18/12/2021

Question 1

Summarise the patient’s symptoms (intro line)…

Answer 1

I see. Let me check I’ve understood you.
You said (REPEAT BACK the SYMPTOMS)
Is that right?

Question 2

Confirm the symptoms indicate X-disease

Answer 2

The symptoms you’ve described (indicate) asthma

Question 3

Sorry!

To build relationship for gathering information

Answer 3

I’m sorry to hear that. Are you comfortable with my asking a few questions?

Question 4

Understand

To build relationship for gathering information

Answer 4

Your answers will help me understand your symptoms and get the right diagnosis

Question 5

Doctor gathers information about patient’s current knowledge. Ask what patient already knows..

Answer 5

Could you tell me what you know about asthma?

Question 6

Built trust/ thank patient for sharing concerns..

Answer 6

Thank you for sharing your concerns. Why do you think it is asthma?

Question 7

May!!
!Lead into gathering info on family history..
Palatines and sensitivity

Answer 7

May I ask about your family history?

May I ask a personal question? (WAIT FOR THE YES)

Question 8

Understand!

Ask permission to ask personal question

Answer 8

It will help to understand your symptoms and get the right diagnosis.

Question 9

Lead into gathering info on family history..

Answer 9

Is there anyone in your family with asthma?

Do you have a family history of asthma?

Question 10

May! How !
Lead into gathering info on patient’s symptoms ..
Palatines and sensitivity

Answer 10

May I ask a personal question?(WAIT FOR THE YES)
How is that when you pass your urine?
Do you have any problems when you pass your urine?
Do you have any problem pass your stool?

Question 11

Let me ..
Doctor signposts that an explanation is coming.
Doctor says what they will explain

Answer 11

Let me explain a little more about asthma.

I’d like to tell you the causes and the treatment.

Question 12

Explanation .. about possible causes of asthma

Answer 12

First, the causes. Asthma can be trigged by something in the environment, such as dust or animal hair. It can also be inherited.

Question 13

Explanation .. about causes of asthma’s symptoms

Answer 13

People with asthma are prone to inflammation and swelling of their airways.

Question 14

Refer back to symptoms mentioned earlier

Answer 14

This swelling leads to the shortness of breath , which you described earlier.

Question 15

Invite feedback (no cue from patient)

Answer 15

Does that make sense?

Question 16

Explain the treatment

Say names /say why good

Answer 16

Second, ( let me explain )the treatment, and here we have a good news. There are effective and safe treatments, inhalers. They are called Ventolin and Albuterol.

Question 17

Doctors states management option

Answer 17

I recommend we start you on…Albuterol/ you have a physio session/ we monitor your progress for 2 weeks…