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Diagnosis Reveal

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Opening the consultation:

• [ ] Washes hands and dons PPE if appropriate
• [ ] Introduces themselves to the patient including name and role
• [ ] Confirms the patient’s name and date of birth
• [ ] Explores what has happened for the patient to need biphosphonates

Patient History:

• [ ] Asks about recent fracture event
• [ ] Asks about the history of steroid exposure
• [ ] Asks about any existing medical conditions or previous surgical issues
• [ ] Asks about the level of asthma control and the need for maintenance steroids
• [ ] Asks about any DEXA scan done
• [ ] Asks about menstrual periods
• [ ] Asks if patient is currently taking any prescribed medications or over-the-counter remedies
• [ ] Asks if the patient has any allergies
• [ ] Asks about family history of osteoporosis
• [ ] Asks about patient’s weight
• [ ] Takes a smoking history
• [ ] Takes an alcohol history
• [ ] Asks about the patient’s diet
• [ ] Asks about prolonged periods of inactivity

Ideas, concerns and expectations:

• [ ] Explores what the patient currently knows about what causes the fracture
• [ ] Asks if the patient has any concerns
• [ ] Explores what the patient is hoping to get out of the consultation

Bisphosphonates explanation:

• [ ] Explains why the patient needs to take biphosphonates
• [ ] Explains what biphosphonates are and how they work
• [ ] Explains how to take biphosphonates
• [ ] Explains the side effects of biphosphonates

Follow-up:

• [ ] Explains what the patient should do if they experience side effects

Patient questions:

• [ ] Explains that biphosphonates take 6 months to work and that it will be a long-term medication
• [ ] Correctly explains the procedure for taking a missed tablet
• [ ] Gives appropriate lifestyle advice for osteoporosis

Closing the consultation:

• [ ] Summarise key points
• [ ] Asks the patient if they have any questions or concerns that have not been addressed
• [ ] Provides leaflets or advice on where to find more information
• [ ] Thanks the patient for their time
• [ ] Disposes of PPE appropriately and wash their hands

Key communication skills:

• [ ] Active listening
• [ ] Summarising
• [ ] Signposting </aside>