Mark Scheme for Epilepsy Question
1. Introduction and Initial Approach - Demonstrate professionalism and empathy: Use open body language and a calm, non-judgmental tone. Acknowledge the patient’s concerns: “I understand that this situation must be very stressful for you, and I’m here to support you.” - Build rapport and establish trust: Ensure the patient feels heard by actively listening to their concerns. Use reflective listening: “I can see how the thought of losing your job and the financial impact is deeply worrying.” 2. Assess the Situation - Clarify details about the seizures: Ask about the frequency, severity, and timing of recent seizures. Inquire about potential triggers, compliance with medication, and any recent changes in health or stress levels. - Understand the patient’s driving patterns: Explore when and where they are driving: “Can you help me understand how often you drive and for what purposes?” - Assess the patient’s insight: Gauge their understanding of the risks of driving after seizures. 3. Explain Legal and Ethical Obligations - Educate the patient about legal responsibilities: Clearly outline their obligation to inform the DVLA about their seizures: “By law, if someone has had a seizure, they must inform the DVLA because it can impact their ability to drive safely.” - Highlight the risks of non-compliance: Discuss potential consequences if they do not inform the DVLA, such as legal penalties, invalidation of insurance, or causing harm to themselves or others. - Explain the GP's duty of care: Emphasize the ethical obligation to protect public safety: “As your GP, it’s my responsibility to ensure both your safety and the safety of others on the road.” 4. Address Patient Concerns - Acknowledge financial and emotional worries: Validate their concerns about losing their job and financial instability. Offer a compassionate response: “I understand that losing your license can feel like losing your independence and livelihood, but let’s explore how we can support you through this.”