Mental Health & Communication

Question 1

What chronic illness might you see with mental health problems?

Answer 1

• Diabetes
• Chronic heart disease
• Anxiety & SOB

Talley and o’Connor’s Clinical Examination

Question 2

What is the mental Health state examination?

Answer 2

ABC SMITH

A- appearance
B- behaviour
C- cognition
S- speech
M- mood
I- insight
T- thought process
H- hallucinations/Delusions

Adult Emergency Medicine at a Glance p63

Talley and o’Connor’s Clinical Examination - chapter 46

Question 3

What medical conditions resemble depression?

Answer 3

• Hypothyroidism
• Androgen deficiency
• Menopause
• Parkinsons
• Ms
• Chronic illness - HIV, HF

Talley and o’Connor’s Clinical Examination - chapter 46

Question 4

What is the advantage of using the Cambridge Calgary model for Hx taking?

Answer 4

• Uses verbal and non-verbal cues to build up a rapport with pt. Enables good relationship with pt, and builds on trust and reassures pt.
• By establishing pts concerns and using open ended questions pt will feel listened too and clinician can get optimal info.
• By chunking and checking you can establish your information gathering and pt knowledge to establish an accurate diagnosis and treatment plan.

NICE

Question 5

In what order would you use the Calgary Cambridge model?

Answer 5

1) Initiating session
- build report
- identify reason for consultation

2) Gathering information
- Explore its problems
- Understand pts own views on their illness
- Take background Hx

3) Explanation & planning
- Treatments?
- Plan of action
- incorporate pts perspective
- shared decision-making

4) Closing the session
- Discuss next steps
- Saftey net
- Summarise session & plan of care

NICE