Patient centered interviewing Flashcards
1
Q
purpose of medical interview
A
- gather information
- establish a safe atmosphere and trusting relationship with the patient
- provide patient education (inform and motivate the patient)
2
Q
Rationale for Improving Medical Interviewing
A
- patients seek care due to their experience, not symptoms
- patients have more than one concern
- being able to tell one’s story is diagnostically useful and therapeutic
3
Q
Open-ended questions: non-focusing
A
- silence
- non verbal encouragement (eye contact, hand gestures, leaning)
- continuers
4
Q
Open-ended questions: focusing
A
- echoing
- requesting “go on”
- summarizing
5
Q
Emotion seeking: Direct
A
How did that make you feel
6
Q
Emotion seeking: indirect
A
- inquiring about impact
- eliciting beliefs or attributions
- intuiting how the patient might be feeling
- asking about triggers
7
Q
impact on life, others
beliefs about the problem
intuit patient feelings
triggers
are examples of
A
Indirect
8
Q
setting the stage
A
30-60s
9
Q
elicit chief concern
A
1-2 m
10
Q
opening the history of present illness (HPI)
A
30-60s
11
Q
Learning patient experience of illness
A
3-10 mins
12
Q
transition to middle
A
30-60s
13
Q
History of presenting illness
A
more time
14
Q
Step 6 (PMH), Step 7 (SH), Step 8 (FH) and 10 (ROS + PE, Labs)
A
less time
15
Q
Step 11 - conclusion
A
time varies
