self care frameworks

Question 1

List the main frameworks used to question patients

Answer 1

1. WWHAM
2. OPQRST assessment
3. QuEST / SCHOLAR MAC
4. AS METHOD
5. SIT DOWN SIR
6. ENCORE

Question 2

What is WWHAM

Answer 2

Who is the patient
What are the symptoms
How long have they been present for
Action taken
Medication being taken

Question 3

OPQRST

Answer 3

OPQRST Assessment of patient history
* O = onset
– What were you doing when it started? Gradual or sudden ?
* P = provoke
– Does anything make the symptoms worse or better?
* Q = quality
– Can you describe the symptoms? Feels like? Steady? Changed?
* R = region / radiate
– Can you point to where it hurts the most? Radiating?
* S = severity
– How would you rate your level of discomfort? 1-10?
* T = time
– When did the symptoms first begin? Had them before?

Question 4

QuEST/ SCHOLAR MAC: JUST QuEST

Answer 4

Qu: Quickly and accurately assess the patient
E: Establish if the patient is a candidate for self-care once you have identified
the medical problem
S: Suggest appropriate self-care strategies based on desired therapeutic outcomes .. ig appropriate: medication, name, dose, frequency, duration, non-medical general care
T: Teach the patient: medication, action, administration, adverse effects

Question 5

Quickly and accurately assess the patient
HOW ? Use SCHOLAR MAC: which is…?

Answer 5

Symptoms,
Characteristics,
History,
Onset,
Location,
Aggravating factors,
Remitting factors
MAC : Medications, Allergies, Coexisting conditions

Question 6

AS METHOD

Answer 6

• Age / appearance?
• Self or someone else?
• Medication?
• Extra medicines?
• Time persisting?
• History?
• Other symptoms?
• Danger symptoms?