[Lecture] Psychosocial Encounter : Interview and Physical [Howell] Flashcards
Can body language clue you in to psychosocial issues?
Yes
E.g. Pt overjustifies injuries, does not make eye contact
What does SIG E CAPS stand for?
Depression Screen
S-leep changes
I-nterest decreased/Anhedonia
G-uilt
E-nergy decreased
C-oncentration decreased
A-ppetite/weight change
P-sychomotor change
S-uicidal thoughts
Will asking a patient about thoughts of suicide trigger suicidal ideatioin?
No
Will put the idea out there to come up with a plan if they were thinking about it
What are the top 3 risk factors for suicide that Dr. Howell mentions in lecture?
**Past suicide attempt!!!
Male
Physician
What are the top 2 protective factors against suicide that Dr. Howell mentions in lecture?
Supportive relationships
Religious/cultural beliefs against suicide (ask about spirituality and support systems in social hx)
What is the Audit-C screening tool used for?
Identify unhealthy alcohol use
- How often do you have a drink with alcohol?*
- How many standard drinks containing ETOH do you have on a typical day?*
- How often do you have 6 or more drinks on one occasion?*
What are the positive heavy drinking Audit-C scores for men? Women?
Men >4
Women >3
What are the CAGE questions to ask patients who may have alcohol abuse?
- Cut down - Have you ever felt you should cut down?
- Annoyed - Have people annoyed you by criticizing your drinking?
- Guilty - Have you ever felt bad or guilty about your drinking?
- Eye-opener - Have you ever had a drink first thing in the morning?
What is the CAGE threshold for men? Women?
Men: 14 drinks/week
Women: 7 drinks/week
>2 CAGE score is positive
Oral/dental injuries, pelvic/genital injuries, and multiple injuries in various stages of healing can be indicative of _____
Domestic violence
When asking patients about violence at home, your questions should be ____
Direct
In order to be _____, avoid editorializing, judgmental phrases, concrete descriptions, avoid making a diagnosis without objective data.
Objective!!
