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?

Good morning Patricia, Good to see you again. I’m your attending nurse Narso Andrew here. How are you doing?


Good morning nurse. Good to see you too. I’m good, thanks you for asking.

Great, For confirmation, Can you tell me the reason for your visit today?


I am here for the INR test, because I am having a long flight.

Okay Patricia. Before we begin the test I’d like to find out more details about your trip.


Sure nurse. Why not? I am traveling next week for a family wedding. It takes more than 6 hours of flight, and I am a bit worried about my condition.

Okay that sounds exciting. However, since you have atrial fibrillation, and are on the warfarin therapy, it’s important that you take some precautions during your flight, to reduce the risk of blood clots, and I know that is the reason why you are worried.


Yes Nurse. I have no idea how to deal with the situation.

Don’t worry Patricia. I will provide some strategies to deal with the situation. Firstly, I would recommend intermittent walking during the flight. Secondly, wear loose clothes to help improve blood flow. Thirdly, use compression stockings which can also help reduce the risk of blood clots. Do you have any questions about these strategies?


No, I got it. By the way, nurse What about consuming alcohol?

Well considering the consumption of alcohol, it is important that you avoid alcohol consumption as it can increase your risk of bleeding, and cause blood circulation problems.


Oh, is it?

Yes Patricia, Above all If possible I would recommend postponing your trip until you’re ready, And your levels are stable. May I know your thoughts, please?


Oh, I am sorry Nurse, It is not possible to postpone the trip. I have to be there for the wedding. I am ready to follow all your instructions, But I must fly.

All right, I understand the necessity. It’s okay, However, if you must travel it’s important that you take extra precautions, such as avoiding sitting for long periods of time, For which I recommend intermittent walking during the flight.


Okay nurse.

Patricia, It is also important to stay hydrated by drinking plenty of water. You should also inform the airline staff about your condition, so that they can provide any necessary assistance during the flight. Do you have any questions about this?


No, I will do as you suggest.

That’s perfect. Now that we’ve discussed these strategies and options. Do you have any other concerns?


No Nurse. I am Good.

Good to hear. Now, I’d like to establish your consent to begin the INR test. Do you consent to the test?


Yes, You may Please proceed.

Thank you, Well before concluding let me summarize what we have discussed so far. Patricia, You’re here today for an INR test due to your upcoming flight for a family wedding, and you’re concerned about managing your condition of atrial fibrillation while traveling. I’ve provided you with a set of strategies to help reduce the risk of blood clots during your flight.

First, intermittent walking. It’s advised to walk around periodically during the flight to improve blood circulation. Second, loose clothing, Wearing loose clothes can aid in better blood flow. Third compression stockings, These can further help in reducing the risk of blood clots. Fourth, avoid alcohol. It’s best to avoid alcohol consumption as it can impact bleeding and blood circulation. Fifth, hydration and informing airline staff.

Stay hydrated by drinking plenty of water. And inform airline staff about your condition for any necessary assistance.


Sure nurse.

While postponing the trip would be ideal until you’re in our level stable, as you’ve mentioned that this isn’t possible due to the wedding. So in that case, following these precautions is crucial. Remember to avoid extended periods of sitting. Keep hydrated and inform the airline staff about your condition. If you have any more concerns feel free to ask. Safe travels and enjoy the wedding.


Thank you Nurse. That is the end of your only speaking role play. All the best.

Thank you.

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