presenting complaints

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слайд 1 presenting complaints for medical students introduction (wiipp) wash your hands introduce yourself: give your name and your job (e.g. dr. louise gooch, ward doctor) identity: confirm you’re speaking to the correct patient (name and date of birth) permission: confirm the reason for seeing the patient (“i’m going to ask you some questions about your cough, is that ok?”) positioning: patient sitting in chair approximately a metre away from you. ensure you are sitting at the same level as them and ideally not behind a desk. presenting complaint ask the patient to describe their problem using open questions (e.g. “what’s brought you into hospital today?”) the presenting complaint should be expressed in the patient’s own words (e.g. “i have a tightness in my chest.”) do not interrupt the patient’s first few sentences if possible try to elicit the patient’s ideas, concerns and expectations (ice) e.g. “i’m worried i might …

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tion of past medical history some medical conditions require clarification of the severity. for example: copd ask about when the patient was diagnosed, their current and previous treatments, whether they have ever required non invasive ventilation (“a tight-fitting face mask”), whether they have been to intensive care myocardial infarction ask about angina, previous heart attacks, any previous angiograms (“a wire put into your heart from your leg or from your arm”), previous stenting diabetes duration of diagnosis, current management including insulin and usual control of diabetes i.e. well- or poorly-controlled describe a picture image2.jpeg image3.jpeg image4.png image5.jpeg /docprops/thumbnail.jpeg

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слайд 1 presenting complaints for medical students introduction (wiipp) wash your hands introduce yourself: give your name and your job (e.g. dr. louise gooch, ward doctor) identity: confirm you’re speaking to the correct patient (name and date of birth) permission: confirm the reason for seeing the patient (“i’m going to ask you some questions about your cough, is that ok?”) positioning: patient sitting in chair approximately a metre away from you. ensure you are sitting at the same level as them and ideally not behind a desk. presenting complaint ask the patient to describe their problem using open questions (e.g. “what’s brought you into hospital today?”) the presenting complaint should be expressed in the patient’s own words (e.g. “i have …

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