It's about a group of ten unlikely runners living with or affected by different mental health issues who come together to train for the ultimate test of mind over matter. They'll compete in one of the world's most famous endurance races - the 2017 London Marathon. 

Mental and physical health is closely linked, and taking up sport or exercise can benefit our psychological wellbeing, but this is no easy ride.

I found the documentary really inspirational and well worth watching.

 Adele

The question states 'explain your evaluation of the patient’s perceived perception of their holistic health & wellbeing'. This is a summary of the patient’s strengths/needs….. However, if this patient is new to the ward then they would need to be orientated to it to reduce anxiety/feel at ease and so they know e.g. where the toilet is/call button. These things all impact on a person’s health and wellbeing so I would start it with a very quick ‘I conducted an introduction consisting of my name and role, checked the patients name and orientated to the ward – this is important for someone’s health and wellbeing because it reduces anxiety.(if a community scenario you might say that you introduced self, checked correct patient and observed the home environment because that gives you an indication of health & wellbeing). I then asked about physical aspects of health & wellbeing and for this patient the 2 main areas were……..these issues are important for a TNA to know about because……..I then asked about psychological aspects of health and wellbeing and this patient was particularly worried about….. it is important for me as a TNA to consider psychological aspects such as this because…..etc etc 

In terms of the second part of the question given the patients’ needs as a TNA I would………

 

2:  ‘Do we have to wash their hands before the OSCE starts, when it first starts or not at all?’ 
No you do not need to wash your hands unless you are touching the patient (which we do not want you to do) we will assume you have followed correct infection control procedures.

 

3:  ‘Will there be a clock and will we get a warning near the end?  For example ‘you have got 2 minutes?’ 
You will need your own clock for the OSCE but you will be given a 5 minute warning. There will be a clock available for the viva.

 

4: Where do we go on OSCE day? 
There is a waiting room MS223 which you need to come to 15 minutes before your OSCE. You will need to bring all paperwork with you that you need. You can use any crib sheet for the OSCE, you cannot use any papers for the Viva.

 

5: Does the viva take place straight after the OSCE? 
Yes and you will need to manage the 10 minutes – you have 3 questions so make sure you give yourself chance to answer all 3. 

 

6: The third question of the viva asks specifically about learning from ‘undertaking this assessment’ but Janine said to think about learning over the last three months -what do we do? 
The last 3 months have all been focused on enhancing your clinical and professional skills to develop your clinical practice and the assessment for this is the OSCE. This means that you can draw on any learning point from the last 3 months that has enhanced your professional, interpersonal or holistic approach to health & wellbeing even if not directly applicable to the OSCE itself (as it has helped you prepare for it incase it came up and it has enhanced your clinical practice). For example you may talk about cultural competence and the importance for a TNA to demonstrate knowledge and skills in this area you might say it wasn’t directly related to this patient encounter but last week when you were working with a lady on the ward and it was important because….

Please feel free to post any other questions below and I will endeavor to answer... BW Janine