Collateral History Flashcards
1
Q
Why is collateral history important?
A
- Hollistic
- Diagnosing dementia/delirium
- Family satisfaction
- Speed of interventions
- Speed and efficacy of discharge
2
Q
Common mistakes collateral history
A
- Only asking open questions/too open questions (eg is there anything more you want to tell me), instead ask is there any other symptoms
- Not exploring geriatric syndromes when they appear
- Not exploring enough to generate a differential
- Not forming a plan with the patient/relative
3
Q
Geriatric syndromes
A
- Falls
- Delirium
- Incontinence
- Pressure ulcers
- Functional decline/reduced mobility
4
Q
How to take collateral history (non-exam)
A
- Don’t always need PMH and DH - have it on records usually and run through them and check if anything missed
- SH - run through the day - out of bed? shower? meals? drive?, layout of house, mobilise with?
- Cognition - reaching questions - do they struggle finding words, get disorientated? do own finances?
- Respect form - we can ask do you already have one and are you happy with it?
5
Q
Confusion questions?
A
- Onset
- Fluctuating?
- Other symptoms to suggest acute illness
- Changes to medications
- Mood changes/hallucinations
6
Q
Falls questions
A
- Red flags - vomitting, seizures, signs stroke, trauma head
- Witness to fall
- LOC
- How many falls within last year? How often?
- Usual mobility
- Before, during and after falls
- Eyesight problems, forgetting sticks? cluttered house, problems lifting feet - ACCIDENTAL FALL
7
Q
Incontinence q’s
A
- Acute/chronic
- Type - urge/stress
- What are they using so far
- Urinary/faecal or both
- Stools consistency
- Blood in urine/stools
8
Q
Mobility q’s
A
- Pain in legs/breathlessness
- Recent falls
- Acute or gradual?
- Gait changes/tremor - parkinsons
9
Q
Questions for geriatric giants
A
10
Q
A
