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Paramedic science - Communication > History taking > Flashcards

History taking Flashcards

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1
Q

What does the S in SOCRATES stand for?

A

Sight - where is the pain?

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2
Q

What does the O in SOCRATES stand for?

A

Onset - What were they doing when the pain started

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3
Q

What does the C in SOCRATES stand for?

A

Character - What does the pain feel like?

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4
Q

What does the R in SOCRATES stand for?

A

Radiates - Does the pain go anywhere else?

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5
Q

What does the A in SOCRATES stand for?

A

Associated symptoms - nausea/vomiting?

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6
Q

What does the T in SOCRATES stand for?

A

Time and treatment - how long have they had the pain? What medication do they take?

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7
Q

What does the E in SOCRATES stand for?

A

Exacerbating/relieving factors - What makes the pain better/worse?

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8
Q

What does the S in SOCRATES stand for?

A

Severity - Use the pain score from 0-10?

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9
Q

What is DHx and what should be done/asked?

A

Drug history.
Prescription lists
Recent changes
Illicit drug use

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10
Q

What is the order of questions to ask to get a background of the patient?

A 
Presenting complaint
History of presenting complaint
Previous medical and surgical history
Drug history
Family history
Social history
System review
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11
Q

What is PC during assessments and what should be done?

A

Presenting complaint - The issue the patient currently has. Keep it short and simple

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12
Q

What is HPC during assessments and what should be done?

A

SOCRATES

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13
Q

What is PMHx during assessments and what should be done?

A

Previous medical and surgical history:
Chronological order
Specific surgery
Suggestions of common conditions

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14
Q

What is FHx and what should be done/asked?

A

Family history:
Any relatives die at a young age
family history in CLOSE members

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15
Q

What is SHx and what should be done/asked?

A

Social history:
Smoking and alcohol use
Ability to do daily activities
Stress

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16
Q

What is the final part of the clinical assessment?

A

Review of systems

17
Q

What 3 parts should the patient documentation include?

A 
Objective information (Measurable)
Subjective information (patients symptoms)
Details of the care given
18
Q

What is S in SAMPLE?

A

Signs and Symptoms

19
Q

What is A in SAMPLE?

A

Allergies – Medications (what type of reaction), food, environmental

20
Q

What is M in SAMPLE?

A

Medications

21
Q

What is P in SAMPLE?

A

Past Medical History

22
Q

What is L in SAMPLE?

A

Last oral intake – something eaten?

23
Q

What is E in SAMPLE?

A

Events leading to the incident

Paramedic science - Communication (6 decks)

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