consolidation and revision Flashcards

1
Q

what should be included in the intro

A
Greet formally and check patient’s name
Give your name, state your role
State the purpose of the interview
Checks that patient is happy to proceed (consent)
check DOB - pt safety
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2
Q

stating purpose

A

As part of my learning the consultant has asked me to talk to you to practice my communication skulls, trhis will just take about 10 minutes would that be ok

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3
Q

when do you do intro

A

before sit down – otherwise you are assuming consent and not giving them an opportunity to say no

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4
Q

what is the first part of the consultation

A

When someone says pain- 1st thing to say – could you describe the pain for me/could you tell me more about that – find out more about the pain before limiting the conversation ie by asking about duration etc
give the pt the opportunity to speak - start with open questions

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5
Q

what is TED and when do you use it

A

Tell Explain Describe

when you think you need more elaboration from a patient

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6
Q

do you have to cover everything with everyone

A

no - listen and decide what is relevant

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7
Q

do you do systems review for the exam

A

no

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8
Q

how do you do ICE

A

don’t just need to state it - need to establish what the issues actually are - therefore use open questions
pick up NVC - you look worried - what are you worried about

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9
Q

if you want pt to flex arm for eg, how do you describe the technical term

A

do it on yourself

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10
Q

describe what you should do as part of your general manner in consultations

A

Pick up and respond to cues
Acknowledge and respond appropriately to verbal and nonverbal indications from the patient/relative about their thoughts/feelings/questions.

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11
Q

how do you show that you are listening

A

through body language, encouragement to patient/relative to tell their ‘story’ and appropriate responses.

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12
Q

how do you sue empathy

A

Show empathy for patient’s/relative’s feelings and/or situation both verbally and through body language.

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13
Q

should you use open or closed qns

A

need to decide which is best for the situation
open to establish information non-directively and allow pt to take control
used closed when need to take back control or cover essential points eg lifestyle/symptoms

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14
Q

value of transition statements

A

help the patient to follow changes in subject matter/purpose of interview by clearly indicating new topic. E.g. “Now I need to ask you about…”

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15
Q

how do you offer support

A

Make supportive statements about the patient’s/relative’s feelings/situation and ofer practical support such as details of counselling services, appropriate literature.

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16
Q

how do you use language that the pt understands

A

Explain medical jargon and use language appropriate to the patient’s/relative’s level of understanding, perhaps adopting terms they have used themselves.
Pick up on cues that patient/relative has not understood and ofers further explanation.
Use drawings as an aid where explaining.