The medical interview : mastering skills for clinical practice /
| Main Author: | |
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| Other Authors: | |
| Format: | Book |
| Language: | English |
| Published: |
Philadelphia, PA :
F.A. Davis Co.,
[2001]
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| Edition: | Fourth edition. |
| Subjects: |
Table of Contents:
- The poor historian
- Pt. 1. Basic skills: understanding the patient's story
- I attach the same meaning
- Interviewing as a clinical skill
- Objectivity
- Interpretation versus observation
- Precision
- Sensitivity and specificity
- Reliability
- Science and art at work
- Saga of the fifth wheel
- Summary: science and art in interviewing
- With simple, kindly words
- Respect, genuineness, empathy
- Respect
- Genuineness
- Empathy
- Levels of responding
- Using words to identify symptoms and feelings
- Nonverbal communication
- Challenges to understanding exactly
- Summary: core therapeutic skills
- Why should you come to consult me?
- The chief complaint and present illness
- The setting and getting started
- The chief complaint
- The present illness
- A few examples
- Challenges to eliciting the chief complaint and present illness
- Summary: chief complaint and history of the present illness
- Transforming experience into memory
- Other active problems, past medical history, and family history
- Other active problems
- The past medical history
- Family history
- Summary: other active problems, past medical history, family history
- Gaining richness and reality
- The patient profile
- What goes into the patient profile?
- Demographics and occupational history
- Lifestyle
- Spirituality and beliefs
- Relationships
- Sexual history
- The patient profile at work
- Summary: the patient profile
- No air of finished knowledge
- The review of systems, physical examination, and closure
- The review of systems
- Transition to the physical examination
- Conversation during the physical examination
- Ending the interview
- Summary: the ROS, physical examination, and closure
- I shall enumerate them to you
- The clinical narrative
- Turning the history into the write-up: the clinical narrative
- Functions of the clinical record
- Format of the clinical record
- Problem-oriented records
- Presenting the patient
- Communication among professionals
- Summary: the clinical narrative
- Pt. 2. Basic skills in practice: special patients and settings
- Headed in the right direction
- Pediatric and adolescent interviewing
- Children versus grown-ups: similarities and differences
- Setting the stage for effective communication
- Talking with patients of different ages
- Summary: techniques for interviewing the young patient
- A different silhouette
- Interviewing the geriatric patient
- The style of the interview
- The content of the interview
- Mental status assessment
- The third party
- Summary: techniques for interviewing the elderly patient
- For the moment at least I actually became them
- Cultural competence in the interview
- The patients values and your own
- Interviewing patients of a different culture and language
- Health beliefs in the interview
- Summary: culturally sensitive interviewing
- The real satisfaction
- Communication with the patient in the office setting
- Gaining efficiency and focus
- Specific issues in managed care settings
- Communicating about prevention and health promotion
- Truthfulness and confidentiality
- Summary: communication in the office setting - Pt. 3. Challenges in interviewing
- Seal up the mouth of outrage
- Difficult patient-clinician interactions
- Interactive styles
- Somatization
- Difficult feelings in the medical interview
- Summary: diagnosing and treating the sick
- Interview
- Something new and dreadful
- Telling bad news
- Barriers to communicating bad news
- Empathy and interaction in telling bad news
- Interviewing in palliative care
- Advance directives
- Cultural considerations
- Summary: communicating bad news
- A great many remedies
- Talking with patients about complementary and alternative medicine
- Consider the context
- Definition, please
- Who uses CAM?
- Learning about CAM in the clinical interview
- Working with the alternatives
- Summary: talking about CAM
- The sum of all the general rage
- Malpractice and the clinical interview
- Earning trust through mastery of basic skills
- Building blocks of a negligence-free relationship
- Informed consent
- Communication within the health care team
- Keeping good records: documentation, documentation, documentation
- Summary: avoiding malpractice claims
- Not through argument but by contagion
- Education and negotiation
- Education: conveying the information
- Negotiation
- Summary: influencing the patient
- The hunt is on
- The medical interview at work - Appendix: Questionnaires to assist history-taking.