Changing pain, mobility and respiratory observations after surgery
Build a complete assessment picture, hold at least two competing interpretations, and hand over transparently including what remains uncertain.
Synthetic / educational simulationPostoperative
Person-centred context
Synthetic patient profile
Profile
Synthetic adult, 46 years (simulated), day one after elective abdominal surgery
Setting
Surgical ward, first postoperative day, simulated environment
Timeline
Simulated late shift, 14:00 → 21:00
Narrative
The person is reluctant to take analgesia offered and has not mobilised beyond the chair. Respiratory rate is slightly higher on the most recent set.
Goals & preferences
Simulated preference: wants to mobilise and go home; anxious about pain during movement.
Case objective
What this case practises
- · Assessment completeness
- · Competing interpretations
- · Safety-netting
- · Transparent handoff
Context
History & social context
History
- · Elective abdominal surgery (simulated)
- · No prior surgery recorded
Social context
- · Two young children at home
- · Partner able to support for one week
Stated preferences
- · Wants to avoid 'strong painkillers'
- · Asks to be told before anything changes