Case Histories / Non Verbal Communication Flashcards
Follow Up
Ask about changes in symptoms and use of treatment
Problem Focused
Ex: Acuity check for driver’s license.
SOAP for Follow up and Problem focused histories.
S - subjective, the chief complaint (cc) SYMPTOMS
O - Objective, all exam observations and findings SIGNS
A - Assessment, diagnosis
P - Plan, treatment and patient instructions
Symptoms: shadows
diagnosis: if shadow occurs around letters, most likely astigmatism or cataracts
Symptoms: photopsia
“flashes of light” that may be brief (1-3 seconds)
Retinal etiology: longer (1-30 minutes)
Migraine, transient Ischemic Attack
Symptoms: floaters
‘spots, bugs, or spiders’ in front of my eye
Headaches: Asthenopia
- only 20% of headaches are eye related
- bilateral, achy, dull (non-throbbing), worse at the end of the day
- may be improved by nap, taking a break.
Headaches: Sinus
- history of allergies/sinuisitis
- behind eyes or right through eyes
- gravity increases frontal pain
- cough, postnasal drip, sore throat
FODLARS???
Frequency Onset Duration Location Associated factors Relief (modifying factors) Severity (degree)
Neocortex Verbal, mind
Develops and receives input from emotional infrastructure (cannot bypass it) which feeds forward output to the neocortex to modulate emotional responses.
Limbic Non verbal, Heart/Emotional!
It’s an input to neocortex, but can bypass when split-second unmodulated emotional reactions occur and then remembered in long term memory.
Brainstem non verbal, Body
- Coordinates reflexes and life support functions
- RAS “toggle switch” for switching between limbic arousal to limbic-cerebral projections
We can “feel” (limbic) without “thinking”….
But we cannot “think” (neocortex) without “feeling.”
Physical Awareness – Humanism
- Brainstem, CNs, cerebellum
- Non verbal communication
Cognitive Response - Science
Right/Left cerebral hemispheres “folded back” horizontally around limbic system and brainstem.
- Verbal communication
