2010JanShenzhenFM.ppt

In this second small role play- same people in same roles. Doctor looks professional and energetic. Pt has pillow under shirt- obese. Doc: Good Morning Mr. Place, how can we help you today? Pt: Well, another doctor told me I probably had a heart attack 6 months ago and I sure don’t want another one. Doc: That’s wonderful that you are motivated to get in better health! We will do a physical exam and some lab tests today, but first let’s talk about you daily life. 1st of all- My nurse has already noted that you do smoke, how many packs of cigarettes do you smoke a day? Pt: Usually one, sometimes 2 or 3 when I’m stressed Doc: Ok, I understand that quitting smoking is very difficult, have you ever tried before? Pt: No Doc: Can I tell you a three things about smoking? Pt: Sure Doc: 1st- smoking increases your chance of another heart attack by 300%!!! However, when you have quit smoking for a year, your chance of a heart attack drops by half. Does that sound like something you are interested in? Pt: Sure does Doc: 2nd- Also, did you know that smoking is a major cause of erectile dysfunction and can cause you to have trouble having sex over a number of years? It’s true. Smoking directly decreases a chemical Nitric oxide that helps initiate and maintain an erection. Pt: Whoa- I had no idea! Doc: 3rd- This is a simple reason, but it helps to put it in perspective. If you spend 10RMB/pk and smoke 2 packs/day in one year you would spend over 7000 RMB and over 20 years you would spend over 140,000 RMB. Would you like to keep that money in your pocket? Pt: Sure would Doc: What you do with that money? Pt: I could help a lot of family members, especially my parents. Doc: You sure could, and yourself too! Great- are you ready to quit smoking now? We can set a quit date together. Pt: Sure- Jan 15th is my 40th birthday- how does that sound? Doc: Perfect! Now here are some things you should know: 1. Tell your family and friends about your quit date so