In real life, Wouldn’t you stop at the point that he didn’t know his cancer had spread and surgery wasn’t an option. Because he then had two very heavy blows/discussions. He might have needed time to process the news of spread, and then a DNACPR discussion later when the extent of his cancer had sunk in a bit more ??
Thank you for your feedback. Yes, in real life you would not expect to have two discussions in one go. One important learning point from this scenario is that sometimes you go into a consultation expecting the patient having a certain perspective only to encounter a very different one once the conversation begins.
No offer of a nurse or if he wants a family member/wife present for this discussion? What are the chances of him remembering all this stuff in real-life or being able to communicate what was said back to them after hearing this news?
This is a fair comment. Seems like this is 2 stations in 1: breaking bad news + DNACPR discussion. I’d take the first part with a pinch of salt as others in the comments have noticed the ‘SPIKES’ structure has been ignored entirely. I’d be cautious about breaking bad news in the format presented by this video, but the DNACPR bit is good.
It was informative, but the doctor was lacking empathy and sympathy and was simply commanding, I believe that if i acted based on this video i would pass the station but will definitely get 0 marks in interpersonal skills
Yes definitely. It felt rushed and did not feel like there was any emotion to it.. The actor patient however made me tear up at one point lol. This felt too much and too blunt.
Why is the tone of talking is so technical. Surely there should be a better way of breaking bad news. I have seen this in real life too. Lack of true empathy is difficult to ignore.
Very matter of fact, wholly and entirely lacking in any iota of empathy or even ‘common sense’ at what is likely the worst time of the patients life ☹️😂😤😱😡
I like a lot of their videos, but this was a bit too much to dump on a patient who didn't even know the cancer had spread. Why not offer to have his social support person there or something?
This is a good OSCE scenario but really pretty terrible when it comes to dealing with a real person. It’s better to discuss what a patient is aiming for and giving them time to digest all information about their health before they have the DNA CPR decision. An entire treatment escalation plan should be in place, of which the DNA CPR is only a small part. If this guy were to be a real patient, he’s clearly far too overwhelmed to give a proper answer.
mate that was rude AF "that is not your decision to make" wtf!? and you tasked a dying man with summarizing the entire conversation after you told him he is going to die
