OSCE 23 KNEE PAIN

Question 1

Name

Answer 1

Chris White

Question 2

DOB & Age

Answer 2

02/03/1968 - Age 55

Question 3

Address

Answer 3

16 Market St, Newtown

Question 4

Opening Statement

Answer 4

I’d like to hear about my knee X-rays and decide what’s next…

Question 5

Is it ok to talk now?

Answer 5

I am driving at the moment but I’m using a hands-free phone. I can pull over now if you like?

Question 6

Greatest fear about knees? (3)

Answer 6

• That things will progress to the point I am unable to walk.
• I have to be able to be able to look after myself
• And the grandchildren twice a week after school.

Question 7

Do you feel your knees locking or giving way?

Answer 7

No

Question 8

Are your knees stiff in the morning?

Answer 8

Yes, getting out of bed I’m stiff but within ten minutes or so things seem to have loosened up.

Question 9

What are you currently doing to help your situation? (5)

Answer 9

• Keeping off my feet as much as possible.
• MAIN POINT - slightly limited by pain but mainly by fear of causing more damage
• Stopped gardening
• Stopped going for walks
• Limited play time with grandkids

Question 10

Are you taking any painkillers? (3)

Answer 10

• Paracetamol
• Ibugel NSAID gels
• Occasional ibuprofen

Question 11

When did the pain start?

Answer 11

About 12 months ago

Question 12

How bad is the pain at present? (3)

Answer 12

• Not so bad, varies day to day
• Worse in cold damp weather
• Always stiff and sore on initial movement

Question 13

Pain at night?

Answer 13

No

Question 14

Effect of over the counter painkillers?

Answer 14

Makes pain liveable. I don’t want to take anything stronger.

Question 15

After three minutes:

Answer 15

Could you tell me what the X-ray showed?

Question 16

How would you feel about doing more exercise? (5)

Answer 16

• Isn’t more wear and tear just going to add to the problem?
• Stuck in this belief but will come round with reassurance.
• Miss physical exercise - especially gardening.
• Used to walk a lot, but not much since divorce.
• When walking pain is bad on initial movement but then tends to ease.

Question 17

Favourite type of exercise? (3)

Answer 17

• Cross country running in youth
• Walking group?
• Walking football - a friend does this. Like the idea of being social.

Question 18

Any other medical problems?

Answer 18

Otherwise well, don’t take any medication for anything else.

Question 19

Pets? (3)

Answer 19

• No.
• Had a dog back in the day.
• Would be popular with the grand kids if I got another one!

Question 20

When was X-ray done?

Answer 20

Two weeks ago

Question 21

History (3)

Answer 21

• Runner in youth
• Used to enjoy country walks most weekends
• Since last year have had pain in my knees all the time

Question 22

When is knee painful? (3)

Answer 22

• When I get out of bed in the morning knees stiff and painful
• Also when getting up from sofa
• Wears off quickly

Question 23

Worries about X-ray results
? (3)

Answer 23

• Worried that knee is seriously deformed
• They look very knobbly
• Might need new knees