Communication Flashcards
How do you initiate a session?
Establish an initial rapport (name and role).
Identify the reasons for the consultation.
How do you gather information at a session?
Explore the patient’s problems to discover both the patient and biomedical perspective.
Involves physical / social / spiritual / psychological issues.
How can you explain and plan at a session?
Provide the correct type and amount of information.
Accurately recall and understand information.
Have shared decision-making.
How do you close a session?
Summarise key concerns and issues.
Ask for any further questions.
How do you introduce yourself at a consultation?
Identify yourself and the patient clearly.
Explain the reason for the consultation.
Gain consent to proceed.
How do you take a presenting complaint?
The cause for presentation.
The duration of symptoms.
How do you take a history of presenting complaint?
Site.
Onset.
Character.
Radiation.
Associated symptoms.
Timing (duration, course, pattern).
Exacerbating / relieving factors.
Severity.
Functional consequences.
How do you take a previous medical history?
Notable illnesses / surgeries / long term conditions / adverse events.
JAMTHREADS.
What does JAMTHREADS stand for?
Jaundice.
Anaemia.
Myocardial infarction.
Tuberculosis.
Hypertension.
Rheumatic fever.
Epilepsy.
Asthma.
Diabetes.
Stroke.
How do you ask about drugs?
Name, dose, frequency, route.
Prescriptions / OTC / complementary / alternative / recreational.
How do you ask about allergies?
Allergens.
Effect.
Sensitivities.
How do you ask about immunisation history?
Immunisations - name and date.
Side effects.
How so you ask about family history?
Parents, siblings and children.
Age and current health.
Age and cause of death.
Details of notable illnesses.
How do you ask about social history?
Lifestyle - household members.
Driving / diet / smoking / alcohol / drugs.
Occupation - relation to injury.
Social - daily activities / hobbies / pets.
How do you check for the patient’s perspective?
Ideas - what the patient thinks is wrong.
Concerns - effects on daily life.
Expectations - planning for the future.
