Midterm - ROF

Question 1

The Report of Findings is a formal explanation of the patient’s problem(s) that promotes (4)

Answer 1

• Clear understanding of the problem and the options available for care
• Setting realistic expectations for improvement
• Reassurance to the patient
• Elevation of trust, confidence and quality of the Dr/Pt relationship (reduces the potential for dissatisfaction with care/doctor and increases patient cooperation, satisfaction, forgiveness
  and outcomes of care)

Question 2

Remember that the most frequent source of patient dissatisfaction is_________

Answer 2

failure to receive an adequate explanation of the problem

Question 3

The best ROFs (7)

Answer 3

• Explain the problem;
• Connect the dots between the patient’s narrative and the problem(s)
• Connect the dots between the problem(s) & solution(s)
• Empathize with the patient & reassure them that you (and they) have mastery over the situation(s);
• Eliminate fears, reduce uncertainties, set the stage to achieve goals of care;
• Demonstrate optimism;
• Collaborate with them- codify the shared nature of the responsibility for improvement

Question 4

ROF step 1 (5)

Answer 4

• Give the problem a name and then explain in lay terms
• Explain how you got to that conclusion using the Hx and exam highlights
• USE LAY TERMS (Be able to convert technical terms and jargon into everyday language that your patient is going to understand!)
• Explain what caused the problem if that is not intuitively obvious…
• Ask if there are questions

Question 5

ROF step 2

Answer 5

Outline the three big goals of care

• Pain management
• Return to full function
• Eliminate the cause of the problem and provide options to prevent it in the future

Question 6

ROF step 3

Answer 6

Elements of the treatment plan

• What therapies you will use first and how they connect to the goals of care
• PARQ nested in this segment

Question 7

ROF step 4

Answer 7

Tell the patient what they can expect regarding their trajectory of improvement and overall prognosis

• will their pain go away? What can they except after care today and for the short term? how long before they feel better?

Question 8

Enhancing patient compliance with the treatment plan:

Answer 8

• Tie symptoms and limitations to cause of problem
• Stress patient’s role in recovery
• Identify barriers to compliance
• Involve patient in addressing barriers