Mafaza Case Scenarios 1

Scenario 1: First Visit
Doctor: Good morning, I’m Dr. Smith. How can I help you today?
Patient: Good morning, doctor. I've been having some persistent headaches for
the past two weeks.
Doctor: I see. Can you describe the headaches for me? When do they occur and
how severe are they?
Patient: They usually start in the morning and last most of the day. The pain is
quite severe, sometimes making it hard for me to focus on my work.
Doctor: That sounds quite uncomfortable. Do you experience any other

symptoms, such as nausea or sensitivity to light?
Patient: Yes, I often feel nauseous and sometimes the light really bothers me.
Doctor: Have you noticed any triggers that might be causing these headaches,
such as certain foods or stress?
Patient: I haven't been able to pinpoint any specific triggers, but my job has been
quite stressful lately.
Doctor: Stress can definitely contribute to headaches. Have you tried any
treatments or medications to relieve the pain?
Patient: I've taken some over-the-counter painkillers, but they don't seem to help
much.
Doctor: Thank you for sharing that with me. I’d like to perform a physical
examination and perhaps run some tests to understand better what might be
causing your headaches. Is that okay with you?
Patient: Yes, that sounds good. Thank you, doctor.
Doctor: Great. Let’s get started then.
Mafaza’s Key Insights:

The doctor effectively initiates the interaction by greeting the patient and
introducing himself, fulfilling criterion A1. He then demonstrates attentiveness
and a respectful attitude by asking open-ended questions about the patient’s
symptoms (A2). The doctor maintains a non-judgmental approach and shows
empathy by acknowledging the patient's discomfort and stress (A3, A4).
Scenario 2: Follow-Up Visit

Doctor: Good afternoon, Mr. Johnson. It’s nice to see you again. How have you
been since your last visit?
Patient: Good afternoon, doctor. I've been doing a bit better, but I still have some
issues with my blood pressure.
Doctor: I’m glad to hear there's been some improvement. Have you been taking
your medication as prescribed?
Patient: Yes, I have been taking it every day as you instructed.
Doctor: That's good to hear. Have you noticed any side effects or new symptoms
since starting the medication?
Patient: Not really, but sometimes I feel a bit dizzy.
Doctor: Dizziness can sometimes be a side effect of blood pressure medication.

Have you been monitoring your blood pressure at home?
Patient: Yes, I have. It's usually around 140/90, but sometimes it goes higher.
Doctor: That’s still a bit higher than we’d like. Have you made any changes to your
diet and exercise routine?
Patient: I’ve been trying to eat healthier and walk more, but it’s been challenging.
Doctor: It can be tough, but those changes are important. Let’s review your
medication dosage and consider if any adjustments are needed. We’ll also
discuss some strategies to help you manage your diet and exercise better.
Patient: That sounds good, doctor. I appreciate your help.
Doctor: Of course. Let’s take a look at your current plan and make the necessary
adjustments.

The doctor starts by greeting the patient and acknowledging their previous visit,
which effectively builds rapport and initiates the interaction appropriately (A1). He
demonstrates an attentive and respectful attitude by listening to the patient’s
updates and concerns (A2). The doctor’s non-judgmental approach and empathy
are evident as he acknowledges the patient’s challenges and offers support (A3,
A4).
Scenario 3: Talking to the Carer of the Patient

Doctor: Good afternoon. You must be Mrs. Thompson. I’m Dr. Evans. How can I
assist you regarding Mr. Thompson's health?
Carer: Good afternoon, doctor. Yes, I’m here to discuss my husband’s condition.
He’s been very forgetful lately, and it’s worrying me.
Doctor: I understand your concern. When did you first notice these changes in his
memory?
Carer: It started a few months ago. At first, it was small things, but now he forgets
important appointments and even names of close friends.
Doctor: That must be challenging for both of you. Has he had any other symptoms,
like changes in mood or behavior?
Carer: Yes, he seems more irritable and sometimes confused about where he is.
Doctor: Thank you for sharing that. It’s important we get a full picture. Has he
been taking any new medications or had any recent illnesses?
Carer: No new medications, and he hasn’t been sick recently.
Doctor: It’s good to know. I’d like to schedule a thorough examination for him,
including some cognitive tests, to understand better what might be causing these
symptoms. Does that sound okay?
Carer: Yes, that sounds necessary. What can I do in the meantime to help him?
Doctor: Keeping a consistent routine can help, as well as engaging him in simple
memory exercises. I’ll provide some resources that might be useful.
Carer: Thank you, doctor. I appreciate your guidance.
Doctor: You’re welcome. We’ll take this step by step and do our best to support
Mr. Thompson.

The doctor initiates the interaction by greeting the carer and confirming her
identity, showing attentiveness and respect (A1, A2). He demonstrates a non-
judgmental approach by focusing on understanding the patient’s condition
without making assumptions (A3). Empathy is shown by acknowledging the
challenges faced by both the patient and the carer (A4).
Scenario 4: Talking to the Patient After Examining

Them
Doctor: Hello again, Ms. Brown. I’ve reviewed the results of your tests and the
physical examination.
Patient: Hi, doctor. What did you find out?
Doctor: Your test results indicate that you have high cholesterol levels, which
might be contributing to your chest pains.
Patient: Oh, I see. What does that mean for me?
Doctor: High cholesterol can lead to blockages in your arteries, increasing the
risk of heart disease. It’s important to manage it through diet, exercise, and
possibly medication.
Patient: That sounds serious. What kind of changes do I need to make?
Doctor: We’ll start with your diet. Reducing saturated fats and increasing fruits,
vegetables, and whole grains can make a big difference. Regular physical activity
is also crucial.
Patient: I understand. What about medication?
Doctor: Depending on how well you respond to lifestyle changes, we might

consider medication to help lower your cholesterol levels. We’ll monitor your
progress closely.
Patient: Okay, I’m willing to do what it takes. How often should I come in for check-
ups?
Doctor: We’ll schedule a follow-up in three months to see how you’re doing with
the lifestyle changes. If needed, we can then discuss medication.
Patient: Thank you, doctor. I appreciate your help.
Doctor: You’re welcome, Ms. Brown. Together, we can manage this and improve
your health. Let’s take it one step at a time.
The doctor initiates the interaction by addressing the patient by name and
summarizing the results, demonstrating attentiveness and respect (A1, A2). He
maintains a non-judgmental approach by focusing on the test results and
necessary changes without making the patient feel at fault (A3). Empathy is shown
by acknowledging the seriousness of the condition and providing a clear,
supportive plan of action (A4).

Mafaza Case Scenarios 1

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Mafaza Case Scenarios 1

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Scenario 1: First Visit

Doctor: That sounds quite uncomfortable. Do you experience any other

Patient: Yes, that sounds good. Thank you, doctor.

Doctor: Great. Let’s get started then.

Mafaza’s Key Insights:

Scenario 2: Follow-Up Visit

Patient: Yes, I have been taking it every day as you instructed.

Patient: Not really, but sometimes I feel a bit dizzy.

Doctor: Dizziness can sometimes be a side effect of blood pressure medication.

Patient: That sounds good, doctor. I appreciate your help.

Mafaza’s Key Insights:

Scenario 3: Talking to the Carer of the Patient

Carer: No new medications, and he hasn’t been sick recently.

Carer: Thank you, doctor. I appreciate your guidance.

Mafaza’s Key Insights:

Scenario 4: Talking to the Patient After Examining

Patient: Hi, doctor. What did you find out?

Patient: Oh, I see. What does that mean for me?

Patient: That sounds serious. What kind of changes do I need to make?

Patient: I understand. What about medication?

Doctor: Depending on how well you respond to lifestyle changes, we might

Patient: Thank you, doctor. I appreciate your help.

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