general Flashcards
1
Q
steps for history taking
A
2
Q
what stands for SOCRATES during comm skills
A
S: site (where is the pain)
O: onset (how did the pain start/ what were you doing)
C: character (how does it feel like)
R: radiates
A: associated symptoms
T: time (when did it start )
E: exacerbating/ relieving symptoms
S: severity (pain score)
3
Q
what is the Buckman six step protocol
A
- get started
- finding how much the patient knows
- finding out how much patient wants to know
- sharing the information
- responding to patients feelings
- planning and following through
4
Q
things to think about when sharing the information during breaking bad news
A
- make sure to know what to say (ie, diagnosis, treatment plan)
- start from the patients point
- give information in small chunks with warning shots
- clarify with patients
- listen to patients concerns and anxiety
5
Q
three steps during break bad news during comm skills
A
- Ask about the patient
- Break the news
- Treatment and Support
6
Q
explain the “ask the patient” step during breaking bad news
A
- How have they been lately
- Medical history: conditions? medication?
- Social history: job? Living condition?
- ICE: ideas, concerns, expectations
7
Q
explain the “Break the news” step during breaking bad news
A
- “The news”
- See how much the patient knows about the condition
- Explain the condition
- Explain the stage and details of the condition (report)
- Respond to patient’s feelings
8
Q
explain the “Treatment and Support” step during breaking bad news
A
- See if the patients have any other questions
- Treatment
- Emotional, social support
