Medical Interview Flashcards
structural elements of medical interview
-Introduction
-Establish goals
-Obtain patient consent
-Establish initial rapport
-Establish patient comfort
beginning of the interview
-verbal vs non-verbal
-respond to pts emotional reactions whenever they occur
-purposes and the expectations
-permission
functional aspects
-important observation
-reflection
-the student can comment on observed
pt feelings, including pain, frustration, and sadness
-legitimating
-comfort of pt
chief complaint
-What brought you in today?
-Symptom vs. diagnosis
-Intensity with complaint
-Facilitation
-Verbal vs. non-verbal; silence
-Focus
-Checking
-Medical record
-SOAP
problem survey
-Why do you want to get this information?
-Preventing the ‘Hand on the door knob’
question
-Timing
-Appropriateness
-Same approach as with CC
-Prioritize
ICE
-idea- what does it mean to the pt
-concerns
-expectations- specific
agenda setting
-interactions
-investigations
-interventions
-conflict of priorities
LC and I
-life context
-impact on life- quality of life
HPI
-a story, picture
-a narrative
-a vital method of communication
-open-to-close-coned
-getting lost and redirecting
-chronology of events
Past medical history- PMH
-hospitalizations
-surgeries
-illnesses
-injuries
-medications
-allergies
-pregnancies (for women)
-exposures
-health maintenance
family history
-what is the significance of this history?
-heritable illnesses
-risk factors
-concerns/fears
-preventive care; management strategiess
social history
-the pt profile
-lifestyle risk factors
-stresses and supports
summary
-elicits the chief complaint
-respond to the initial emotions
-facilitates the open ended expression of more details about the CC and all other aspects of the history
-reflection, legitimation
-problem survey
-ICE- HPI; family hx; social hx
