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Lecture #1, 211

preparing for first quiz

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
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