Hx and SOAP Note II - Luke (done unless anyone has something to add)

Question 1

What should the environment of the history/exam be?

Answer 1

Comfortable, well lit, private, no distractions (cell phones, maintain social distance (5-6 ft), eye level or lower, in front of patient.

Question 2

What steps should you take when first meeting patient?

Answer 2

ID yourself, shake hands (optional), ask/confirm name and how they would like to be addressed. Set agenda,

Question 3

How should you question?

Answer 3

Use appropriate question for patient type, DONT INTERRUPT, avoid jargon and duplication. Summarize, encourage patient to ask questions. Use transitional statements. ENGAGE PATIENT.

Question 4

What type of questions should you use with a quiet patient?

Answer 4

Open ended,

Question 5

Question with a talkative patient?

Answer 5

Use open ended questions carefully, closed questions of necessary.

Question 6

How would you obtain a incapacitated patients history?

Answer 6

Rely on family members, etc, take from patient as soon as they are able.

Question 7

How should you handle an emotional patient?

Answer 7

Show empathy, validate their feelings,,set limits.

Question 8

How should you handle a seductive patient?

Answer 8

Use a chaperone, be professional, set limits.

Question 9

How should you question a confused patient?

Answer 9

Use closed questions (because they may have everything you ask about).