History taking - part one Flashcards
advantages and disadvantages of telephone consultation?
reduced disruption of patients life
increased flexibility for patient
improved accès to housebound
difficulty building patient doctor relationship
potential to miss social cues , less likely to volunteer sensitive information , challenging communication
limits examination
what should you ensure in telephone consultation ?
introduce yourself
confirm patients identity - name and birth
is the patient free to talk
if they can hear you
maintain confidentiality - check who else is present on the call , and this also ensures patient can talk openly and honestly
===== symptoms timeline impact on wellbeing and social activity red flage ICE
ALWAYS DO SAFETY NETTING
- expected path and timeline to recovery
red flag symptoms that would prompt review
timeframe for review
who to contact
