of using it correctly.
Summary & Plan: Check with the patient at the end of the counselling session that she understands all the points covered above.
Patient Understanding: Ascertain from the patient about her understanding of the purpose of the GTN spray and her understanding of why she was prescribed this. It would be important to also clarify with the patient her knowledge of the symptoms of angina and clarify with the patients understanding of what actions to take if she experiences such symptoms.
Correct Use: Counsel the patient on the correct use of the spray and the importance of using it correctly.
Summary & Plan: Check with the patient at the end of the counselling session that she understands all the points covered above.