Patient Centered Interviewing Flashcards
Paul Erich
Magic bullet! The man who noticed that bacteria could pick up a yellow stain and then created a medication to stick to it and kill it, therefore making a treatment for syphilis.
Fred Banting
Had a friend who died of diabetes and then was determined to find a treatment. Found a way to reduce blood flow to the pancreas and only to the islet of langerhans, so he could produce insulin. Conducted on dogs.
Alexander Fleming
Noticed mold growing in a staph culture and that the staph was not around the mold. This mold would then come to create antibiotics.
Michael and Enid Balint
Coined the term “patient centered care.”
George Engel
Found that there was a mind-body connection and that we need to look at the whole person. Found that many factors come together to create the whole person including social, biological, and psychological factors.
Harvey and Jean Picker
Jean passed away and her experience in the hospital triggered Harvey to want to change healthcare and created the picker institute. Developed the 8 principles of patient centered care.
What are the 8 Principles of patient centered care?
Respect for patients preferences, coordination and integration of care, information and education, physical comfort, emotional support, involvement of family and friends, continuity and transition, and access to care.
Raymond Cant Interpret Patty’s Emotional Intuition. Can Ally? -acronym for the 8 principles.
Pew Fetzer Task Force
Bring up relationship centered care, the relationships surrounding the patient including the team of healthcare providers, their family, their friends, etc.
Patient centered interviewing
Puts the patient and all their surroundings at the center of the care, including their social life, home life, etc. The most current method of providing care. Clinicians view the patient as an individual and aim to understand their concerns, emotions, and life challenges.
Crossing the quality chasms
focuses on the 6 domains: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.
EEEPST
Biomedical model
Disease is determined through the physiological presentation and measurable biological variables.
Biopsychosocial model
Views disease as the interaction of biological factors, psychological factors, and social factors.
Clinician centered care
The clinician does most of the talking and asking questions. Leads to poor patient satisfaction, physical frustration, and poorer outcomes. Has the goal of acquiring the symptoms only.
What are the 7 steps of patient assessment?
Preparation, Health history (includes medical interview), Conducting a physical exam, Assessment, Plan, Documentation, Presentation.
Patient assessment: Preparation
Know the patients name, chief concern, PMH, you have all your tools and any special accommodations the patient may need.
Patient assessment: Health History
Indentify data and the source, know the chief concern, review of systems, medical interview (gathering the whole story and using NURS and going through the 5 steps)
Patient Assessment: Plan
Specify the next steps that that will be taken for each of the problems that has been identified.
Patient assessment: Presentation
Elicit and synthesize the information to communicate with others for consults or for change of shift etc.
Empathy
The capacity to share/resonate others emotional state (suffering or joy)
Compassion
Characterized by feelings of warmth, concern, and care for the other as well as a strong motivation to improve, the want to help
NURS
Name the emotion, show an Understanding, show that you Respect them by saying something positive, Support them and tell them you are there to help.
OPQRST
Onset (how long has this been going on?), Paliation (is here anything that makes it better or worse?), Quality (is the pain dull, sharp, achy?), Radiate (does the pain radiate anywhere?), Scale (on a scale of 1-10 how is your pain?), Timing (when does this pain happen?)
What are the goals of the medical interview?
To establish a meaningful caring relationship with the patient and be a rigorous diagnostician who carefully collects data.
76% of the time you can get the diagnosis through…
The patient’s history
