History and SOAP Note II Flashcards
preparation for patient interview
self reflection
chart review
goals for visit
patient position?
social distance 5-6 feet
eye level or little below patient
angled in front of patient
always do what when beginning interview?
setting an agenda and getting patient’s agreement
what are undesirable questions?
multiple/compound
leading (imply judgement)
**also don’t interrupt
types of questions?
open-ended
direct
forced choice
transitional statements
tells patient why line of questions is important
silent/quiet patient
afraid, traumatized, introverted, untrusting of doctors
use open-ended questions
silence can be useful
talkative patient
may be nervous, worried, lonely, perceives their not being heard
use open ended questions carefully
let them talk, and listen
use direct questions and transitional statements work well**
incapacitated patient
detailed physical exam is essential**
seek info from other people
language barrier
figure it out
angry, paranoid, dependent, demanding patient
perceived loss of control
avoid angry response
tearful/crying patient
allow time to cry and be empathetic
seductive patient
allow personal space and use chaperone**
set ground rules/limits
confusing patient
has everything you mention
use direct questioning
be open-minded
be patient
