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Communication Station 4


You are a physician associate working in a GP setting. Explain to this newly diagnosed asthmatic how to use their inhaler; an MDI (meter doses inhaler) has been provided for you to demonstrate should you wish, as well as a selection of supporting instructions.
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Stand or sit upright when using your inhaler
Remove the inhaler cap
Hold the inhaler upright and shake 4 or 5 times
Breathe out fully
Place the mouthpiece between your teeth without biting and form a good seal around it with your lips
Breathe in through your mouth and press the canister down at the same time to release a puff of medicine
Continue to breathe in slowly and deeply for 3-5 seconds
Hold your breath and take the inhaler from your mouth
Continue to hold your breath for 10 seconds or as long as is comfortable. Breathe out slowly.
 
(Adapted from: http://www.corbyccg.nhs.uk/inhaler-techniques-leaflets/)
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​Average Candidate Response
An overly direct approach, with no initial overview, end summary or opportunities to ask questions. Technical terms may also be used with little/no use of visual aids.
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Excellent Candidate Response
  1. Introduction
  2. State the end objective(s)
  3. Empower the examiner/patient to ask questions (eg. Do you have any questions at the moment? If you have any questions at any time, feel free to interrupt me)
  4. Identify any relevant materials/terms
  5. Provide clear, specific instructions
  6. Summary and plan going forward
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