Interviewing

Question 1

Sinss

Answer 1

Severity: On a scale of 1-10 how bad is your pain? One being a bee sting and 10 being run over. What kind of pain is it?

Question 2

sInss

Answer 2

Irritability: How easily is the pain provoked? What makes it worse? What relieves it? How long does it hurt when it is provoked?

Question 3

siNss

Answer 3

Nature: Is it a bone, ligament, muscle? What am I worried about? Who am I treating? Is there a psychological component?

Question 4

sinSs

Answer 4

Stage: When did it start? Is it acute or chronic?

Question 5

sinsS

Answer 5

Stability: Is it getting worse? Is it getting better? Is it up and down? Progression of symptoms.

Question 6

What are the components of active listening?

Answer 6

Non-selective: take it all in to understand the whole picture.
Then ask them questions to elaborate.
Make sure you are not distracted.
Use common language.

Question 7

What object is an interview like?

Answer 7

It is like a funnel with strands coming off of it. Start big and funnel it down smaller.

Question 8

What are components of non-verbal communication?

Answer 8

Stay in the safe space of 1-3 feet.
Only touch them after you ask for permission.
Lean forward slightly to listen.
Be at eye level.
Eye contact, but don’t stare.
Be aware of your facial expressions and what your body language is conveying.

Question 9

Explain a narrowly biomedical interview

Answer 9

Closed ended questions that are focused solely on the pathology

Question 10

Explain expanded biomedical

Answer 10

Biomedical but includes some psychosocial questions

Question 11

Explain bio-psychosocial

Answer 11

Broad view interview. It includes bio, psych, and social factors

Question 12

Explain psychosocial

Answer 12

Psychosocial questions

Question 13

Explain consumerist

Answer 13

Patient asks questions and the provider gives info

Question 14

Is there a type of interview that takes more time than the others?

Answer 14

No. They all take about the same amount of time.

Question 15

What interview has the highest patient satisfaction?

Answer 15

Patient centered interviews have the highest satisfaction. It makes the patient feel valued and heard. “To know what kind of person has a disease is as essential as to know what kind of disease a person has.”

Question 16

If someone is in too much pain to talk to you, what should you do?

Answer 16

Ask them if there is anything that we can do right now to make them more comfortable.

Question 17

How should you handle asking clarification from a patient?

Answer 17

1. Take responsibility for not understanding or not asking a question well.
2. Summarize what you heard to make sure it is correct.
3. Ask the patient to give an example.
4. Each question should have a purpose.

Question 18

What are the components of patient-centered interviews?

Answer 18

1. Presenting complaint and its affects. What is this preventing my patient from doing? What are they concerned about?
2. Who am I treating? What does my patient value? Who are they as a person.
3. Finding common ground. Try to connect and establish rapport.
4. Promote health and prevention whenever you can.
5. Enhance the patient therapist relationship
6. Set realistic expectations. Don’t tell them what to expect. Just tell them where they are.

Question 19

Why is it bad to categorize individuals too quickly?

Answer 19

Consider groups but treat individuals. There are common pathologies, but you might miss something about an individual if you categorize them too quickly. Your patient may not fit into the category.

Question 20

Why is it important to interview well?

Answer 20

1. History is 80% of diagnostic challenge. It can tell you a lot about a patient, but it may not tell you everything.
2. Usually a combination of forms and interview
3. Establish rapport with the patient
4. Determine their learning style, so you can be effective when you give them home exercise programs
5. Establish and agree on goals