New symptoms during systemic anticancer therapy
Complete a structured symptom assessment, surface the person's goals, and escalate per local policy without naming an adverse event or suggesting any medication.
Synthetic / educational simulationOncology
Person-centred context
Synthetic patient profile
Profile
Synthetic adult, 54 years (simulated), cycle 3 of a simulated therapy regimen
Setting
Ambulatory oncology day unit, simulated environment
Timeline
Attendance window 09:15 → 11:00 (simulated)
Narrative
The person mentions new symptoms in passing while the chair is being prepared, describing them as 'probably nothing'. They minimise repeatedly during the conversation.
Goals & preferences
Simulated preference: wants to attend a family event in four days and is worried about being admitted.
Case objective
What this case practises
- · Symptom assessment
- · Supportive-care communication
- · Patient goals
- · Escalation per local policy
Context
History & social context
History
- · Simulated malignancy on active therapy
- · Previous cycle tolerated with mild fatigue (simulated)
Social context
- · Works part-time
- · Travels 40 minutes to the unit by bus
Stated preferences
- · Wants plain explanation of what would change the plan
- · Prefers to be involved in every decision