The patient interview and communication Flashcards
1
Q
what is the purpose of the patient interview
A
- gain insight into problems
- gives clinician the opportunity to get information about related systems and health information (review of systems vs systems review)
- establish rapport
- screen for other issues
- ask: are you seeing someone for this?
2
Q
review of systems
A
part of collecting information from the patient
3
Q
systems review
A
evaluation of the information gained from the patient
4
Q
Ethics of communication with patients:
1. nonmalefience
2. beneficence
3. autonomy
4. confidentiality
A
- do no harm
- do good with the patient
- patients determines their best interest
- keeping things between the clinician and the patient
5
Q
What are some cultrual considerations during a patient interview
A
- verbal and non-verbal cues
- language/vocab
- dress
- beliefs
6
Q
Skills required for good communication
1. active listening
2. empathy
3. concern
A
- active listening: interest in the patient without judgement
- empathy: an emotional state of communication and understanding
- concern: caring for the unique patient
7
Q
What information does history provide
A
- severity
- irritability
- nature of complaint
- stage of pathology
- stability
8
Q
Severity
A
- intensity of symptoms
- relate to patient functional activity
- consider patients perception
- consider observations
9
Q
irritability
A
- what provokes the symptoms
- how much activity
- how severe are symptoms when they are provoked
- what relieves symptoms
- how much time is needed to relieve symptoms
10
Q
nature of the complaint – Patient interview and communication
A
- structures involved
- syndromes/symptom cluster
- precautions for objective exam (trauma or unstable symptoms)
- pain tolerance
- patient state (emotional, cognitive, socioeconomic)
11
Q
stage of pathology
A
- acute, subacute, chronic
- chronic with acute episodes
- consider stages of tissue healing
12
Q
stability of the condition
A
- over time does it get better, worse or the same
