Holistic Care

Question 1

Hollistic Care

Answer 1

Hollistic care includes assessing the patient’s health status with physical
Psychological
Social
Spiritual. Behavioral data

Consider all these

Question 2

Medical history: collecting the information

Answer 2

• In addition to being useful for diagnosing and treating the patient to self history allows the patient to more participation in the process
• The floor maybe mail to the patients home before the appointment or maybe completed in the office during the visit
• If you are responsible for taking a portion of the medical history conduct the interview in a private area free from outside interference and beyond hearing range of other patient

Question 3

Collecting the medical information

Answer 3

The interview room should be physically comfortable in conductive to confidential communication
•Do not express surprise or displeasure at any of the patient statement
• Record the information in an organized manner exactly is given by the patient without opinion or interpretation
• include CC, vital signs weight, height, pain scale

Question 4

The medical history

Answer 4

Consists of:
Patients database 
past medical history (P.M.H)
family history (FH)
social history (SH)
review of systems (ROS)

Question 5

Understanding and communicating with patients

Answer 5

Positive reactions and interactions with patients are essential for a therapeutic relationship
• interpersonal nature of the patient-medical assistant relationship carries with it a certain amount of responsibility to detach one’s self interest and focus on the needs of patients

Question 6

Sensitivity to diversity

Answer 6

• EMPATHY is the key to creating therapeutic environment

* Required those interested in healthcare services to examine their own values believes and actions

Question 7

Therapeutic technique:

active listening

Answer 7

Listening must be an active process and therapeutic relationship
• restatement-paraphrasing patient statements and comments
• reflection-repeating the main idea of convo
• clarification-summarization of senders thoughts and feelings

Question 8

Therapeutic techniques: non-verbal communication

Answer 8

• approximately 90% of patient interactions occur through nonverbal language.
• successful patient interaction has congruent(equal) verbal and nonverbal messages.

Question 9

Prepping the appropriate environment

Answer 9

• ensure privacy
• refuse interruptions
• prepare comfortable surroundings
• take judicious notes

Question 10

Open-ended question

Answer 10

Gives the patient the opportunity to provide additional information

Question 11

Close-ended question

Answer 11

Ask for specific information that can be answered with only a few words

Question 12

Interviewing the patient

Answer 12

•Contract between the medical assistant and
• three parts
    -initiation or introduction
    -The body
    -The closing

Question 13

Interview barriers

Answer 13

Providing unwarranted assurance

Giving advice

Using medical terminology

Talking too much

Using defense mechanism

Question 14

Communication across the lifespan

Answer 14

Be aware how to interact most effectively w young children, adolescents adults and they’re fams

Using a specific approach

Question 15

Health history of a child

Answer 15

Environment should be safe and attractive
• don’t keep children and their caregivers waiting long

• don’t offer choices unless child can make them
Giving choices of stickers after an injection is appropriate

Question 16

Child’s examination

Answer 16

• praising the child helps decrease anxiety when possible direct questions to child so he feels part of the process
• let child use equipment
• use imagination for games involved in procedure
• look for anxiety signs like thimb sucking or rocking
• typical defense mechanism seen in children is is regression

Question 17

Treating tees

Answer 17

• involved in treatment
• Provide opportunities for independence
• privacy is very important
• stress Healthy life habits and decisions

Question 18

Adult patients

Answer 18

• patient education is extremely important
• use Laylanguage and involve the patient in treatment
• stress related health problems are frequently thing
• emphasize preventive health care measures

Question 19

Patient body system assessment

Answer 19

Appearance 
head and neck 
ears 
mouth 
Nose
throat
 respiratory
 cardiovascular
 urinary 
limp glands
 neurologic
 endocrine 
skin 
Geneitalia (men & women)
arms legs and feet

Question 20

Signs and Symptoms

Answer 20

SIGNS- objective findings
Something that can be measured inspected, pal pared, auscultation, or manipulated

SYMPTOMS-subjective report from patient

• patient complains regarding how she feels
• measure pain on scale
• cardinal symptoms those most helpful in diagnosis

Question 21

28

Answer 21

Functional

Physical

Question 22

Documentation

Answer 22

• accurate and complete documentation is a necessary skill
• describe patients CC and signs and symptoms With correct use of medical terminology and appropriate abbreviation

Make legal corrections

Question 23

Charting methods (POMR)
Problem 
Oriented
Medical
Record

Answer 23

• database
• problem list
• plan
• progress notes (SOAPE)

Question 24

SOAPE notes

Answer 24

• Subjective data: CC in patients words
• Objctive data: anything observed or measurable
• Assessment: physician’s tentative diagnosis
• Plan of care: physician documents how health problem will be managed
• Evaluation: assessment of treatment outcome

Question 25

Other charting methods

Answer 25

SOMR-
Source oriented medical record

organized patient data into specific sections
• should be filed in the first chronological order with the most recent report or progress nite on top

EMR- electronic medical record

Question 26

Patient education

Answer 26

The perfect time to initiate patient education is during the initial patient interview