Olivia : Palliative Care Home Visit.
Multi activity Simulation ☎️ 🗣️ ☎️
Primary Care
| Panel | ||
|---|---|---|
| ||
Olivia Musa is a 44 year old patient with stage IV breast cancer. She has undergone several rounds of cancer treatment in hospital over the last 10 months. The cancer has not responded to the treatment and she has been discharged from hospital into the care of her GP for palliative care at home. The student GP must discuss Olivia’s EOL care with Tanya, Olivia’s sister and Olivia herself. |
To run this sim in JoinXR on your laptop:
Open the folder HEE XR Sims - Primary Care and click on Olivia.
⏲️ The first time you open it, It may take a minute or two to download.
Simulation and Learning outcomes
| Note |
|---|
Best for Dom/James/Mayur/Will/Amy to define these in the correct lingo |
Learning outcome A
Learning outcome B
Learning outcome C
Provide palliative and end of life care.
The instructor and student are able to use the debrief to discuss how the student might refine their approach.
Activity | Overview |
| ||
📁 Briefing | Prior to the XR sim starting, the student GP is briefed that they will be visiting Olivia’s home to speak with both Tanya and Olivia. The student GP will be given access to the Medical History for the patient. | 🧑🏫 Classroom ⏲️ 5 mins | ||
☎️ Consultation 🗣️ Conversation with JoshTanya   | The student GP will conduct have a brief phonecall short conversation with Josh, Stacey’s husband which should lead them to determine that Stacey’s condition requires them to visit her at homeTanya, Olivia’s sister to understand how the family is coping , what is in place for Olivia’s last few days, and importantly get a sense of how prepared they are for Olivia’s passing. | 🎮 XR SimGP surgery Olivia’s flat. The lounge ⏲️ 2 3 mins | ||
🗣️ Mental Health Examination of Stacey  | On the home visit, the student GP should conduct a mental health examination of Stacey. The student GP should evaluate risks and note that Stacey is having some signs of psychosis, and had self-harm ideations that are rather well developed. | 🎮 XR Sim Patient’s homeConversation with Tanya  | The student GP will have a short conversation with Olivia to assess her pain level, intake of food and liquids and spiritual support. This will allow the student GP to form a plan for Olivia’s remaining care | 🎮 XR Sim Olivia’s flat. The bedroom ⏲️ 10 mins |
☎️ Clinical Decision  🗣️ Conversation with Tanya | The student GP will contact the Mental Health Crisis team who cannot reach Stacey for 48 hours. The most optimal outcome is for the student GP to refer Stacey for a complete mental state examination at the hospitalmeet with Tanya again to convey the plan they have formulated. | 🎮 XR SimGP surgery Olivia’s flat. The lounge ⏲️ 3 mins | ||
🧑🎓 Debrief | The student GP, instructor (and possibly other students) will watch a recording of the simulation and discuss in detail the student GP’s technique and clinical reasoning | 🧑🏫 Classroom ⏲️ 15 mins |
Below are the Medical records for StaceyOlivia. We recommend you share them with your student before starting the sim. They are avavailable within the sim, however it is not a great use of ‘in headset’ time:
| View file | ||
|---|---|---|
|
To run this sim in JoinXR on your laptop:
Open the folder HEE XR Sims - Primary Care and click on Stacey (PCare). Olivia
⏲️ The first time you open it, It may take a minute or two to download.