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Initiating the session
Gathering information
Physical examination
The interview process Explanation and planning
Closing the session
These steps are proving structure and
building the relationship
Nonverbal communication
Empathy
Active listening
Validation
interviewing techniques reassurance
partnering
summarize
Guided questioning
Empowerment
Explaining point for point what the ex-
amination will entail, preparing, privacy,
awareness of the setting in which the
Setting the stage for examination
exam is taking place, do not assume it
is ok to have others in the room, being
aware of disabilities.
Earning trust, following through, showing
Establishing Rapport empathy and compassion, being knowl-
edgeable of the information provided
How a person would like to be referred
to. Ex: "She/Her" "He/Him" "They/Them"
etc.
How would you describe your sexual
Gender Pronouns identity
How would you describe your gender
identity
What is the sex on your original birth
certificate
Feelings
FIFE model Ideas
Functioning
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Expectations
Helps explore the patient's perspective
about their health and illness
Involving the patient in their care and
coming up with a plan with the provider.
Provider must acknowledge their own
Patient-centered medical care
personal biases while being aware of
what is the safest Sam's most effective
plan for the patient
Active listening, empathetic responses,
guided questioning, nonverbal communi-
Fundamentals of skilled interviewing cation, validation, reassurance, partner-
ing, summarization, transitions, empow-
ering the patient
expressing ideas to others by using spo-
verbal communication
ken words
communication using body movements,
nonverbal communication gestures, and facial expressions rather
than speech
Silent
Talkative
With confusing narrative
With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
Challenging Patient Situations and be-
With hearing loss
haviors
With low or impaired vision
With limited intelligence
Burdened by personal problems
Nonadherent
With low literacy
With low health literacy
With limited language proficiency
With terminal illness or dying
5 R's off cultural humility
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Reflection— what did I learn?
Respect—did I treat everyone involved w
respect?
Regard—did unconscious bias drive this
encounter?
Relevance—how was cultural humility
relevant?
Resiliency—how did my personal re-
silience affect this interaction?
nonmaleficence,
beneficence,
respect for autonomy,
decisional capacity,
Core Values of Medical Ethics
confidentiality,
informed consent,
truth telling,
justice
ALL components of the Complete Health
Focused Health History History with the focus on the specific rea-
son the client is seeking care.
includes biographic data, reason for
seeking care, present health status, past
medical history, family history, personal
and psychosocial history, and a review of
Comprehensive Health History all body systems
Psych
Obstetrics
Surgery c-section goes here
Hospital stays
1) Demographic information
2) Source of history
3) Chief concern
4) History of present illness
Components of Health History ——OLDCARTS
5) Past health history and current health
status
6) Family history
7) Social history