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Lecture #1, 211
preparing for first quiz
Term | Definition |
---|---|
Facilitation | general leads, encouraging for info |
Silence | listening, allowing pt time to organize thoughts |
Reflection | response echoing their words (mirroring to help them elaborate on a problem) |
Empathy | recognizing/accepting the others feelings w/o criticism and keeping yourself separate |
Clarification | summarize pts words, confirm w/ pt you understand, or not |
confrontation | your response when pt's story has discrepancies |
interpretation | your conclusion based on inferences, associations, linked events, implied causes |
explanation | you inform pt about factual, objective information |
summary | review of what you understand from the pt |
10 interviewing traps (avoid!) | 1. false reassurance 2. unwanted advice 3. authority "Dr knows best" 4. avoidance language "x passed" 5. distancing, impersonal speech 6. professional jargon 7. biased questions 8. talking too much 9. interrupting 10. asking 'why'?s |
How to chart by exception? | note only the abnormal findings |
List 7 nonverbal communication forms (BEGFTTA) | 1.posture 2.eye contact 3. gestures 4. facial expression 5. tone of voice 6. touch 7. active listening |
3 things to do to close interview (IST) | 1. inform pt u r concluding 2. summarize findings 3. "Thank you, is there any thing I can do for you at this time? I have the time" |
8 categories to collect data | 1. biographicall 2.source of hx 3. reason for seeking care (CC) 4. HPI, present health 5. PMH 6. Family Hx 7. ROS 8. functional Assessment |
define biographical data (11) | 1. name 2. phone 3. address 4. age, DOB 5. birthplace 6. gender 7. marital status 8. race 9. language of preference 10. ethnic origin 11. occupation |
define source of hx (3) | 1. who is furnishing information 2. how reliable 3. special circumstances *interpreter* |
define characteristics of PI/present health (7) | "I feel healthy" PRQSTU Point to location/Palliative/Provocative Quality (character) Radiation Severity Timing (onset, duration, frequency) Understand your perception |
PMH (5) | 1. allergies 2. current Rx, OtC 3. illnesses 4. hospitalizations 5. surgeries |
Familly Hx | to help detect health risks for the patient Parents, grandparents, siblings |
OLDCART | Onset Location (point to) Duration Characteristic Aggravating factors/Associated symptoms Relieving factors Treatments received |