Bedside: An Aboriginal Patient Refuses Discharge Home

MMIHard

Role Play & Communication · 8 minSelf-marked

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Answer timer

8:00/ 8 min suggested

Answer the question

Bedside: An Aboriginal Patient Refuses Discharge Home

Role play: Pre-discharge from a regional hospital, an Aboriginal patient says 'I can't go home, no one's there, and I haven't been on country for too long.' The team has labelled this 'social admission.' How do you respond?

Likely follow-ups

How would you avoid framing this in deficit terms ('non-compliant')?

What practical supports might help?

How does community return interact with clinical follow-up?

Your answer

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Resources & frameworks

SPIKES for breaking bad news: Setting, Perception, Invitation, Knowledge, Empathy, Strategy.
Listen → empathise → check understanding → agree a plan together. Calm voice, no jargon.

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What strong answers do

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Mark yourself

Score each skill against the rubric, then add a line of evidence. Scale:

0Not shown1Limited2Good3Excellent

Quick mark:Completion: 0%

Communication

0/3

Curiosity-led conversation

Ethical Awareness

0/3

Reframes deficit labelling

Healthcare Knowledge

0/3

ACCHO liaison and country pathways

Insight

0/3

Evidence on country and wellbeing

Reflect & score

What would you change next time?

Your overall score / 10

Total: 0/12(Core 0/6 • Extra 0/6 • Score 0/10)

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