Table 3 Consultation extracts
Patient A | Nurse OK. We’ll have a look at [PDA] together then and then we’ll go back onto the insulin things. |
Patient A Yeah, yeah. [Discussion covering main sections of the PDA, then:] | |
Nurse Great, yeah. Clearly understood what we’re talking about. | |
Patient A Yeah, yeah. | |
Nurse And these are the choices that you’ve got haven’t you? | |
Patient A Yeah, yeah, they are, yeah. | |
Nurse So having looked at those choices and taking on board that, you’ve come to a decision - | |
Patient A Well I think I’ll agree to listen to your concerns as well, you know, because I think you’ve more experience, you know, in sort of dealing with this thing than I have, you know, so if it’s necessary that I need to go on insulin I’m quite prepared to. | |
B | GP How are you getting on? |
Patient B I still don’t think I’m any closer to making a decision. I didn’t think I were near enough for that decision yet. | |
GP So I think we’ve maybe got a bit of scope to increase your medication […] I don’t think you’re absolutely ready to be referred as yet … | |
C | Nurse: How did you find that [PDA], useful? |
Patient: Yeah, a couple of times it’s been mentioned to me about going on insulin. | |
Nurse: Mmm, yes, I know. | |
Patient: And I’ve always feared it, you know, I’ve feared it | |
D | Nurse And obviously this [PDA] has given you something to think about. |
Patient D It doesn’t do a lot for me actually. No. I mean the difference between 22 and 29 - | |
Nurse But think about – yeah, but if you were one of those three it would be a big difference. | |
Patient D Yeah, but one of those three could be run over by a bus. I mean that’s what life’s all about. These are probabilities, you know. […] I’m not going to fight statistics. | |
E | Nurse This [PDA] how have you found it? … |
Patient E Ok. You know, I'm fairly positive with most things. [discussion follows with reference to diabetes treatments as structured in PDA] | |
Patient E So it's my diet that's got to be sorted a bit better. | |
F | Patient F: But I just do feel that one of the reasons the tablets are struggling is because all the things I’m not doing - the stuff we discussed earlier [in the PDA]. |
Nurse: That’s it it’s got to be a bit of everything hasn’t it. It’s got to be the correct medication. Diet. Exercise. | |
Patient F: I’m gonna go back onto the eating regime I was on in 2002 when I lost all the weight. | |
G | Patient G : But I'm finding tablets ok you know. |
Nurse: But ok in what way? Because so far they've not brought your sugar level down… | |
Patient G : They've not made me feel badly at all. | |
Nurse: And at the moment what do you think the best plan of action would be? […] | |
Patient G : Definitely diet yeah. | |
Nurse: Adapting that a little better, try and get your sugar levels down. | |
Nurse: [later…] Just going back to this [PDA], is it important for you to get your sugar down? | |
H | GP And really I think we’re going to, you know, need insulin to… |
Patient H Yeah, that’s fine. | |
GP … get it … | |
Patient H Yeah, let’s get on | |
GP …nicely under control. Err,… [later…] | |
GP I’m sure they have… | |
Patient H Yeah. Been through it. | |
GP …been through all that. What did you think of the [PDA], was it…? | |
Patient H Yeah, it was good, yeah. |