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Pt Hx Guidelines

5

QuestionAnswer
Pt Hx - What impression are you supposed to give? That you are simply gathering information.
Pt Hx - What are the generic questions you should ask for a HA pt? What is your name? How old are you? Are you R or L handed? What medications do you take? Have you had an EEG before? When?
Pt Hx - What question is the 'heart' of hx taking? Why does your doctor want you to have this test? Get precise answers.
Pt Hx - What question will give you the 'Chief Complaint?' The question that is the 'heart' of hx taking.
Pt Hx - What questions should you ask to learn about the Chief Complaint? Is it happening now? How often does it occur? Can you describe them? Where are they? What makes them better or worse? Any accompanying symptoms? Visual disturbances? Nausea or vomiting? Unusual sensations? Fever?
Pt Hx - Should a pt have a headache during a recording? Why or why not? No because it could cause technical problems.
Pt Hx - What questions should you ask if the chief complaint is stroke? When was the last one? What do you remember? What problems did you have? Could you move arms and legs? Can you normally now? Did you have speech problems? How long did it last? Were you weak? Which side was affected? Anything you can't do normally now?
Pt Hx - What is the most difficult part of taking a stroke hx? The pt may be confused and have trouble with memory.
Pt Hx - What is the most important info to get during a stroke hx? Where the stroke occurred.
Pt Hx - What is the best question to ask to find out where the stroke occurred? Did you have any trouble using either of your arms or legs or did you have any funny feelings in either of them?
Pt Hx - What questions should you ask for a head injury hx? Where was your head hit? Did you lose consciousness? Is there anything you don't think you remember? Is there anything you can't do now that you could do before? Did you have any of these problems before the injury?
Pt Hx - One important difference to remember about a head injury pt is what? There is a difference between a head injury and a brain injury.
Pt Hx - What questions should you ask an intensive care pt's family? Why is pt in hospital? When were they admitted? What is the major problem? Is the neuro problem primary of secondary? Has a neurologist seen pt? (Check the report.) Have other neuro tests been performed (MRI, CT, EP)? What does referring want to know?
Pt Hx - Why is performing an EEG in intensive care difficult? Many other hospital personnel are caring for pt, may be a lot of technical interference from other machines.
Pt Hx - What is the most important question to have answered for the intensive care pt? What does the referring physician want to know (status, ECS, etc.). This will tell you how much time you need to spend with the pt and if you can maybe use less electrodes, etc. (not shorten the recording).
Pt Hx - What questions should be asked for sz pts? How often do they occur? When was the first one? When was the last one? Do you know when you are going to have one? How long do they last? Do you lose consciousness? What happens? Anything specific that causes it? Can you stop it? Is there a family hx?
Pt Hx - In sz pts, it's not uncommon for what? All other testing to be normal.
Pt Hx - In sz pts, what does the question 'When was your last one?" rule out? A post-ictal period.
Pt Hx - What is the term for an event that may look like a sz in some ways but have other features that are not true with cortical activity? Pseudoseizures or Psychogenic Non-Epileptic Seizures (PNES).
Pt Hx - What questions should you ask a potential PNES pt? The same as a sz pt, but make more detailed notes of the 'differences' in answers.
Pt Hx - How should you treat a potential PNES pt? As a legitimate pt.
Pt Hx - What is the most important thing to do with a PNES pt? Use the 'power of suggestion.' "Szs are usually brought on by activation procedures. Just let me know if you have one."
Pt Hx - What questions should you ask for Non-Epileptic Paroxysmal events (dizziness, blackouts, falling, and fainting)? When did symptoms start? How often do they occur? Under what circumstances do they occur (only when standing, lying down, changing positions, enclosed areas, temperature related, seeing blood, haven't eaten all day, etc.)?
Pt Hx - What are you trying to rule out when evaluating a pt with Non-Epileptic Paroxysmal events? Possible sz.
Pt Hx - What is an important clarification to make with Non-Epileptic Paroxysmal pts? Try to get a precise term vs. general, such as... when the pt says 'dizzy,' do they really mean 'vertigo'?
Pt Hx - What is the purpose of taking a hx? To customize the clinical problem being evaluated.
Pt Hx - What should you do regarding the source of your information? Always list the source.
Pt Hx - How should you ask a pt's hx? At an age appropriate level.
Pt Hx - How much hx do you need? Enough for the EEGer to make an adequate clinical correlation with the EEG.
Pt Hx - What are some important jobs of the tech during hx taking? To be informative, make the pt feel relaxed, do not 'evaluate' or dx. Only describe. Never interprete.
Created by: kmburg5840
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