Social history

Август 22, 2022

Содержание

2. BACKGROUND Questions related to the social history allow to identify the factors contributing to the patient’s
3. TATE (2004) Make it a rule to know more about the patients when they leave than
4. GENERAL APPEARANCE Doctors should look beyond the appearance and avoid stereotipes They are required to take
5. SOCIAL HISTORY INCLUDES family life occupation environment (the conditions in which they live) financial situation education
6. Why to ask ? Cause stress, tension, depression, irritable bowel syndrome Could give an indication to
7. ASKING ABOUT LIFESTYLE EX. 9A,B, P. 44: READ THE DIALOGUE ON PAGE 141 FIND QUESTIONS RELATED
8. SUMMARISING THE ENCOUNTER Doctors summarise at the end of a specific line of enquiry to confirm
9. Language for summarising
11. Скачать презентацию

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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
support,
reaction to illness,
coping mechanisms,
strengths and fears.

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TATE (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)

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GENERAL 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)

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SOCIAL 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

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Why to ask ?
Cause stress, tension, depression, irritable bowel syndrome
Could give

an indication to the patient’s access bto medical care

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ASKING 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

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SUMMARISING 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)

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