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An Aboriginal Patient Refuses Discharge Home

MMIHard
Role Play & Communication · 8 minSelf-marked
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8:00/ 8 min suggested
1

Answer the question

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
1

How would you avoid framing this patient in deficit terms such as 'non-compliant'?

2

What practical supports and referrals could make discharge genuinely safe for this patient?

3

How would you reconcile the patient's return to country with the clinical follow-up they need?

Your answer

Speak it out loud and we'll type it for you (free), or type your own notes — then mark yourself below.

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.
MMI medical schools (AU)→CASPer & Snapshot guide→Australian Indigenous HealthInfoNetAustralian Institute of Health and WelfareSee all 1000+ questions on Prometheus→
What strong answers do
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  • Lead with curiosity, not labelling. Ask open questions such as 'Tell me what makes home feel hard right now' and listen for grief, isolation, housing or family violence concerns, fear of community judgment or unprocessed loss.
  • Offer practical supports: Aboriginal Hospital Liaison Officer engagement, ACCHO referral with a warm handover, community transport, social work review, family conferences with kinship-recognised members, and explicit follow-up appointments rather than 'as needed'.
  • Treat return to country as a clinically meaningful goal backed by emerging evidence from Aboriginal-led caring-for-country programs, and record what the patient needs rather than what they refuse so a 'non-compliant' label never follows them.
2

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

3

Reflect & score

What would you change next time?
Your overall score / 10
Total: 0/12
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