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23 Cards in this Set
- Front
- Back
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If you suspect a patient is struggling with alcoholism, what might you ask?
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CAGE
1. Have you ever tried to Cut out drinking? 2. Have you ever felt Angry when someone questions your drinking? 3. Have you ever felt Guilty about your drinking? 4. Have you ever had an 'Eye opener' drink in the morning? |
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List the structure of the History and Physical:
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Chief Complaint
History of Present Illness Medical History Family History Social/Personal History Review of Systoms |
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Define Chief Complaint
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A brief statement of reason the patient is seeking health care
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Define History of Present Illness
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A step-by-step evaluation of the circumstances that surround the primary reason (problem) for the patient’s visit
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Define Past Medical History
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Exploration of the person’s overall health before the present problem, including all past medical and surgical experiences
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Define Family History
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Exploration of a family’s health, past medical experiences, illnesses, social experiences, deaths, and genetic and environmental circumstances
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Define Social/Personal History
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Exploration of a person's work habits and relationships at work, school, and home
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Define Review of Systems
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Detailed review of complaints for each body system
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List four sensitive issues for patients
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1. Alcohol or drug use
2. Sexual history 3. Sexual orientation 4. Religion |
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List FICA...
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Faith (What?)
Influence (How much?) Community (Where/With Whom?) Address (So What?) |
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List SAFE...
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Stress in relationships?
Afraid or Abused? Friends and Family? Emergency Plan? |
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List the four communication tasks with each patient visit (4 E's)...
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Engage
Empathy Educate Enlist |
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List cultural factors that aid understanding...
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Health beliefs and practices
Religious influences and special rituals Language and communication Parenting styles and role of family Sources of support beyond family Dietary practices |
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What kinds of effective communication skills have been shown to reduce the risk of malpractice?
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Oriented patients to process of visit
Used facilitative comments Asked patients their opinion Used active listening Used humor and laughed Had longer visits (18.3 vs. 15 minutes) |
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Define Engagement
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A connection which continues throughout the encounter
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Define Empathy
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Being seen
Being heard Being accepted |
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List the two leading causes for malpractice law suits...
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1. Failure to communicate test results
2. Poor communication |
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Make a statement to Engage the patient.
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"Before we begin tell me something about yourself."
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Define Education
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Education involves cognitive, behavioral, and affective elements. Goal is to promote patient with:
Greater knowledge and understanding Increased capacity and skills Decreased anxiety |
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Describe a patient's belief system in relation to ED.
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Cause
Functional meaning - I can't maintain an erection Relational meaning - I can't be intimate with my partner Symbolic meaning - I am losing my manhood |
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List the nine (9) mysteries of health...
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1. What has happened to me (diagnosis)?
2. Why has it happened to me (etiology)? 3. What is going to happen to me (prognosis)? 4. What do I need to do (self management)? 5. What are you (they) doing for me (to me)? 6. Why are you (they) doing this rather than that? 7. Will it hurt me or harm me? How much? How long? 8. When and how will you know what all this means? 9. When and how will I know what it means? |
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Define Enlistment
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An invitation from the clinician to the patient to collaborate in the decision-making related to goals for treatment and plan for treatment
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List 3 techniques for effective Enlistment...
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1. Keep regime simple
2. Write out the regimen 3. Follow up and ask about adherence to plan |
