Consultation structure workshop

Question 1

What are the four main ways to structure a consultation?

Answer 1

• Introduction
• Information gathering
• Analysis
• Close

Question 2

What does the introduction entail?

Answer 2

• Introduce myself (#hellomynameis)
• Confirm the patients identity
• Purpose of the consultation – WHY are you having it
• Structure of the consultation – HOW its going to run
• Invite patient to highlight any points this would like to be discussed
• Negotiate a shared agenda

Question 3

What does the information gathering entail?

Answer 3

• WWHAM (open questions)
• W - Who
• W – What are the symptoms
• Anything make them better or work
• Had them before? What helped?
• H – How long
• A – Action taken
• M – Medications
• Prescribed
• OTC
• Herbal / vitamins / alternative
• Allergies or intolerances – gluten, lactose
• Lifestyle – smoker, alcohol, occupation,
  pregnancy, vegan or vegetarian, social support
• Medication support: NOMAD, Carers, help with
  their medication (e.g. relatives)
• Health conditions
• Pregnancy, breastfeeding

Question 4

What does the analysis entail?

Answer 4

• Closed questions
• Causes of those symptoms?
• Differential diagnosis
• Any reg flag symptoms that require the patient
  to be referred to another HCP
• Has any of the medication the patient is taking
  contributed to their symptoms?
• Can I sell the OTC product?
• Drug-drug interactions
• Patient-drug interaction – any reason the
  patient cant have the medication
• Red flags
• What product is best for the patient
• What matters to the patient

Question 5

What does the close entail?

Answer 5

• Re-cap important points
• Safety netting – what to do if things go wrong /
  unable to follow plan / things don’t improve
• Opportunity for patient to ask questions
• Provide point of contact if any further questions
• Follow up plan