Consultation leads Flashcards
What is the most important part in a consultation?
8 points
- Asking questions to gather information
- Listening
- Working with patients/ 3rd party
What are the three steps to starting a consultation?
- Confirm the patient’s identity
2.Introduce yourself and role - Information gathering
W (WWHAM) standing for?
who is the medicine for?
W (WWHAM) standing for?
What are the symptoms?
H (WWHAM) standing for?
How long have the symptoms been present?
A (WWHAM) standing for?
What action to take?
M (WWHAM) standning for?
What medications have you been taking? Allergies?
What are limitations to a consultation by using WWHAM?
- family history
- previous symptoms
- general appearance
- social factors
- lifestyle factors
What are some examples of a developing red flag?
- Long duration of symptoms
- Recurring or worsening problem
- Severe symptoms (depends on the condition)
- Shortness of breath, tightness of chest, wheezing
- Blood / bleeding
- Suspected link with medication (ADRs)
- Recently returned from travels
- Failed medication
What does ICE stand for?
Ideas, Concerns and Expectations
What does ENCORE stand for?
Explore
No medicine? (no pharm approach to suggest)
Care
Observe
Refer
Explain
What does AS METHOD stand for?
Age/ appearance
Self or someone else
Medication
Extra medicines
Time persisting
History
Other symptoms
Danger symptoms
What type of patient is SIT DOWN SIR useful for?
a patient dealing with pain symptoms
Which term is to be highlighted in SIT DOWN SIR?
N - annoyed by
is there anything that makes it better or worse e.g light exposure
