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C-C
guide

 Handouts

 One to One

Course
plans

Specific
issues

Assessment  Reading

 

Gathering information

Initial exploration of the patientís problems (disease and illness)

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Patientís narrative: encourages patient to tell the story of the problem(s) from when first started to the present in own words

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Question style: uses open-ended and closed questions, moves appropriately from open to closed                                 

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Listening: listens attentively, allowing patient to complete statements without interruption; leaves space for patient to think before answering or go on after pausing
 

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Facilitative response: facilitates patient's responses verbally and nonĖverbally e.g. use of encouragement, silence, repetition, paraphrasing, interpretation

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Cues: picks up verbal and nonĖverbal cues (body language, speech, facial expression, affect); checks them out and acknowledges as appropriate

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Clarification: clarifies statements which are vague or need further amplification (e.g. "Could you explain what you mean by light headed")

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Time-framing: establishes when events in history occurred                           

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 Internal summary: periodically summarises to check own understanding of what the patient has said; allows patient an opportunity to correct interpretation and provide further information

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 Appropriate use of language: uses concise, easily understood questions and comments, avoids or adequately explains jargon 

  

Further exploration of the disease framework 

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Focused closed questions: asks appropriate closed questions to explore facets of the history that have not emerged from the patientís account

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Symptom analysis: site, radiation, character, severity, duration, frequency and periodicity, special times of occurrence, aggravating factors, relieving factors, associated phenomena

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 Relevant functional enquiry: asks questions from the functional enquiry relevant to the appropriate system being explored

Further exploration of the illness framework (patientís perspective)

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 Ideas and concerns: determines patient's ideas (i.e. beliefs re cause) and concerns (i.e. worries) regarding each problem

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 Effects: determines the effects on the patientís life of each problem

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 Expectations: determines what help the patient had expected regarding each problem         

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 Feelings and thoughts: encourages the expression of the patientís feelings and thoughts

 

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