History Taking Midterm

What are the 3 main functions of a medical interview?

Build the relationship

Assess and understand

Collaborate for management

How do you build the relationship?

Develop rapport

Establish mutual respect

Establish trust

Convery empathy and compassion

How do you assess and understand?

Questioning and data gathering

How do you collaborate for management?

Patient education

What will you do during a medical interview and physical exam?

Gather data to generate a hypothesis

Collect info which will help as you develop a plan

Why is interview and physical exam essential?

Develop clinician-patient bond

What necessitates the development of the clinician-patient relationship?

Effective communication

What is key for developing a rapport?

Look the part

Have a pleasant demeanor

Appropriate touch

Address the patient by name

Establish eye contact

Reference info from previous visits

What is key for establishing mutual respect?

Focus on patient

Address patient formally

Honor your patients time

What is key for establishing trust?

Be honest

If you don’t know, say you don’t know

Keep your word

What is key for conveying empathy and compassion?

Respect patients’ emotions

Address difficult or sad moments appropriately

Implement appropriate touch
Recommend support if needed

Careful of tone and pace of conversation

What is empathy?

Ability to understand and share the feelings of another

What is compassion?

“Sympathetic consciousness of others distress together with a desire to alleviate it”

What is sympathy?

“The act of capacity of entering into or sharing the feelings or interests of another” Feeling compassion or sorrow for the hardships of another

What percentage of your diagnosis can come from your history taking?

80%

What are important non-verbal communicators?

Quiet, eye contact, and lean forward

What are aspects of respect?

Accept your patients as they are

Do not judge

Separate personal feelings

What are aspects of genuineness?

Be yourself as a person

Acknowledge your position

What is empathy?

The ability to understand and share the feelings of another

What are the 4 qualities of empathy?

Perspective taking

Staying out of judgement

Recognizing the emotion in the other person

Communicating the emotion of the other person

What is most important when making something better?

Connection

What increases levels of responsiveness?

Interchangeable

Additive

What decreases levels of responsiveness?

Ignoring

Minimizing

What is a interchangeable level of response?

Positive

Recognize the feelings and symptoms expressed by the patient

What is the additive level of response?

Positive

Practitioner recognizes what the patient expresses openly as well as what they feel but do not express

What is the ignoring level of response?

Negative

Do not hear what the patient said, or act as if you didnt

What is the minimizing level of response?

Negative

Respond to the feelings/symptoms at a lesser level than associated with the patients expressed concern

What shows efficacy?

Arriving at a conclusion in a timely manner so you accomplish your therapeutic tasks

What is culture?

The set of shared attitudes, values, goals, and practices that characterizes an institution or organization

What is intersectionality?

Describes how race, class, gender, and other individuals’ characteristics intersect and overlap with one another

Why is intersectionality important?

Understanding intersectionality helps us understand our patients experience better

What are cultural concepts?

Do not equal race, or describe people who are physically similar and are thought to have the same beliefs, values, and behaviors

What is the Bates definition of competency?

set of attitudes, skills, behaviors, and policies that enable organizations and staff to work effectively in cross-cultural situations

What is the Coulehan definition of competency?

Avoid stereotypes, bias, prejudice, classism, racism, ageism, xenophobia, homophobia, and even sexism in your everyday interactions with patients

What is the Bates definition of humility?

Process that requires humility as individually continually engage in self-reflection and self-critique as lifelong learners and reflective practitioners

What is cultural humility?

Ability to maintain an interpersonal stance that is other-oriented in relation to aspects of cultural identify

What is cultural competence?

The ability to interact effectively with people of different cultures, including socioeconomic differences

What is cultural competence in a patient setting?

To be respectful and responsive to the health beliefs and practices

What is humility?

Freedom from pride or arrogance: the quality or state of being humble

What is the problem with cultural competency?

Suggest that culture can be reduced to a technical skill for which clinicians can be trained to develop

What does the S in SOAP notes stand for?

Subjective

What does the O in SOAP notes stand for? v

Objective

What does the A in SOAP notes stand for?

Assessment

What does the P in SOAP notes stand for?

Plan

What do you during the S in SOAP notes?

History taking, chief complaint, and review of systems

What does the L stand for in LOPQRST?

Location

What does the O stand for in LOPQRST?

Onset

What does the P stand for in LOPQRST?

Prior, palliative, provocative, progression

What does the Q stand for in LOPQRST?

Quality of pain

What does the R stand for in LOPQRST?

Radiation

What does the S stand for in LOPQRST?

Severity

What does the T stand for in LOPQRST?

Timing

What is a narrative?

The patient’s history is written in paragraph form rather than bullet points