Ch 4 Conduct and Content of the Patient Interview

Question 1

Symptom

Answer 1

Patient experiences or feels

Question 2

Sign

Answer 2

-Found by examiner
-Likely discovered during tests and measures
-Observed, touched, smelled, heard, or measured

Question 3

Red Flag

Answer 3

-Associated with serious medical conditions
-May require investigation or immediate referral to a medical professional

Question 4

Yellow Flag

Answer 4

-Signals “proceed with caution”
-Atypical for patient’s current condition but does not require immediate investigation or action

Question 5

Conducting the Interview

Answer 5

Review pertinent information
Patient observation
Hand hygiene
Greet the patient
Relevant information about:
The patient and the patient’s current condition
The patient’s history
The patient’s life and living environment
Verbal review of systems
Establish the patient’s goals
Interview summary

Question 6

Patient and the Current Condition

Answer 6

General demographics
Current condition or chief complaint
Description of current condition
Global description
Mechanism of injury or onset
Symptom location, description, intensity, behavior
Aggravating or easing factors
24-hour pattern
Associated symptoms
Current interventions
Medications
Laboratory or diagnostic tests

Question 7

Patient’s History

Answer 7

Past episodes of the current condition and past interventions
Past medical and surgical history
Family medical history

Question 8

Patient’s Life and Living Environment

Answer 8

Physical environment and available resources
Employment/school/play
Recreation and social activities
Current and previous activity and participation
General health status

Question 9

Finalizing the Interview

Answer 9

Verbal review of systems
Patient’s goals for physical therapy
Interview summary