During the interview process with the patient I was able to cover most items required to complete the patient history form. Although the interview was lengthy it was well organized, done in a timely fashion and was well understood by the patient. The shortcomings of this intake process is trying to make it quick and succinct without overlooking key information and expanding on details of conditions or symptoms. I feel it is a challenge to accomplish a patient history with little practice and limited exposure. The pitfalls I encountered were going a step further in asking more open-ended questions to gain the information for medication strengths, the details of allergies and the settings for making the conditions better or worse.
Although the …show more content…
I found that I was able to cover all questions, but at times lacked details of certain information. A perfect example, is overlooking the strengths for the medications. I was able to write down all information of the medication, the timing, diagnosis and history. I think in this instance I should possibly write down an acronym or mnemonic to ensure I cover each aspect, such as Dx-MDFTH (disease/diagnosis – medication, dosage, form, timing, history). It seemed that this oversight was also done with allergies. In retail pharmacy it is common practice to ask for known allergies yet the extent of the allergic reaction is overlooked. It possibly is a bad habit brought over from working retail and needs to be addressed. This again can be addressed by dividing the section into three columns: allergen, reaction and history. I believe setting it up with placing 2 slashes and writing on top KA (known allergy), RXN (reaction) and History for each column. Last but not least are the specifics of the chief complaint. It seems most patients are willing to give you information of the symptoms and signs they have but may not give the specifics of settings and modifiers. It is important to get as much information to give an accurate assessment. The most important part here is to make open-ended question. This allows the patient to concentrate on one aspect
Although the …show more content…
I found that I was able to cover all questions, but at times lacked details of certain information. A perfect example, is overlooking the strengths for the medications. I was able to write down all information of the medication, the timing, diagnosis and history. I think in this instance I should possibly write down an acronym or mnemonic to ensure I cover each aspect, such as Dx-MDFTH (disease/diagnosis – medication, dosage, form, timing, history). It seemed that this oversight was also done with allergies. In retail pharmacy it is common practice to ask for known allergies yet the extent of the allergic reaction is overlooked. It possibly is a bad habit brought over from working retail and needs to be addressed. This again can be addressed by dividing the section into three columns: allergen, reaction and history. I believe setting it up with placing 2 slashes and writing on top KA (known allergy), RXN (reaction) and History for each column. Last but not least are the specifics of the chief complaint. It seems most patients are willing to give you information of the symptoms and signs they have but may not give the specifics of settings and modifiers. It is important to get as much information to give an accurate assessment. The most important part here is to make open-ended question. This allows the patient to concentrate on one aspect