Componemts Of The Patient Interview

Question 1

Subjective examination

Answer 1

Patient’s account of their problem and history.

Question 2

Patient interview (7components)

Answer 2

Patient profile, establishing kind of disorder, location and description of symptoms on the body chart, behavior of symptoms, History of current condition, past history related to current condition, special/precautionary questions including medical screening

Question 3

Patient profile

Answer 3

Age gender race leisure activities occupational activities and family situation

Question 4

Kind of disorder Q

Answer 4

As far as you are concerned what do you feel is your main problem at this stage? Can’t do something-> why?

Question 5

Location description of symptoms (body chart)

Answer 5

Fill out body chart fully/accurately.
Clear areas (UE, neck/head, chest/upper back) (LE, abdomen, low back)
Quality
Constant (variable/invariable) v intermittent.
Depth
Relate/dissociate
Pins/needles/tingling

Question 6

Constant

Answer 6

Symptoms present for every waking moment

Question 7

Constant variable

Answer 7

Symptoms vary in intensity relative to certain positions or activities. Indicate musculoskeletal problems

Question 8

Constant invariable

Answer 8

Symptoms that do not vary with activities or positions and are worst at night maybe suggestive of non-musculoskeletal

Question 9

Intermittent symptoms

Answer 9

Consistently related to certain positions or activities. associated with musculoskeletal

Question 10

Behavior of symptoms

Answer 10

Changes in location or intensity of the patient’s symptoms during various activities, positions, or periods of rest over a 24 hour.

Question 11

Aggravating Q

Answer 11

What activities are positions bring on your symptoms/make your symptoms worse?

Question 12

Easing factors Q

Answer 12

Is there anything you can do to make your symptoms feel better?

Question 13

Three components of irritability

Answer 13

How long can you do this activity or be in this position before your symptoms increase? When your symptoms are aggravated by this activity a position how long can you continue before you need to stop? Once you stop the activity how long does it take for your symptoms to settle?

Question 14

Sleeping Qs

Answer 14

Trouble sleeping? Is it your symptoms that prevent you from getting to sleep? Or is that your symptoms that week you during the night? When you wake up night what do you do to go back to sleep? How long does it take you to get back to sleep? How frequent are you waking?

Question 15

24 hour pattern questions

Answer 15

How are your symptoms when you first wake in the morning? How are your symptoms as you progress through the day?
Sustained pastors, movement from sustained postures, affects of rest periods

Question 16

Severity

Answer 16

Clinicians assessment of the magnitude of the patient’s problem. Dictated by how symptoms influence functional activities.

Question 17

History of current condition questions

Answer 17

When did this problem start? How did this problem start? Were there any changes?What did you do when this problem started? How are your symptoms now compared to when they first started? Have you had any treatment for this problem? How did you respond to treatment?

Question 18

Nature

Answer 18

Clinicians assessment of the structure our pathology responsible for producing the impairment/symptoms for which the patient seeks physical therapy intervention. Contributing factors, psychosocial issues

Question 19

Stage

Answer 19

Progression of symptoms for the current episode and progression of disorder and repeated episodes

Question 20

Stability

Answer 20

Consistency of distribution of symptoms, movement or rest and capabilities, how predictable and consistent responses are to movements in their positions.