PDS UWSMPH
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show | Ask the patient about the problem, examine the aptient, perform testing, determine the diagnosis, develop a plan with the patient
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Describe the typical order of medical documentation. | show 🗑
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show | Establish Trust, acquire information,
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show | Gather data, develop rapport, respond to emotions, educate and motivate patient, develop differential diagnosis
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show | Introduce yourself, ask how he/she wishes to be called, educate and motivate patients, explain role as medical student, explain purpose of session, explain that MD will see the patient following your interview, obtain permission to perform interview
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show | posture eye contact, open ended questions, don't interrupt, use patient's language, don't scare patient
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show | Intro, CC, HPI, PMH, FH, SH, ROS
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Develop a framework to facilitate the analysis of complex clinical ethical problems. | show 🗑
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Apply the “four box” model to systematically contextualize clinical ethical problems, utilizing guiding ethical principles of autonomy, beneficence, non-maleficence, and fairness (justice). | show 🗑
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· Define confidentiality. | show 🗑
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· Explain why confidentiality is central to effective health care. | show 🗑
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show | High probability, serious harm, disclosure likely to prevent harm, no alternatives
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· Defend examples when breaching confidentiality might be appropriate. | show 🗑
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Determine why and when providers take a social history. | show 🗑
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show | consciously acknowledge discomfort, be non-judgemental, get to know patient first, explain reasoning for asking questions
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show | consciously acknowledge discomfort, be non-judgemental, get to know patient first, explain reasoning for asking questions
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· Describe the two main goals of nutrition assessment | show 🗑
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show | reduced immune response, slow wound repair, reduces survival
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· Compare and contrast marasmus and kwashiorkor. | show 🗑
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show | MH, FH, SH, physical activity history, weight history, diet history, medication history
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show | dietary reference intakes, dietary guidelines for americans, 2008 physical activity guidelines,choose my plate recommendations
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· Describe 4 methods to obtain a diet history and discuss use of these methods in clinical practice. | show 🗑
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· List the food groups and recommended number of servings from each group per day (for someone eating 2000 calories per day) based on ChooseMyPlate.gov. | show 🗑
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Given a case or scenario, differentiate the categories of substance abuse continuum. | show 🗑
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Screening Criteria | show 🗑
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show | improvement in Sx, function, QoL, duration of life
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Spirituality | show 🗑
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· Define and explain five clinical goals of spiritual assessment and care. | show 🗑
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· List and define spiritual assessment tools and key mnemonics. | show 🗑
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· Summarize three practical outcomes of integration of spiritual assessment and patient care. | show 🗑
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show | A shared system of beliefs, values, and/or learned patterns of behavior
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show | Fluent in two languages, Trained as interpreter, not a family member, never a minor
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show | pre-interview meeing with interpreter, positioned in room adequately, speak directly to pt, speak at an even pace and in short segments
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· Determine when a patient needs an interpreter. | show 🗑
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· Illustrate appropriate steps to take when an interpreter is needed but not available. | show 🗑
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· Demonstrate the Introduction. | show 🗑
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· Demonstrate the Chief Concern/History of Present Illness. | show 🗑
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show | o Use a patient’s name upon introduction and throughout the interview., o Use open-ended questions throughout the interview., o Does not interrupt patient.
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· Demonstrate the PMH elements of the medical interview, including: | show 🗑
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show | o Hereditary diseases, o Familial illnesses, o Family traits, o Illnesses that have a profound effect on the patient’s psychological environment such as psychiatric disorders and substance abuse.
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show | o Ask for clarification, focusing on specific episodes of illness, injury and hospitalization, o Does not rush patient’s answers, o Uses plain, non-medical language
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· Demonstrate the Introduction element of the medical interview. | show 🗑
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· Demonstrate asking the Chief Concern element of the medical interview. | show 🗑
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· Demonstrate asking the Agenda-setting questions of the medical interview. | show 🗑
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show | o HPI statement: “Tell me more about your… (concern).”, o Practice asking about location, quality, severity, timing, context, associated symptoms, modifying factors, treatment, impact, patient perception., o Practice summarizing before moving on to
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show | o Practice asking about adult medical conditions, major childhood illnesses, current medications, surgeries, major injuries, hospitalizations, immunizations, allergies / reactions.
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· Demonstrate the Family History element of the medical interview. | show 🗑
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show | o Focus on specific episodes of illness, injury and hospitalization., o Use appropriate eye contact/body language, o Attend to patient’s body language/non-verbal communication.
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show | (Born/raised, living situation, relationship/support system, daily activities, leisure, alternative/complimentary treatment, cultural/spiritual beliefs, advanced directives, nutrition, caffeine, exercise, sleep, safety, environmental exposure, tattoos/pie
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show | consciously acknowledge discomfort, be non-judgemental, get to know patient first, explain reasoning for asking questions
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show | o Obtain permission to discuss sensitive topics, o Ask patient to clarify unclear information, o Do not interrupt or rush patient’s answers, o Verbally acknowledge emotional content of interview, o Avoid multiple questions, o Use plain, non-me
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show | Home, Eductation/Employment, Activities, Drugs, Sexuality, Suicide/Depression
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show | Greet & introduce, ask how to address, explain role as student, explain the MD will see pt, obtain permission
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show | Open ended question (CC), set agenda, open ended statement re:CC, location, quality, severity, timing, context, associated signs, better, worse, Tx thus far, impact, patient's perception, summarization
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PMH | show 🗑
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show | info from 3 generations
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show | living situation, relationships, support system, daily activities, leisure, cultural/spiritual beliefs, advanced directives
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show | nutrition, caffeine, exercise, sleep, safety, environmental exposure, tattoos/piercings, tobacco, alcohol, illicit drugs, sexual habits, economic risks, stress, violence, social impact
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Created by:
rieves
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