OSCE Toolbox | Lifestyle Counselling 1 - Scenario

By Jitesh Arora • January 18, 2024 • Last reviewed: 24/09/24 •

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Summary Beginner

In this scenario, the student is tasked with counselling a patient who has been diagnosed with pre-diabetes. The focus is on providing detailed information about pre-diabetes and type 2 diabetes, the importance of lifestyle changes in reversing pre-diabetes and preventing diabetes, and potential complications of diabetes.

Please ensure that this scenario and mark scheme align with the most up-to-date UK NICE guidelines and the BNF when using it for your OSCE assessment.

You will need a student pharmacist and an actor for this OSCE station.

Revision Topics

Be aware, this may reveal any answers!

Student Instructions

Actor Instructions

This may reveal scenario objectives!

Mark Scheme

Introduction

0 / 2

Introduce yourself and greet the patient professionally.

+1

Confirm the patient's name and age.

+1

Medical History

0 / 3

Acknowledge the patient's pre-diabetes diagnosis.

+1

Confirms allergies.

+1

Confirms medication history including dose, frequency, indication, including any over-the-counter products and herbal remedies

+1

Communication

0 / 5

Use appropriate language for the person and situation.

+1

Use clear and understandable language.

+1

Ensure the patient understands the importance of lifestyle changes, potential complications, the role of regular monitoring, and blood glucose level targets.

+1

Conclude the conversation professionally, reassuring the patient and offering to assist with any further questions or concerns.

+1

The student did not say anything that could harm the patient

+1

This includes but is not limited to, providing incorrect information or medication, misdiagnosing conditions, neglecting to inquire about allergies, making incorrect referrals, or failing to act on red-flag symptoms.

Any criteria marked in red must be met to pass this station.