week 4: health history interview Flashcards
The purpose of a health history interview is to ___ a ___ where:
- ___, ___ or ___ ___ can be identified
‘APAP’ - ___ of ___ can be ___/___
‘GCDC’ - ___ can be ___/___
‘IDI’ - ___ of ___ can be ___
‘ECE’ - provides a ___ for ___ ___ with the ___
‘MERP’
compile, database
- actual, potential, anticipated problems
- goals, care, developed/confirmed
- interventions, devised/implemented
- effectiveness, care, established
- mechanism, estabilshing rapport, patient
The ___ & ___ of the health history interview is determined by the ___ & ___ of the patient.
‘SPCN’
structure & process, condition & needs
information obtained during the interview must be ___ in a ___ form.
‘DnR’
documented, retrievable
The patient has the right to ___ to ___ in the interview process
refuse, participate
All information obtained during the interview should be shared ___ with the ___ ___.
‘TT’
only, treating-team
the interview should be ___ but allow room for the patient to ___ the ___ they deem ___.
organised, provide, information, important
During the interview, you must follow ‘CLAIMEs II’
C\_\_ with \_\_\_ \_\_\_ \_\_\_ for \_\_\_ \_\_\_ 'CCC' L\_\_ \_\_\_ A\_\_ the person's \_\_\_, \_\_\_ & \_\_\_ 'AnSweR' I\_\_ the persons \_\_\_ or \_\_\_ \_\_\_ 'IF' M\_\_ the persons \_\_ E\_\_ the patient is \_\_\_ s
I__ ___ of patients __, __, __, __ & __ needs
I__ ___ ___ ___ impacting on patient health ‘ICRCI’
Collaborate, health care team, comprehensive care
listen attentively
acknowledge, abilities, strengths, resources
include, family, significant other
maintain, identity
ensure, comfortable
include, assessment, physical, mental, social, cultural, spiritual
Identify community, related issues
primary source is ___.
secondary sources: ___ ___, ___ ___ ___, ___ ___, ___ ___/___
‘SO OHP MR LRR’
patient
significant other, other health professionals, medical records, laboratory results/reports
‘Must Constantly inCLuDE ME’
preparing for a health history interview:
M___ patient ___ (MD)
ust
C__ ___ ___ ‘CSA’
onstantly
in C\_\_ a \_\_\_ & \_\_\_ \_\_\_ 'CPWD' L\_\_/\_\_\_ \_\_\_ 'LCC' u D\_\_/\_\_\_ \_\_\_ 'DPS' E\_\_ \_\_\_ \_\_\_ 'ERA'
M__ sure you’re ___ & ___ ‘MPA’
E__ ___, ___ & free from ___ ‘EPQD’
maintain, decency
consider seating arrangement
convey, professional, warm demeanor
language/cultural considerations
distance/personal space
equipment readily available
make, presentable & attentive
ensure privacy, quiet, distractions
components of a health history interview:
remember the 7.
- ___ ___
- ___ ___ ___ ___
- ___ ___ ___ ___ ___ ___
- ___ ___ & ___ ___
- ___ ___
- ___ ___ ___ & ___
- ___ & ___ ___
- biographical data
- reason for seeking care
- perception of present state of health
- past health & medical history
- family history
- general over health and wellbeing
- health & lifestyle management