OLIVIA

Olivia : Palliative Care Home Visit.

Multi activity Simulation

Primary Care

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

Best for Dom/James/Mayur/Will/Amy to define these in the correct lingo

At the end of the simulation students will be able to:

  • Provide palliative and end of life care.

  • Use the debrief to discuss how the student might refine their approach.

Activity

Overview

 

Briefing

Before starting the XR simulation, the learner must consent to taking part via this online form.

The learner will then receive a briefing that they will visit 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

Conversation with Tanya

 

The student GP will have a short conversation with Tanya, 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 Sim

Olivia’s flat. The lounge

3 mins

Conversation with Olivia

 

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  

Conversation with Tanya

 

The student GP will meet with Tanya again to convey the plan they have formulated.

XR Sim

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

Evaluation

At the end of the training simulation, the learner is invited to complete an evaluation form.

 

Below are the Medical records for Olivia. 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:


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.