Clinical Applications in Osteopathic Medicine

Question 1

Why is patient history so important?

Answer 1

Helps you determine what recommendations to make

Question 2

At an annual physical exam, how should recommendations be made?

Answer 2

via Shared Decision Makring

Question 3

What is Shared Decision Making?

Answer 3

a conversation that happens between a patient and the health care professional to reach a health care choice together

Question 4

What is the NURS mnemonic?

Answer 4

Naming

Understanding

Respecting

Supporting

*relays empathy to pt

Question 5

What can contribute to low health literacy?

Answer 5

lack of education

communication barriers

inappropriately written educational materials

medical jargon

Question 6

What is the best approach to assess understanding?

Answer 6

Teach-back

(avoid, “do you understand”, “do you have any questions”)

Question 7

Which diseases are at risk for functional asplenia?

Answer 7

chronic viral hepatitis, ETOH liver disease

ALL, CLL, lymphoma, SCD, thallasemia

Celiac dz, IBD,

HIV/AIDS

SLE, RA, Hashimoto’s

Question 8

When should diet be discussed with patients?

Answer 8

At all ages

Encourge healthy eating pattern

screen H/W and BMI

Question 9

How should pt’s be educated on Exercise?

Answer 9

Exercise for the sake of it

Mix aerobic and resistance

Avoid sedentary lifestyle

Question 10

What are some general diet recommendations for patients?

Answer 10

1. Follow a healthy diet
2. Customize and enjoy good and drinks
3. Focus on nutrient-dense food and drinks within calorie limits
4. Limit high added sugars, saturated fats and Na, and limit ETOH

Question 11

What is the Na recommendations in the DASH diet?

Answer 11

2300mg