Assessment and Management of Individual Patient Flashcards
What influence patients’ perception?
o Culture o Past Experiences o Media o Influence from others o Educational Background o Health Beliefs o Religious Beliefs o Priorities
The following statements are true EXCEPT
a. Patient’s perception and reality are more or less the same.
b. No patients are alike
c. It would be more stressful for a seafarer than a professor to be diagnosed with a CVD
d. AOTA
e. NOTA
A
_______ _____________ is a type of care that
is closely congruent with and responsive to the
patient‟s wants, needs and preferences
Patient centeredness
“The essential unit of _______ ________ is the
occasion on which, in the intimacy of the consultation room or sick room, a ______ who is ___ or believes himself to be ill seeks the advice of a doctor who he ______. This is consultation and all else in the practice derives from it. “ (Sir James Spence, 1960)
“The essential unit of MEDICAL PRACTICE is the
occasion on which, in the intimacy of the consultation room or sick room, a PERSON who is ILL or believes himself to be ill seeks the advice of a doctor who he TRUSTS. This is consultation and all else in the practice derives from it. “ (Sir James Spence, 1960)
Triaxial diagnoses include
biological, psychological, social perspectives
T/F Many illnesses presented in community settings
cannot adequately be assigned to conventional
disease taxonomies.
T; statement by Morrell, 1972; Bain, Bassett &
Haines, 1973
Patient Centered medicine conceives of the patient as
an ____________ individual rather than the ______ of
some ________ entity
Patient Centered medicine conceives of the patient as
an experiencing individual rather than the object of
some disease entity
How should we treat a patient?
as you would treat a person
What behaviours should characterize consultations?
behaviours such as encouraging the patient to voice ideas, listening, reflecting and offering collaborations
Physicians‟ positive attitude (empathy, congruence
and unconditional positive regard) produces
therapeutic change
[Medical model/Patient-centered model] Passive role of patients (Patient is quiet)
Medical model
[Medical model/Patient-centered model] Active role of patients (Patient asks questions)
Patient-centered model
[Medical model/Patient-centered model] care is quality life centered
Patient-centered model
[Medical model/Patient-centered model] Physician dominates the conversation
Medical model
[Medical model/Patient-centered model] Patient is a partner in the treatment plan
Patient-centered model
[Medical model/Patient-centered model] Physician collaborates with the patient
Patient-centered model
[Medical model/Patient-centered model] Patient is a partner in the treatment plan
Patient-centered model
In which model will the patient more likely adhere to the treatment plan?
Patient-centered model
using the BIOLOGICAL/BIOMEDICAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?
- Signs and Symptoms
- Personal Risks
- Family History
- Diagnosis
- Diagnostics
- Pharma Treatment
using the PSYCHOLOGICAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?
- Misperceptions
- Personal Meaning
- Psychological Context Assessment
- Health Education (Psychoeducation intervention)
using the SOCIAL PERSPECTIVE of patient-centered assessment and intervention, what factors should be considered?
- Social Determinants
- Family and Community Assessment
- Family and Community Intervention
SOAP vs. SCOAP
Subjective, Objective, Assessment, Plan
Subjective, Context, Objective, Assessment, Plan
[Identify] shows family relationships and familial diseases
Genogram
What does SCREEM stand for?
Social, Cultural, Religious, Educational,
Economic and Medical
What does CEA stand for?
Catharsis, Education Action
What steps are employed in catharsis?
Check for KFC (Knowledge, Feelings, Complications that patients fear most)
What steps are employed in Management Education?
CONTEXT →ASSESSMENT→FOCUSED HEALTH
EDUCATION
What steps are employed in Action?
Develop treatment plan
Communicate treatment model
Patient-Doctor Negotiation
Ensure differences are resolved
Why is a safety net necessary in agreement check?
to detect mistakes as the plan is reviewed
Patient centeredness involves utilization of the _______________ approach to disease assessment
and management
Patient centeredness involves utilization of the
Biopsychosocial approach to disease assessment
and management
Patient centered assessment includes _______ _________- biomedical, psychological and social
perspectives
Patient centered assessment includes triaxial
diagnosis- biomedical, psychological and social
perspectives
The ___ method is a technique to use in patientcentered approach to care.
The CEA method is a technique to use in patientcentered approach to care.
How should you execute patient-centered assessment? Arrange
A. Exploring both disease and the illness experience
B. Enhancing the doctor-patient relationship
C. Finding common ground regarding management
D. Considers limitation
E. Incorporating preventive and health promotion
F. Understanding the whole person
A-F-C-E-B-D
