SETTING DOCTOR TASK © Combyidge Boutil Language Assessment MEDICINE Clinic Your patient is a 29-year-old with a tender spot in the lower spine, especially when sitting down. Recently, he/she has been coing increased training three times weeldy for a rowing compstition. The patient has come to discuss this with you as the local doctor. * Find out about the patient's pain. * Find out about any recent changes in habits (¢.g., at work, leisure time, sport, eto). * Discuss the likely causes of the patient's lower back pain (e.g, injury caused by overuse of joints and muscles, can be caused by increasing exercise, etc.). * Give suggestions for treatment (e.g., reduce the exercise regime, consult a physiotherapist, retum for further investigation if symptoms persist for more than a month, etc). * Persuade the patient to follow your recommendations (@.g.., it is important to rest from the activity that caused the overuse injury, a physiotherapist can help design a well-balanced training programme, etc.). Cn aa ies J iste ests SETTING DOCTOR TASK Clinic You are consulting an 88-year-old who lives independently. You have lust given the results from a urine sample. The patient has a urinary tract infection (UT!) and has had several proven UTIs recently. The patient ls concemed about the recurrence ‘and you are discussing some precautions. His/her general health is good otherwise. * Find out about the patient's diet, fluids, end exercise, * Congratulate the patient on his/her healthy lifestyle. Highlight that good hyglene is also important and educate the patient on ‘double voiding’ (e.g., emptying biadder, waiting a moment then trying to empty again, et * Suggest treatment with antibiotics (e.g., prescription for trimethoprim 800 mg/day for three days, three month course of low dose nitrofurantoin, etc.). * Reassure the patient that with dedication and patience you expect to be able to resolve the current UTI issues. (© Cambrisge Boxtill Language Aasosement