9/9 - Patient History Flashcards
why is effective communication so important in the interview process
necessary to obtain clear picture of patient’s sx
what type of questions are preferred? why?
open ended
- allows pt to relay what is important to them
- get real responses
- can have good follow up questions
what is questionnaire a form for
medical hx screening
what is the most critical part of an exam
accurate and thorough pt history
what are 4 reasons why is an accurate and thorough pt hx so important
facilitates decision making process
assists in planning appropriate tests
differentiation b/w MSK and non-MSK conditions
develop effective treatment plan
why is a clear chronological hx of problem important
what’s worked
what hasn’t worked
what are ways to categorize an estimate of the manner of the presenting disorder
severity
irritability
stage
stability
how does the level of irritability impact PT
level of irritability and reactivity influences what we are able to do in physical exam
- pain levels and willingness to move
what helps you decide what tests and measures are most important
what do you need to do to r/i and r/o things
what is the importance of appropriate tests and measures for documenting purposes
to show that the interventions are helpful
- that there is measurable change (esp for some insurances)
what are 10 goals of pt hx
- pt profile
- msk vs non-msk or both
- precise description of sx
- aggravating and easing factors
- CI or precautions to exam/intervention?
- clear chronological hx of problem
- develop dx hypotheses of sx
- estimate manner of presenting disorder
- assess baseline functional level to determine progress
- determine appropriate tests and measures to perform
what conditions are more common in older pts
tendinopathies
what conditions are more common in younger pts
instability
what conditions are more common in females
ACL injuries
what are components to a patient profile
age, sex, race
height and weight
primary language
barriers to learning &learning preferences
