The Consultation Flashcards
What does WIIPP Stand for?
W- Wash hands
I- Introduce yourself, give your name and role
I- Identity: confirm you are speaking to the correct person, Name and age?
P- Permission: confirm the reason for seeing the patient and ask consent
P- Positioning: Is the patient sitting comfortably
What is the structure and acronym used for a consultation
Poll Has Pretty Damn Fine Smelly Socks
P - Presenting Complaint (PC)
H - History of Presenting Complaint (HPC)
P - Past medical history (PMH)
D - Drugs history & Allergies (DH)
F - Family history (FH)
S - Social history (SH)
S - System enquiry (SE)
What is the acronym used in HPC
OPQRSTU
What does OPQRSTU stand for?
O - Onset
P - Pain, Precipitating Factors, Previous Episodes
Q - Quality, Quantity
R - Radiation, Reliving & Exacerbating Factors
S - Severity, Score, Symptoms, Site
T - Timing
U - Understanding and Impact (ICE)
Onset
- When did it start?
- Did it start suddenly or gradual?
Pain / Precipitating Factors / Previous episodes
-Have you got any pain?
- What were you doing prior to the problem Occurring?
- Have you had this Problem before?
Quality
- Describe the pain for me
- Is it aching, sharp, dull, burning, crushing?
- is the pain constant or intermittent
Radiation / Relieving & Exacerbating Factors
- Does the pain go anywhere else?
- What makes the problem better?
- What makes the problem worse
Severity / Site / Symptoms
- Score the pain from 1-10
- location of the pain
- Symptoms that could be associated with the system being explored
Timing
- Does it follow a Pattern
- How long does it last?
Understanding and Impact (ICE)
- Ideas: What do you think is wrong
- Concerns: Are you worried about anything in particular
- Expectations: What were you hoping for today? What do you think might be the best plan?
