Table 1. Example role player scenario and script used in England.
| Summary | Sarah Jones has recently returned to (name and location) after spending a year teaching in Scotland. She has registered with the practice and made an initial appointment to see her GP requesting a mammogram. | |
|---|---|---|
| Personal Details | Age: | 49 |
| DOB: | 4/2/1969 | |
| Height: | 5ft 5ins | |
| Weight: | 9.4 stone | |
| Family History | Daughter: | Olivia (DOB 3/4/97), lives locally. No history of cancer |
| Mother: | Ann (DOB 2/2/1936). Died 2 years ago, aged 80. Initially diagnosed with breast cancer at 70. Underwent treatment and went into remission. Breast cancer returned aged 80 and she died within a couple of months. | |
| Father: | William aged 82 –No history of cancer | |
| Sister: | Jessica aged 55. She was diagnosed with breast cancer when she was 49. Now in remission. | |
| Maternal Aunt: | Helen aged 78 –no history of cancer | |
| Two paternal Uncles | Aged 78 and 76 –no history of cancer | |
| Medical History | Children | 1 Pregnancy—Gave birth to Olivia when she was 28. Breast fed for 8 months |
| Oral contraceptives | Took the oral contraception pill aged 23–25 and 28–30 (6 years total) | |
| First period age | 12 | |
| Last period age | 41 | |
| Current medication | Hormone Replacement Therapy (Climmese)—has been taking for a year) | |
| Alcohol usage | 1 glass of wine every couple of days | |
| Ideas | She thinks that she is at high risk of getting breast cancer | |
| Concerns | As both her mother and sister have a history of breast cancer, Sarah is worried that she is also at risk. Her sister was diagnosed with cancer when she was 49 and Sarah had her 49th birthday in February. Therefore, it is particularly playing on her mind that she could be at risk of getting cancer too. | |
| Expectations | To be given a mammogram. | |
| Opening Line | ‘I’d like to have a mammogram please.’ | |
| Closing Line | ‘Thank you for seeing me’ or ‘Thank you for referring me’ (depending on the outcome of the discussion) ‘What happens next?’ | |
| Other comments to include | If you see ovarian cancer on the screen–ask about it. ‘Why does it say ovarian cancer on the screen?’ If shown the graph, point to the upper line and say ‘That looks much higher/bigger than expected’ |
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