Patient
Your preparation time is over. The role play will now last for about 5 minutes. Don’t worry if I stop you when the time is up. Can you start the role play, please?
Nurse
Good morning I am Narso Andrew, one of the registered nurses in the clinic. May I know why you requested to see me?
Patient
Good morning nurse. I have been referred by the doctor after being diagnosed with a left foot ulcer.
Nurse
Oh, I see. I’m here to assist you. I understand this can be a worrying situation. May I know your name, please?
Patient
My name is Patience Patricia.
Nurse
Patricia Can you please tell me more about your ulcer?
Patient
Sure Nurse. It began about a month ago. But I’m not sure what caused it. I have pain but there is no discharge.
Nurse
I see. I’m really sorry to hear that you’re going through this. It must be concerning patricia. Can you share your concern or any questions you may have about the ulcer?
Patient
Yes nurse. I’m worried about it not healing properly and possibly getting infected.
Nurse
Patricia I understand that you’re concerned about your foot ulcer. It’s normal to feel worried or frustrated when you’re dealing with a wound that takes time to heal. Further, ulcers are not uncommon and most people make a full recovery with proper treatment. However, it’s important to be patient and consistent with your care. Foot ulcers can take time to heal, especially if they are deep or large.
Nurse
Patricia One of the most important things you can do to help your foot ulcer heal is to avoid scratching the area. Scratching can damage the wound and increase the risk of infection. If you feel the urge to scratch try to distract yourself with something else such as going for a walk or listening to music. Please know that you are not alone and there are people who care about you and want to help you heal.
Patient
Thank you for reassuring me. Can you explain how to recognize if the ulcer is infected?
Nurse
Absolutely. I’m here to provide you with all the information you need patricia. Let’s now talk about how you can recognize if the ulcer is infected. This is crucial for your ongoing care. So signs of the infection that you should be vigilant about include Firstly increasing pain. If you notice that the pain in or around the ulcer becomes more intense or persistent it could be a sign of the infection.
Nurse
Secondly, redness. Keep an eye on the area around the ulcer. If you see any increased redness especially spreading outward this could indicate an infection. Thirdly, discharge from the site. If you observe any unusual discharge particularly if it changes in color or consistency This is another red flag.
Patient
Sure nurse. I’ll make sure to watch for these signs.
Nurse
That’s perfect Patricia. Early intervention is crucial because if an infection goes untreated it can lead to more severe complications. It might spread to surrounding tissues or even the bloodstream which can be very serious. Prompt medical attention can help prevent these complications and ensure the best possible outcome for your recovery. If you ever notice any of these signs or have any concerns, please don’t hesitate to reach out.
Nurse
We’re here to provide the care and support you need.
Patient
I appreciate you explaining this. It makes me understand the urgency. What are some ways to manage this ulcer?
Nurse
You’re doing great by seeking information and taking an active role in your health. There are various methods to manage foot ulcer issues. One option is to keep the ulcer clean and moist This will help to promote healing and prevent infection. The second option is to improve blood circulation for the ulcer. You may also want to wear your compression stockings to help improve circulation.
Nurse
This will help to deliver oxygen and nutrients to the wound and promote healing. The third main point is to maintain good nutrition and hydration. Eating a healthy diet and drinking plenty of fluids will help your body to heal the ulcer.
Patient
I see nurse. What are the next steps? Do I need wound dressing?
Nurse
You’re being proactive about your care which is excellent. Yes dressing will likely be part of your treatment plan. The next step is to clean and dress your wound. This will help to prevent infection and promote healing. Depending on the severity of the wound, I may also need to perform other procedures such as stitches or staples. Before I do anything I need to obtain your consent.
Nurse
Do you understand the procedures I have explained?
Patient
Yes nurse.
Nurse
Do you have any questions?
Patient
No.
Nurse
Okay Patricia. Then I have your consent to proceed. Is it?
Patient
Yes nurse.
Nurse
Thank you for your consent Patricia.
Patient
That is the end of your speaking role play. All the best.
Nurse
Thank you.
