Obtaining A Patient History. Department of EMS Professions Temple College. Topics to Discuss. The Value of History Taking Establishing the Patient Relationship Elements of the Comprehensive History Focusing the History Special Challenges. The Value of History Taking.
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Department of EMS Professions
First Impression & the Environment
History of the Present Illness
Current Health Status & Medical Care
Significant Past History
Systems ReviewElements of the Comprehensive History
Systems Review (focused by CC)
PsychiatricElements of the Comprehensive History
Choosing to ask lots of questions to obtain a history WITHOUT also directing initial care or performing a physical exam
Not doing anything for me
Why are we wasting our time here?
Stop asking all these silly questionsCommon Pitfalls
Using a tone of voice that sends the wrong message WITHOUT also directing initial care or performing a physical exam
“What is your ‘Problem’ TODAY Mrs. Jones?
“Why did you call 911?”
He thinks I call EMS for every little problem
I must have called 911 and was not supposed to.
I think I am bothering these nice peopleCommon Pitfalls
“Why do you people use these home herbal remedies?”
“You have enough kids. You should consider birth control”
This person thinks I am a fool
She laughs at the traditions of my culture
He does not respect my personal decisionsCommon Pitfalls
Poor choice of words or using technical terms differences
How many years has your husband been taking these ACE-inhibitors?
Your wife is experiencing congestive heart failure
What the heck is he talking about?
My wife’s heart is failing?!?! Has her heart stopped yet?
Son, could you speak English?Common Pitfalls