Interviewing the Pt Flashcards
What is a good amount of personal space to give the pt?
4ft
Describe the medical model
pt’s role is passive -> they receive treatment and may or may not adhere to treatment plan; physician dominates the conversation and care is disease-centered
Describe the Pt-Centered model
pt’s role is active -> part of the treatment plan and collaborates w/ physician (more likely to adhere to treatment plan); physician listens more and talks less w/ care being quality of life centered
What is the sequence for Pt-Centered model?
introduce; elicit CC and set agenda; ask open ended questions (non-focused); continue w/ HPI (focused); summarize and transition
What is the NURSE mnemonic?
techniques for expressing empathy
Naming - it seems like you are feeling
Understanding - i can understand how that might upset you
Respecting - it must be a lot of stress to deal with
Supporting - i want to help in any way i can
Exploring - how are you coping with this
What are 5 skills for pt centered interviewing?
active listening, open ended questions, effective use of silence, body language, and facial expressions
What makes up the SOAP note?
Subjective - pt’s history
Objective - PE and labs/radiology
Assessment - what you think is going on
Plan - what are you going to do about pt’s problem
What family members do you ask about in FHx?
parents, siblings, and children (all first degree relatives only)
What should you ask about w/ recreation drug use?
type (street vs prescription); quantity; frequency; route of administration
AUDIT vs CAGE
AUDIT has better sensitivity than CAGE but somewhat difficult to remember/score
CAGE can open door to conversation but leads to a lot of false positives
What does CAGE stand for?
- has anyone ever suggested you Cut back?
- are you Annoyed when people talk about your drinking?
- do you feel Guilty about drinking?
- do you need a drink in the morning (Eye opener)?
What is the max # of drinks men and women should have per week?
Women: no more than 3/day and no more than 7/week
Men: no more than 4/day and no more than 14/week
What is the FICA mnemonic?
assess spirituality and religion F - faith and belief I - importance C - community A - address in care or assessment and plan
What is the SAFE mnemonic?
assess domestic violence S - stress/safety A - afraid/abused F - friends/family E - emergency plan
What is WSW? What are these pt’s more at risk of?
Women who have sex w/ women; higher risk of depression, tobacco use, alcohol use, and intimate partner violence
