Mad Skillz Flashcards
Case History question headings
-chief concern
-history of present illness
-ocular history (self and immediate family)
-medical history (self and immediate family)
-Medications
-Allergies
-Occupation and hobbies
-social activities
AIDET for px interaction
-Acknowledge
-Introduce
-Duration
-Explanation
-Thank you
FOLDARS for history of present illness
Frequency (how often?)
Onset (when start?)
Location (where is?)
Duration (how long does it last?)
Associated symptoms (other stuff that happens)
Relief (what makes it better?)
Severity (how much does it bother you?)
SOAP and exam notation
Subjective: info from px perspective
Objective: info from doctors perspective
Assessment: Diagnosis
Plan: Tx plan
Categories of telephone triage
-Emergency: px needs IMMEDIATE attention
-Urgencies: serious, but px is not in immediate jeopardy
-Routine: conditions that are mild/inconvenient
Examples of emergencies
-blow to the eye
-foreign body in eye
-chemicals in eye
-sudden vision disturbance/pain
-flashes and floaters
-cloudy veil/halos
Examples of urgencies
-contact lens problems
-swelling/bumps on eyelid
-redness or irritation w/o pain
-visual disturbances that develop over days/weeks
-lost/broken eyeglasses
Examples of routine concerns
-gradual change in vision
-mild irritation, tearing, twitching
-slight red eye w/o pain
-recall appointment
Methods of positive verbal communication
– Tone and clarity of voice
– No jargon and technical terms or acronyms
Methods of nonverbal communication
– Facial expression
– gestures
Examples of active listening
– Front facing
– eye contact
– acknowledging what the patient has said
How to communicate with children
– Speak directly to the child
– ease into the process with small talk
– present entrance tests as games for younger children
– enlist the parents help if needed
Communicating with the elderly
– Always speak directly to the patient
- Respect possible hearing challenges
– listen to family members or caregivers
Communicating with patient with physical impairments
– Ask how to help patient
– make room for physical aids like walkers or wheelchairs
– ask permission to touch assistive devices
How to check for patient understanding
– Use plain common language
– explain acronyms if you have to use them
– use analogies
– draw diagrams offer paperwork for them to read later
– translate terms if needed
Three aspects For consent to be met
– Must be voluntary
– patient must have the mental capacity to understand the risks and benefits
– patient must be properly informed of test or procedure
implied consent
– Informal occurs through the actions of the patient rather than directly with words
Express consent
– When patient directly communicates explicit consent
Elements of informed consent
– Patient shall be provided a diagnosis
– patient shall be informed of procedure or treatment And success rates for the procedure
– Discussion of alternate treatment options
– discussion of risk associated with not proceeding with procedure or treatment
– Opportunity for patient to ask questions
patient expectations: new prescription
Plus power
– magnification
– against motion
Minus power
– minification
-with motion
Cylinder power
– scissors motion
Patient expectations: new frames
– Larger versus smaller frame
– metal versus plastic frame
– nose pads versus no nose pads
Patient expectations: new lens type
– Single vision lenses
-Full-time wear versus part-time wear
-bifocal and trifocal lenses
– Progressive lenses
-distance and reading glasses
– wraparound lenses
– Prism lenses

