Week 1: History Take Flashcards
What must patients be in order to provide consent?
Patient must have capacity, be informed and provide consent voluntarily
What is phase 1 of a clinical consultation?
History taking and information gathering
What is phase 2 of clinical consultation?
Examinations, physical, objective, mental findings
What is phase 3 of clinical consultation?
Explanation, information giving, decision making
What is the structure of history taking?
- presenting complaint
- history of presenting complaint
- past medical history
- drug history
- family history
- social history
- systematic review
What is the acronym for a history take?
Polly Has Pretty Damn Fine Sexy Socks
What acronym is used to clarify symptoms in HPC?
SOCRATES
What does SOCRATES stand for?
- site
- onset
- character
- radiation
- associations
- timing
- exacerbating factors
- severity
What types of drugs should you ask a patient if they use?
- prescribed drugs
- non prescribed drugs
- recreational drugs
- vitamins/ supplements
What other things should you ask in drug history?
- compliance
- dose and duration
- drug allergies and sensitivities
What should you ask about within the family history?
- illnesses which run in the family
- parents and siblings
- cause of death
- diagnosis and age
What should you ask about in social history?
- family situation
- relationships
- occupation
- support network
- hobbies
- carers
- social service input
