Case Details

Patient Information: A lactating patient is calling you for a telehealth visit. She is having nipple pain that is making it difficult to feed her infant son.

Setting: Telehealth consultation

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Individual Telesimulation Tasks

Team Telesimulation Tasks

Learner 1

1. Obtain a focused history relevant to the presenting concern (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
2. Obtain a focused medical history of an infant whose mother has nipple pain
3. Communicate the potential negative health consequences of breast milk oversupply to the lactating patient
4. Communicate a concise management strategy for breast milk oversupply
5. Screen the patient for clinical signs of maternal perinatal mood and anxiety disorder
6. Provide recommendations for a breastfeeding patient with a perinatal mood and anxiety disorder

Learner 1

  1. Obtain a focused history relevant to the presenting concern (eg. medical, surgical, family, social, pregnancy, peripartum, breastfeeding)
  2. Obtain a focused medical history of an infant whose mother has nipple pain

Learner 2

  1. Communicate the potential negative health consequences of breast milk oversupply to the lactating patient
  2. Communicate a concise management strategy for breast milk oversupply

Learner 3

  1. Screen the patient for clinical signs of maternal perinatal mood and anxiety disorder
  2. Provide recommendations for a breastfeeding patient with a perinatal mood and anxiety disorder
  1. Identify clinical signs of breast milk oversupply based on maternal and infant presentation
  2. Describe negative health consequences of breast milk oversupply
  3. Communicate a management strategy for breast milk oversupply
  4. Recognize the clinical signs of maternal perinatal mood and anxiety disorder
  5. Practice empathetic counseling skills with a breastfeeding patient who may have a perinatal mood and anxiety disorder

Question Example:

Elaboration. Provide the pertinent positives and/or negatives of the dyad’s history and physical assessment (as appropriate) that explain the patient’s concern.

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