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videores_FC6B08F5_DE8B_9918_41C9_14A9F651BD15.posterURL = media/media_6C995E50_7EC4_0EEC_41D0_8D2EC8CA4D85_poster_en.jpg videores_FC49E67A_DE8B_8909_41E5_6E6C750E7CE4.url = media/media_903DA70F_843F_D0E4_41DD_834ADF454F49_en.mp4 videores_FC49E67A_DE8B_8909_41E5_6E6C750E7CE4.posterURL = media/media_903DA70F_843F_D0E4_41DD_834ADF454F49_poster_en.jpg ### Video Subtitles ## Popup ### Body htmlText_525CFA5F_4664_C449_41C2_9CCDAE1ECD8F.html =
After her examination it’s important for Dr Kowalski to offer Mrs Thomas a differential diagnosis and options for ongoing care. All GP’s are encouraged to adopt a patient-centred approach and offer the patient information about the different management options and to make a shared management plan tailored to the patient’s situation. The doctors can then explain the next steps.
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Before doctors carry out an intimate examination, they should give the patient the option of having a chaperone present as an impartial observer wherever possible. This applies even if the doctor is the same gender as the patient.
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Feel free to revisit the course at any time. Select the Menu icon to revisit any parts.
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GP practices have access to a range of multi-disciplinary team members both within the GP Practice and in the community.
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GPs are encouraged to adopt a patient-centred approach and offer the patient information about the different management options and to make a shared management plan tailored to the patient’s situation.
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GPs can discuss a patient’s medical history with a close family member without the patient’s permission.
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How would you discuss a do not attempt resuscitation order?
Ask the patient if they have thought about death and whether they would prefer all treatment be stopped when they are unwell, and that cardiopulmonary resuscitation should not be performed if their heart stops.
Involve the patient and any desired family members in a discussion about what cardiopulmonary resuscitation involves, its likely success and possible condition of the patient afterwards and ask what they would like others around them to do should their heart stop. Reassure them this wouldn’t stop other treatment being offered.
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How would you respond to Jack?
As a doctor I can listen to your concerns but can’t share any information unless I have the patient’s permission.
Your mother does have a lump in her breast and has been referred to the breast clinic. We won’t know if this is cancerous until they carry out further tests.
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How would you respond to Mrs Thomas’ request?
Check the medications Mrs Thomas is currently on to decide if this can be changed or added to.
Put her in touch with a community group that teaches meditation so she can learn techniques to manage the pain.
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Important responsibilities of a receptionist include identifying the needs of a patient to sort out the best appointment for them and signposting them to other services outside of the GP Practice.
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In this immersive 360 video you will gain insight into how a GP practice in the UK operates by following a patient’s experience. The patient Mrs Thomas is a 58-year-old woman who lives with her son in a semi-detached house on the outskirts of town. Select the Forward icon when you are ready to move on.
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It’s now four years since Mrs Thomas had her mastectomy. She’s been recently diagnosed with secondary deposits in her chest wall and ribs. She had a course of radiotherapy that gave her some relief and two days ago she was told that there are no further treatment options. She has come to the surgery with her son, Jack and is struggling to manage the pain.
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Jack walks to the pharmacy to collect his antibiotics. Some practices have a pharmacy within their premises and others have links with a local pharmacy. Some practices email the prescription scripts to the pharmacy direct, others print them out and give them to the patient.
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Jack walks to the pharmacy to collect the analgesic patches that Dr Kowalski has prescribed for his mum. He has taken his mum home as she was worn out and has come back to collect the prescription.
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Most practices send the prescriptions electronically via the ‘Electronic Prescribing Service’ or can print out prescriptions to hand out to the patient.
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Mrs Thomas needs to see a general practitioner as she is struggling to manage her pain. This scene is set in the reception area of a GP practice, and Jack is calling for an appointment to see Dr Kowalski with his Mum. The receptionist is often the first person that the patient and their family speak to in order to gain access to doctor.
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Mrs Thomas needs to see a general practitioner as she’s worried after finding a lump in her breast. This scene is set in the reception area of a GP practice, and Mrs Thomas is calling for an appointment to see Dr Kowalski. Patients can book an appointment to see a GP online, by phone or by visiting the practice.
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Part funded by the General Medical Council in support of the International GP recruitment programme
Actors
Julia Rounthwaite - Dr Kowalski
Caro Breton - Mrs Thomas
Geoff Breton - Jack Thomas
Chezzie Wilkinson - Receptionist
Sue Moseley - Narrator
Support
Staff at Lambton Road Medical Practice
Staff at Manchester Medical
GMC IS Training Team
Subject Matter Experts
Dr Mehreen Tahir, MBBS BSc(Hons) MRCGP DRCOG DFRSH, Deputy Medical Director, NHS England
Kim Tolley, Professional Liaison Consultant,
The Health and Care Professions Council
Design and Development
Nick Moseley, Moseley Multimedia Ltd
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Part of a GP’s role is to prepare Mrs Thomas and her family for the end of her life and to talk about some decisions and plans they can take.
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Part of a GP’s role is to prepare a patient and family for the end of their life and to talk about some decisions and plans they can take.
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Patients are called from the waiting area by either a televised or illuminated sign or by the doctor coming out of the consulting room to call them.
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Patients can book an appointment to see a GP online, by phone or visiting the practice.
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Patients can only confirm they’ve arrived for an appointment by speaking directly to a receptionist.
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Patients will often return to the same general practitioner and develop a relationship with them.
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Select the Acrobat icon above to see a fully accessible design screen transcript of this 360 interactive video app. Select the Forward icon when you are ready to move on.
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Select the Forward icon to start this section.
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Select the Forward icon, highlighted, to start this section.
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Select the Introduction if you’ve not already seen this for information on how to use this resource.
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Select the Introduction if you’ve not already seen this for some initial background information on the discharge process and information on how to use this resource.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the Thought icons to hear each person’s reflections on this conversation. Then select the Forward icon to move on.
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Select the buttons to see the completed discharge planning section of the admission and care booklet and the Electronic Discharge Summary (EDS) letter. Then reflect on how you think the discharge process has worked out for Surjit. Select the Forward icon when you are ready to move on.
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Select the buttons to see the completed discharge planning section of the admission and care booklet and the Electronic Discharge Summary (EDS) letter. Then reflect on how you think the discharge process has worked out for Surjit. Select the Forward icon when you are ready to move on.
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Select the buttons to see the completed discharge planning section of the admission and care booklet and the Electronic Discharge Summary (EDS) letter. Then reflect on how you think the discharge process has worked out for Surjit. Select the Forward icon when you are ready to move on.
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Select the buttons to see the completed discharge planning section of the admission and care booklet and the Electronic Discharge Summary (EDS) letter. Then reflect on how you think the discharge process has worked out for Surjit. Select the Forward icon when you are ready to move on.
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Select the option above to view a downloadable guide on how to experience the 360 sections in immersive Virtual Reality. Select the Forward icon when you've done this and are ready to move on.
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Some general practitioners will form relationships and treat several members of the same family. This can make GP work very rewarding and improves continuity of care for patients and their families. This can result in some challenging situations and conversations, such as the one this scene shows with Mrs Thomas’s son coming in to see Doctor Kowalski with a problem with his ear.
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Take this short quiz to check your understanding of what we’ve covered.
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What else could you suggest to Jack?
That he asks his mother to let Dr Kowalski know that she is happy to discuss her medical history with him, even if she is not present and that he volunteers to come along to any of the appointments his mother has with Dr Kowalski.
That he leaves it up to his mother to bring up the subject and discuss the results of any tests with him at home.
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What further support do you think could be suggested?
To refer Mrs Thomas for a carer assessment.
Medication for Jack to help him handle the stress.
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You can complete each of the 360 sections in a standard browser on a PC, tablet or smartphone and interact and drag the picture around using your finger or a mouse. Select the narration text to see this pop-up in a larger font and select outside the pop-up to close it. Select the Forward icon when you are ready to move on.
## Tour ### Description ### Title tour.name = Patient Journey 360 video app