History Taking and Interview Techniques



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1 History Taking and Interview Techniques Aug 2020

Interview Techniques

  • Greet the patient by name and introduce yourself
  • Use a title to address the patient
  • Greet also the other visitors in the room and inquire their name and relationship to the patient
  • Let the patient decide who will remain in the room

Interview Techniques

The patient must be in a comfortable position

during the conversation!

Ask the patient the reason for seeking health

care

Ask open-ended questions

For example: What concerns bring you here today?

Inquire again anything else?

Interview Techniques

  • You may ask the patient which problem is the most pressing
  • For all symptoms understand their essential characteristics
  • Establish the sequence and the time course of the symptoms

Comprehensive Adult Health History

History of present illness

  • Location
  • Quality
  • Quantity or severity
  • Timing including onset, duration and frequency
  • The setting in which they occur
  • Relieving or aggravating factors
  • Associated manifestations

Interview Techniques

Facilitating the story

  • Listen actively
  • Ask open ended questions
  • Ask one question at a time!
  • If the patient is unable to describe the symptoms, you can offer multiple-choice answers
  • Clarify what the patient means

Interview Techniques

Facilitating the story

  • Nonverbal communication (for example moving closer and engaging in physical contact)
  • Echoing
  • Identify the feelings of the patient, give empathic responses

Interview Techniques

Facilitating the story

  • Do not say ‘do not worry, everything is going to be alright’
  • Give a capsule summary of the patient’s story in the course of the interview
  • Highlighting transitions

Interview Techniques

Go beyond the attributes of a symptom and

learn about the perception of the patient

Create a complete picture of the problem

Planning further evaluation

Interview Techniques

You generate hypotheses during the

conversation about what disease process might

be the cause

Interview Techniques

Conclusion

  • The interview to obtain a medical history is still important in the era of high tech medicine..
  • It is the beginning of the diagnostic and therapeutic process..
  • Formulates the patient’s symptoms into a differential diagnosis
  • The physician must understand an individual patient with an illness

Conclusion

  • Encourage the patient to tell his/her story in his/her own manner
  • But direct the interview
  • The amount of direction vary from patient to patient
  • The well taken history should be recorded in the patient’s chart in a functional way

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