Consultation Skills

Question 1

Why is good communication important

Answer 1

• Understanding information and using it appropriately
• Safe therapeutic decisions and accurate info
• Better patient outcomes

Question 2

What does poor communication cause

Answer 2

• Errors and misinterpreting information
• Inaccurate histories, therapeutic decisions etc
• Patient confusion and disinterest

Question 3

Types of communication skills

Answer 3

• Active listening
• Style of questioning
• Tone of voice
• Speed and clarity of speech
• No jargon

Question 4

Full history taking

Answer 4

• Into
• Presenting complaint
• History of presenting complaint
• Past medical history
• Family history
• Social history
• Drug history
• Systematic review
• Summerise

Question 5

Introduction

WIIPP

Answer 5

• Wash hands
• Introduce yourself
• Identify your speaking to correct patient
• Purpose of consultation - permission
• Position be in eye level with patient

Question 6

Presenting complaint

Answer 6

• Open ended question What can I help you with today?
• Let the patient speak building rapport

Question 7

History of Presenting Complaint

Answer 7

• Site
• Onset
• character
• Radiates
• Associated features
• Time course
• Exacebated
• Severity

Question 8

SOCRATES

Answer 8

• Where exactly is the pain
• Did it start suddenly?
• Can you describe the pain to me?
• Does the pain move anywhere?
• Apart from the pain, do you have any other symptoms?
• Has the pain got better, worse or stayed the same?
• Does anything make the pain better or worse?
• “On a scale of 1 to 10, how bad is the pain, with 10 being the worst pain
  imaginable?

Question 9

Past Medical

Answer 9

• Identify underlying medical conditions link to patient complaint
• Cross match drug history and patient history
• MJ THREADS Ca acronym

Question 10

MJ THREADS Ca

Answer 10

• MI
• Jaundice
• Tuberculosis - long last damage
• Hypertention
• Rheumatoid arthritis
• Epliepsy
• Asthma
• Diabetes
• Stroke
• Cancer

Question 11

Family History

Answer 11

• Genetic element such as 1 degree relative with CV
• Hay fever and asthma Atopic condition

Question 12

Social History

Answer 12

• Alcohol intake in units
• Tobacco use quanity number of packs a year
• Recreational drug use
• Employment history - asbestos
• Home dust - support at home mobitity
• Travel history - Diarrhoea recently been abroad
• Other - Pets exposure to farms

Question 13

Drug History

Answer 13

• Confirm name and dose of each drug which are prescribed by GP, Hospital, OTC and vitamins
• Compliance
• Does anyone help patient with medication
• Any allergy

Question 14

Systems Review

Answer 14

• Questions relae to areas of body
• Cardio - chest pains
• Respiratory - Cough, blood
• Gastro - Abdominal pain and diarrhoea, blood
• Genitourinary - dysuria, discharge
• Neurological - numbness, hallucination
• Psych - depression, anxiety
• General review - weight loss

Question 15

Summarise

Answer 15

• Repeat key info ensure they understand
• Anything else want to add