Case Details

Patient Information: A lactating patient is in urgent care because of left breast pain that rapidly worsened in the last few hours. She is five months postpartum.

Setting: Urgent care

Standardized patient experience sudden onset breast pain in telesimulation
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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
2. Obtain a focused medical history of a neonate
3. Perform a breast assessment
4. Provide education to the patient about normal infant sleep patterns between 0 and 6 months of age
5. Provide education to the patient about complementary or supplementary foods and their association with infant sleep
6. Counsel the patient regarding when to “pump and dump” following medication, recreational drug, tobacco and alcohol use
7. Teach conservative management strategies for the resolution of plugged ducts
8. Teach conservative management strategies for the resolution of inflammatory mastitis
9. Describe clinical signs associated with worsening or unresolving mastitis that would require antibiotic therapy or evaluation for abscess

Learner 1

  1. Obtain a focused history relevant to the presenting concerns (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
  2. Obtain a focused medical history of a neonate
  3. Perform a breast assessment

Learner 2

  1. Provide education to the patient about normal infant sleep patterns between 0 and 6 months of age
  2. Provide education to the patient about complementary or supplementary foods and their association with infant sleep
  3. Counsel the patient regarding when to “pump and dump” following medication, recreational drug, tobacco and alcohol use

Learner 3

  1. Teach conservative management strategies for the resolution of plugged ducts 
  2. Teach conservative management strategies for the resolution of inflammatory mastitis
  3. Describe clinical signs associated with worsening or unresolving mastitis that would require antibiotic therapy or evaluation for abscess
  1. Obtain a comprehensive history of the lactating patient and her infant
  2. Perform a breast assessment
  3. Describe normal sleep patterns for infants between 0 and 6 months of age
  4. Describe conservative management strategies for inflammatory mastitis
  5. List clinical signs associated with infectious mastitis
  6. Describe when it is necessary to avoid breastfeeding or to “pump and dump” following medication, recreational drug, tobacco, and alcohol use
  7. Propose a management and follow up plan

Example Question:

Follow-up.

Describe the follow-up plan you provided to the patient during the telesimulation. Include when you would like to see (or check in) with this dyad (Eg. in the next 24 h, in two weeks).

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