History Taking and Interviewing Flashcards
What information should be gathered ?
general demographics
social history
occupation
functional status/activity level
medications
other testsand measures
past history of current condition
surgical /medical history
family health history
social habits
fears and beliefs about their condition
growth and development ( hand dominance)
OLBIA
Onset
Location
behaviour
influence
assosciated factors
Onset
traumatic vs nontraumatic
what happened ?
loaction of symtom?
first noticed?
Location of symptoms
joints and muscles that lie under this area
structurs that could refer pain to the painful area
behavior of symptoms
Dull or sharp? Numb? Burning?
description of symptoms
constant or intermittent
characteristics of pain will provide us clues with the NATURE of the symptoms
psychological component?
Constant symptoms
what makes them worse?
what relieves them?
do you mean nothing makes them worse
Intermittent symptoms?
When are they present?
how long do they last?
what eases them?
Influence of symptoms
aggravating / relieving factors
ease at which symptoms are brought on
functional limitations
Assosciation
other symptoms that are assosciated with the pain?
episodes of locking?
episodes of giving away?
bowel/bladder symptoms?
numbness/tingling?
Closing
summarize
ask patient if they would like to add more info
formally conclude the interview
traps of interview questions
providing false assurance
giving unwanted or inappropiate advice
talking over patients head
distancign the knee
used biased questions
tangents
the hidden agenda
diagnosis
prognosis
risk factors
contraindications
red flags
psychosocial factors
stages of healing
barriers