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Stacey : Post natal depression, mental health assessment.

Multi activity Simulation ☎️ 🗣️ ☎️

Primary Care

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Stacey Morris After the birth of her second child 4 weeks ago, Stacey’s husband Josh has phoned the surgery as he is very concerned about his wife’s mental state.

The student GP must speak with Josh, decide whether to visit Stacey at home, conduct a Mental Health Assessment and then arrange care for Stacey if they consider it neccessary.

To run this sim in JoinXR on your laptop:

Open the folder HEE XR Sims - Primary Care and click on Stacey (PCare).

⏲️ 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
    1. To be able to take a history from a patient presenting with an acute psychotic illness. 

    2. To be able to ascertain and evaluate information relating to safeguarding. 

    3. To be able to assess suicide and homicide risk. 

    4. To be able to formulate a safe, shared management plan. 

    Activity

    Overview

    📁 Briefing

    Prior to the XR sim starting, the student GP is briefed that they will be speaking on the phone with a husband who is concerned about his wife’s Mental health. The student GP will be given access to the Medical History for the patient.

    🧑‍🏫 Classroom

    ⏲️ 5 mins

    ☎️ Consultation with Josh

    The student GP will conduct a brief phonecall with Josh, Stacey’s husband which should lead them to determine that Stacey’s condition requires them to visit her at home

    🎮 XR Sim

    GP surgery

    ⏲️ 2 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 home

    ⏲️ 10 mins  

    ☎️ Clinical Decision

    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 hospital.

    🎮 XR Sim

    GP surgery

    ⏲️ 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 Stacey. We recommend you share them with your student before starting the sim. They are available within the sim, however it is not a great use of ‘in headset’ time:

    View file
    nameMed_records_Stacey_refactored.pdf


    To run this sim in JoinXR on your laptop:

    Open the folder HEE XR Sims - Primary Care and click on Stacey (PCare).

    ⏲️ The first time you open it, It may take a minute or two to download.