PC - History Taking - Week 1 Flashcards
Name the 7 demographic information about a patient that is taken during history.
Name Address Contact number/email Age Occupation Medicare/pension number Previous attendance
Name the 5 general categories of patient history taking.
Presenting complaint (PC) -Screening questions Patient ocular history (POH) Family ocular history (FOH) General health (GH) Visual tasks (VT)
Give examples of an opening question for presenting complaint.
What brings you in to see us today?
So, what seems to be the problem?
Name 11 factors that contribute to a presenting complaint that should be addressed during history taking.
Onset and first notice Location Frequency Severity Duration Relation to a task px performs Relieving factors Associated symptoms Complaint progression Previous treatment + their success Idea of causes
Describe the LOFTSEA method, and the category of history it is used for.
Location Onset Frequency Type/severity Self treatment + its success Effect on px Associated signs/symptoms
Used for presenting complaint
Describe the COLDER method, and the category of history it is used for.
Character - includes quality, severity, and associated signs Onset Location Duration Exacerbation Relief + its success
Used for presenting complaint
If vision changes are not the presenting complaint, what 2 screening questions should be asked once the presenting complaint has been registered?
How is your distance, intermediate, and near vision?
Do you require any glasses or contact lenses for this?
After asking about vision related issues, name the 8 common symptoms an individual might experience, as part of a question to the px (5).
Have you ever had sore, red, or itchy eyes?
Do you see flashes of light or floaters?
Have you had headaches related to your eyes?
Do you see double vision?
Do you have dry or watery eyes?
What 7 issues must be addressed when taking previous ocular history?
Previous visits Eye operations Eye injuries Eye infections First glasses/Rx Previous practitioners Turned or lazy eyes
What 11 conditions must be addressed when taking family ocular history?
Glaucoma Macular degeneration Turned eye Lazy eye Patching (as a child if an adult) Diabetes Hypertension Heart disease Cholesterol High Rx Blindness
Give an open question for general health, and list the 7 factors that should be asked.
How is your general health? Ask if they have: Diabetes Hypertension Heart disease Cholesterol Allergies Medications they're on Their GP (name, address, last visit and frequency of visits)
What 4 things are asked when taking visual tasks during history taking?
Occupation
Whether they drive (and if they need Rx or not)
Hobbies
VDU, number of hours, and breaks
