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Ways to elicit information clearly and effectively ?
- FIFE
- Providing transitional statements
- exploring vague answers
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How can you elicit a clear detailed history ?
- Ask open questions to start, closed question used to clarify
- Ask questions one at a time
- explore vague and unclear answers
- listen to facts and observations
- transition'develop therapeutic relationships
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When presented with a Vague or unclear answer how should you respond?
- "Can you tell me what you mean by that?"
- do not make assumptions
- try to gather more information in a better manner
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when moving from OPPPQQRRSSTA what should you use before going to the Overall, history ?
- Transitional statements : " I am going to move on to ask you some question about your overall health to get a full picture of your medical history , is that okay?"
- informing the patient of the transition and make it a team effort
- DO NO mull over unclear answers
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what does the 1st F in FIFE mean( in detail)?
- how the patient feels about their problem.
- One example of a question that you can ask is:
- " How does this make you feel?"
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what does the I in FIFE mean( in detail)?
- Ideas about what is wrong
- ex:
- "have you have any thoughts about what might be causing this?"
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what does the 2nd F in FIFE mean( in detail)?
- Functions- impact on Daily life
- "How has this impacted your daily life?
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what does the E in FIFE mean( in detail)?
- Expectations: of the doctor & the treatment
- ex: " what are your hopes for this visit?"
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what blocks the path to gathering a through detailed history ?
- asking confusing, stacked questions.
- Only have open ended qs or closed ending qs
- making assumptions
- asking leading questions
- having a judgmental attitude
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