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Social history презентация
Содержание
- 1. Social history
- 2. BACKGROUND Questions related to the social history
- 3. TATE (2004) Make it a rule to
- 4. GENERAL APPEARANCE Doctors should look beyond the
- 5. SOCIAL HISTORY INCLUDES family life
- 6. Why to ask ? Cause stress, tension,
- 7. ASKING ABOUT LIFESTYLE EX. 9A,B, P.
- 8. SUMMARISING THE ENCOUNTER Doctors summarise at
- 9. Language for summarising
BACKGROUND Questions related to the social history allow to identify the factors contributing to the patient’s illness help you to evaluate the patient’s sources of
Слайд 2BACKGROUND
Questions related to the social history
allow to identify the factors
contributing to the patient’s illness
help you to evaluate the patient’s sources of
support,
reaction to illness,
coping mechanisms,
strengths and fears.
help you to evaluate the patient’s sources of
support,
reaction to illness,
coping mechanisms,
strengths and fears.
Слайд 3TATE (2004)
Make it a rule to know more about the patients
when they leave than when they come in.
Look at the pictures and link them to the quotation (SB p.42)
Look at the pictures and link them to the quotation (SB p.42)
Слайд 4GENERAL APPEARANCE
Doctors should look beyond the appearance and avoid stereotipes
They
are required to take notes of their patients’ appearance and read the clues
General appearance could give clues or mask clues to patient’s well-being
(do ex. 1a, p.42; ex.2, p.42; ex.5a,p.43; 6b, p.43)
General appearance could give clues or mask clues to patient’s well-being
(do ex. 1a, p.42; ex.2, p.42; ex.5a,p.43; 6b, p.43)
Слайд 5SOCIAL HISTORY
INCLUDES family life
occupation
environment (the conditions in which they live)
financial situation
education
lifestyle (tobacco, alcohol, drug consumption
general fitness
rest and relaxation
sleep patterens
hobbies
sexual practices
financial situation
education
lifestyle (tobacco, alcohol, drug consumption
general fitness
rest and relaxation
sleep patterens
hobbies
sexual practices
Слайд 6Why to ask ?
Cause stress, tension, depression, irritable bowel syndrome
Could give
an indication to the patient’s access bto medical care
Слайд 7ASKING ABOUT LIFESTYLE
EX. 9A,B, P. 44:
READ THE DIALOGUE ON PAGE 141
FIND QUESTIONS RELATED TO SOCIAL HISTORY
FIND CAUSES OF FUTURE CONCERNS
ROLEPLAY THE DIALOGUE
Слайд 8SUMMARISING THE ENCOUNTER
Doctors summarise at the end of a specific line
of enquiry to confirm understanding before moving on.
It is a key skill in information gathering and structuring the interview
It provides intentional feedback to the patient
Silverman et al.(2005)
It is a key skill in information gathering and structuring the interview
It provides intentional feedback to the patient
Silverman et al.(2005)
