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Consent: central line with a family decision-maker
Explain central line benefits, risks and alternatives, explore family concerns and patient values, check understanding, and clarify a voluntary next step.
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Consult: critical care for worsening breathing
Communicate worsening breathing and oxygen needs, request immediate critical care assessment, and confirm bedside support, responsibilities and escalation.
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Focused history: persistent itchy rash
Ask about the rash’s appearance, pattern, triggers, and treatments, explore its impact, and identify changes that need prompt assessment.
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Goals of care: feeding decisions in advanced dementia
Explore the patient’s prior values, explain feeding options and their limits, respond to family distress, and support a supervised decision.
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Oral presentation: chest pain on morning rounds
Summarize the admission and current findings, explain your reasoning, and propose a prioritized care plan in a concise presentation.
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Serious news: first update after stroke deterioration
Check privacy, understanding, and readiness, explain the serious update in plain language, respond to emotion, and agree on a supported next step.
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