OSCE exam for counselling using check list There are 2 works on two topic smoking cessation and and elderly care client has provided sample for both works we have to change the scenario according to the topic and Create Question using the 5 A's of counselling and also answer that Qs in 500 - 1000 words and need to follow and complete the checklist attached of 5 A's In both work out of 5A- 5As model (ask, advice, asses, assist and arrange) you need to select 2 A's only || For smoking part you can create the question using Ask and assist and follow the same thing for elderly work. Student instructions :: 1.} I need to conduct an exam for medical students on the subject of smoking cessation using a checklist in the form of an OSCE. Can you do that? 2.} we have 5As model (ask, advice, asses, assist and arrange) from these I need tutor make case senarion for person came to smoking cessation clinic and he want to quitt smoking, this is called counselling and we have to start with patient by 5 As 3.} In exam I need to choose only 2 As to discuss with student using checklist 4.} Objective structured clinical examination - OSCE/n Smoking cessation checklist PHC Task Communication Score Weight Degree 1. Greeting (1) 2. Introducing self (1) 3. Personal data (Name, age, occupation and marital status) (4) /10 10% 4. Active listening& Keeping eyes contact (2) 5. Explores Patient reason for visit or 2 open ended questions (2) 5 As Counseling Approach Ask: 1. Type of smoking (2) 2. Frequency (2) 3. Duration (2) 4. Quitting history and causes of failure (2) 5. Morning Cigarette (1) 6. Patient's understanding of smoking associated health risks. (2) 7. Why he decided to give up smoking now? (1) Assist: 1. Set a quit date. (2) 2. Tell family, friends, co-workers (3) 3. Avoid situations that trigger smoking, go to smoke-free environments (2) 4. Anticipate challenges (cough, headache, increase appetite...) (2) /12 30% 5. Remove all cigarettes and cigarette products (2) 6. Keep busy (Exercise, go to a movie, take a walk) (2) /30 30 7. Compensate (candy, drink plenty of fluids, avoid alcohol). (2) 8. Counselling (Behavioral, Group, individual, Telephone) (4) 9. Nicotine replacement therapy (types, S/E, duration) (5) 10. Bupropion (S/E, duration) (3) 11. Varenicline (S/E, duration) (3) Total 60% Total Station ( ) Ali is a 52 years old man comes to the Primary Care Clinic for counseling to quit smoking. Task: Using 5 As model, ask and assist the patient to achieve his desire to quit smoking./n OMAIN Station for elderly care. You are approaching 70 years old man who has multiple chronic health problems and many medications. -At this station; focus on reviewing his medications in an appropriate way. ntroduction 2 3 ITEM Summarizing the professional standing End with a lead-in to the next part of the consultation Appropriate welcome, Student's perfor 0 1 2 3 VI Station an appropriate way. Student's performance DOMAIN Self-introduction 2 ITEM Summarizing the professional standing End with a lead-in to the next part of the consultation 0 1 2 3 4 5 3 Appropriate welcome, 4 use opened ended question 5 active listening Greeting the patient 6 eye to eye contact 7 pt. centered approach 8 How many medicines? 9 What are they? 10 How frequent are they used? Reviewing 11 of 12 medications 13 When to be taken? Self-taking/care giver? Let pt. demonstrate how to use. 14 Best doctor's response Total / 70% /3 marks