Patient Interview
Sensitive Topics #6
Achieving Cultural Competence
Getting Ready Steps
Adjusting the environment
Sensitive Topics #3
Alcohol and Drug Use
Effective Methods of Collecting Patient Data #2
Asking hypothetical questions
Effective Methods of Collecting Patient Data #1
Asking open-ended questions
8 Steps to a successful interview #6
Be respectful with sensitive topics
Six C's 5
Chronological Order
Six C's 2
Clarity
Six C's 1
Client Words
Six C's 3
Completeness
For new patients, regardless of setting generally the intent is to obtain a __________________.
Comprehensive Health History
Six C's 4
Conciseness
Six C's 6
Confidential
Sensitive Topics #5
Death and Dying
8 Steps to a successful interview #7
Do not diagnose or give an opinion
Client Words
Do not interpret the patient's words
8 Steps to a successful interview #1
Do research before the interview
Effective Methods of Collecting Patient Data #7
Encouraging the patient to evaluate the situation
Effective Methods of Collecting Patient Data #6
Encouraging the patient to provide additional information
Effective Methods of Collecting Patient Data #5
Encouraging the patient to take the lead
8 Steps to a successful interview #5
Ensure privacy / no interruptions
Sensitive Topics #8
Ethical Considerations
Chronological Order
Events leading to condition & any treatment
8 Steps to a successful interview #4
Explain to the patient that completing this interview is critical for the clinician to ensure an appropriate understanding of patient's pertinent health history and how it may relate to any new developments.
Sensitive Topics #4
Family Violence
Completeness
Fill out forms completely
Effective Methods of Collecting Patient Data #4
Focusing on the patient
Confidential
Following HIPAA guildelines
8 Steps to a successful interview #8
Formulate a general picture
Time (History)
How long the condition has been going on and how it has changed since onset, Whether it has ever happened before, whether and how it may have changed since onset, and when the pain stopped if it is no longer currently being felt
L in SOLER stands for...
Lean slightly toward the patient
O in SOLER stands for...
Maintain an Open position
E in SOLER stands for...
Maintain reasonable Eye contact
8 Steps to a successful interview #3
Make the patient feel at ease
Sensitive Topics #2
Mental Health
Effective Methods of Collecting Patient Data #3
Mirroring/verbalizing the implied
8 Steps to a successful interview #2
Plan the interview
Clarity
Precise descriptions / medical terminology
For other patients who seek care for specific complaints, a more limited interview tailored to that specific problem may be indicated--known as __________________
Problem-Oriented History
R in SOLER stands for...
Relax
Getting Ready Steps
Reviewing the chart
Getting Ready Steps
Reviewing your clinical behavior and appearance
Sensitive Topics #1
Sexual History
Sensitive Topics #7
Sexuality in the Clinician-Patient Relationship
S in SOLER stands for...
Sit squarely in relation to the patient
Getting Ready Steps
Taking notes without producing a hindrance to the patient-interviewer rapport
Getting Ready Steps
Taking time for self-reflection
Severity
The pain score on a scale of 0 - 10
Quality of the pain
The patient's description of the pain.
Conciseness
To the point / and using approved abbreviations
Onset of the Event
What the patient was doing when it started (active, inactive, stressed), whether the patient believes that activity prompted the pain and whether the onset was sudden, gradual or part of an ongoing chronic problem
Region and Radiation
Where the pain is on the body and whether it radiates (extends) or moves to any other area
Provocation
Whether any movement, pressure (such as palpation) or other external factor makes the problem better or worse. Can also include whether the symptoms relieve with rest
