Screening in the Patient Interview Flashcards
what may influence recollection of what is going on during the pt interview?
personality and mental state
what is telescoping by patients
forgetting, underreporting or combining separate health events into a single memory
functionally illiterate
may read and write simple sentences though not adequately for everyday needs
below basic health literacy levels
cannot read healthcare provider instructions or food/medication labels
what is the optimal screening for prediction of referral and outcome
OSPRO - red flag tool
OSPRO 23 item version; how accurate is it
100%
OSPRO 10 item version; how accurate is it
94%
what is the OSPRO-YF
yellow flag tool
screening tool proposed to assess pain-associated psychological distress
accuracy of the OSPRO-YF 17 item version
85%
accuracy of OSPRO-YF 10 item version
81%
gender/age implications: guillain-barre syndrome
men
any age
gender/age implications: multiple sclerosis
women
15-35
gender/age implications: abdominal aortic aneurysm
men
40-70
gender/age implications: breast cancer
women
45-70
gender/age implications: hodgkins
men
20-40
gender/age implications: osteoid osteoma
10-20 yr old
gender/age implications: RA
women
20-50
gender/age implications: skin cancer
men = women
increasing with age
gender/age implications: gout
men
40-59
gender/age implications: gynecologic
20-45
gender/age implications: prostatitis
men
40+
gender/age implications: shingles
60+
gender/age implications: vascular claudication
women
40-60+
average age of menopause
51 typically, 48-54 y/o
hysterectomy
removal of uterus
brings on menopause within 2 years
ooporectomy
removal of ovaries
brings on menopause immediately
what is a red flag with menopause?
spontaneous bleeding after this event
who is at risk for substance abuse
teens/adults with ADD/ADHD
hx of PTSD
baby boomers with a hx of substance abuse
individuals with sleep disorders
individuals with depression and/or anxiety disorders
transgender pt’s
CAGE questionnaire - what is it used for
substance abuse
one yes suggests a need for discussion and follow up
two or more yes answers indicate a problem with alcohol
