Communication Tips Flashcards
1
Q
SOCRATES (Pain)
A
- Site
- Onset
- Character
- Radiation
- Associated symptoms (DD and Red Flags)
- Timing
- Exacerbating and Relieving Factors
- Score (start with that and ask if ok to continue)
2
Q
(F)ODPARA (for the rest)
A
- Frequency
- Onset
- Duration
- Progression
- Aggravating Factors
- Relieving Factors
- Associates symptoms
3
Q
Social Hx (DESA)
A
- Diet / Drugs (recreational - ask when applicable)
- Exercising
- Smoking
- Alcohol
4
Q
5 P’s - Women
A
- Pregnancy
- Periods
- Pills (COCP)
- Pap Smear (last time and results)
- Practice (Sexual Hx)
5
Q
TRAC - Fluids
A
- Timing
- Relation
- Amount
- Colour/Consistency
6
Q
FLAWS - Infection and Cancer
A
- Fever
- Lethargy
- Appetite loss
- Weight loss
- (Night) Sweats
7
Q
FAST - Stroke
A
- Face (drooping, etc)
- Arms (cannot move, etc)
- Speech (slurred, cannot speak, etc)
- Time (to call the ambulance / time is brain)
8
Q
Chest Pain Questions
A
- Back Pain
- Cough
- Difficulty Breathing
- Fever
- Leg Pain (also rash in the leg)
- Long Flight
- Rash (in the chest)
- Sweating
Also:
- Radiation
- Timing
- Type of pain
- Worsening/Relieving factors
9
Q
CENTOR Criteria
A
- Fever
- Cough absent
- Tonsillar Exudates
- Anterior Cervical Lymph Nodes
1 point fot each - scores 3/4 - give Abx
10
Q
PAMGUD - DD’s and Red Flags for Paeds
A
- Pneumonia (cough, fast breathing)
- AOM (discharge from the ear or pain/tugging on the ear, decreasing hearing)
- Meningitis (neck stiffness, rash, shy to light, irritability, persistent crying)
- Gastroenteritis (problems with poo, vomiting)
- UTIs (problems with wee, irritable)
- Dehydration (tears, how many nappings used in the day, skin turgor, increased thirst, weak/lethargic)
11
Q
MAM F PBINDS - Hx Taking for Paeds
A
- Medical history (any medical condition)
- Allergies (any allergies)
- Medications (using any medications)
- Family History
- Pregnancy (how was that, any problems)
- Birth (problems at birth, delivery method)
- Immunisation history (up to date with the jabs, giving immunisations)
- Nutrition (currently on breast milk, feeding with what at the moment, eating well)
- Development milestones (ask if the child is ok with the red book)
- Support (who takes care of the child, if the person has support for that - covers social history)
12
Q
STAR Approach - Counselling (changing habits, etc)
A
- Set: make a deadline date for the plan
- Tell: tell family and friends you start in this journey
- Anticipate: I know it will be difficult/challenging. Acknowledge the challenge
- Remove: remove the substance and give the counselling programs/support
13
Q
ABCDE - DD’s for Low Mood, Loosing Weight (for Psych)
A
- Anaemia (lightheadedness, palpitations)
- Tb or Bone pain/MM (night sweats/fever, cough, back/loin pain, urine problems)
- Cancer or Chronic Fatigue Syndrome (weight loss, lumps and bumps, changes in the appetite)
- Depression (low mood and the 2 core questions - if they have enough energy to do things in the day and if they have sleeping problems or not)
- Endocrine - DM and Hypo/Hyperthyroidism (temperature)
13
Q
FAMISH - Psych (General)
A
- Family, friends, finances and forensics (do it after drugs to make more sense - sometimes when people are going through those difficult problems we can act a bit outside of our normal, so I would like to ask if by any chance, have you ever have any problems with the law?)
- Alcohol, smoking (very important to explore if they smoke, if they increased the amount to cope with the low mood) and recreational drugs
- Medical history, medications, hospitalisations, operations, allergies
- Insight, interest in life
- Stress, sleep, appetite
- Hallucinations and psychosis (more for schizophrenia, but it is a red flag)
14
Q
AND I C REST - GAD (General Anxiety Disorder)
A
- Anxious about lots of things, most of the time
- No control over the worry
- Duration > 6 minutes
- Irritability
- Concentration is low
- Restlessness
- Energy is low
- Sleep impairment
- Tension muscles
