ICM Conflict Mgmt Flashcards
HPI
History of Presenting Illness
Meeting a new patient
Complex Quick rapport Non-verbal communication Forms of Address Inclusive language Greet other people in room Focus on patient needs
Non-verbal communication
Handshake Be positive (not too cheerful) Sit down Avoid distancing behavior (legs cross, laptop, far away) Eyes on patient
Forms of address
First name (sometimes insulting)
Mr and Mrs (gender assuming)
Ask how they would like to be addressed
Use my first and last and their first and last
Inclusive language
names, terms, pronouns
gender identity and sexual orientation should be on intake forms
Might be word but do it anyway
Greeting other people
Never assume
Acknowledge presence
Basic pain history
chief complaint Location quality radiation severity timing exacerbating or initiating factors relieving factors associated symptoms
Chief complaint
Why the patient presents for medical attention
Use patient wording
Location
Where does it hurt, specific spot
Quality
What does it feel like
Use patient words
Specific words after open-ended
Radiation
Where does pain go
Gives diagnostic clues
Severity
How bad
Numeric scales
Generic scales (patient wording)
Timing
Initial onset How has it changed Getting better, worse, same Duration Frequency What setting does it occur Prior episodes
Exacerbating & initiating factors
Any incident that brought it on
What makes it worse
Activity, meals, position, posture
Relieving Factors
What makes it better
Rest, meds, time
