Master clinical history taking (with patient example)
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- เผยแพร่เมื่อ 28 พ.ค. 2024
- Senior Lecturer Gemma Hurley uses a mock patient to take you through the principles of obtaining a clinical history for www.NurseLedClinics.com. Master the systematic approach and steps of a solid and competent clinical history.
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This is one of the most comprehensive videos I've seen here on TH-cam and it is actually identical to what medical students in the United States have to practice in preparation for their USMLE Step 2CS, and their clinical rounds in general. Thank you so much for putting this together - I have a practical exam tomorrow and I wanted to hear the comprehensive history taking portion a few times before I did it myself. :) Thanks so much!
Her tone of voice is soothing. i need to practice to speak like her slow and smooth and listen to the patient carefully.
Thanks Andrew. The point of the presentation is to ensure a holistic patient assessment is taken. Yes, it takes time, but is the UK taught model to ensure any other issues there may be are picked up, including psycho-social, and to enable all the clinical signs and symptoms to come together to create a more accurate set of differential, diagnosis. A thorough history prevents the patient having to return because the main problem has been missed. Great if it is only a sore throat.
I AM LOVING THIS ! EXCELLENT HISTORY TAKING ! ! And thanks for the video ❤
Great video covered appropriate sections of the history- in terms of the time it takes for the history the student NP will get better and faster with time and experience.
Good job you asked relevant question, to know the history behind he's sore throat and cough,and the smile on your face make it easy for him to answer.
Hi Richard, the point is Gemma is undertaking a holistic assessment to pick up any other issues that may be there or of concern. Sometimes what the person comes in with is related to other isuses, or there is something else worrying them. A holistic approach can also be used to focus in more clearly on what's causing this chest infection. The patient is a little dismissive of her other questions but there is a need not just to treat any issue superficially.
I wish doctors ask these questions LOL. Thank you.
I love her accent and the speech when asking so the patient can hear clearly. However, I am wondering the time of history taking in the real situation. How long do we as a nurse practitioner take interview in reality?
Thanks - this debate is very useful. Gemma says: The history taking demonstrated is a guide to a systematic approach to hx taking - it can be tailored to more specific problems. Making the presenting symptoms too complex would not help the student in focusing on the key steps to hx. taking. Sore throats can be trivial, but it's necessary to bear in mind serious underlying pathology. These key steps to hx taking are echoed in major texts and help students develop structure to their practice.
this has been really helpful for me. Thank you for the video.
Bombardment of questions after questions lead to confusion state for the practitioner as well as irritation to the patient. I feel 19minutes of vague history taking is too long for a particular case! i.e. sorethroat. I would definitely agree if it was for general physical examination.
thanx
Beautiful. Thank you for this video. :)
Thank you for the video. In the video is not saying about anything to a patient like " I just need to record some general health information. Do you mind if I make some notes while we talk? " ( to get a consent also not been rude while patient talk and head down for writing . In the reality the same thing while you go to see Doctor or Nurse in the hospital they never say that. But in the exam I think " should say " because if not losing mark. I wondering can I not say " I just need ....... While we talk " in the exam?
Very nicely she take history of the patients . its really a good. It's very help for all the nurses . Thanks very much for this video . good luck
slightly excessive for a sore throat!
Very nice- thanks for the help
Very nice history taking... Thank u!!
As soon as he said Ramipril I knew where his cough was coming from :D
Very helpful. Thank you!!
Great interviewing skills, although I would recommend against using terms like "waterworks" as it's not a direct question and one that could be misunderstood by the patient.
That was really helpful, thank you ever so much! (University of Aberdeen medical student)
Great vid
not sure asking about thyroid issues/cancer/strokes should be inquired about in a patient presenting with a chest infection..
Excellent one....but if the patient is in pain, wont that be problematic? i mean, the patient wont be in a position to tell accurately.
more close end question which does not allow patient to elaborate anyway that's good HT
Thank you very much
nice!
Thank you for this video! Nursing Student, Universidad Interamericana de Puerto Rico, Recinto Metropolitano
Thanks Matt, good luck with your studies.. Richard NLC.
it is good 7 out o 10
20 minutes for every patient. lets assume u're in the ED with a waiting list. though the interview was comprehensive, I dun think you'd have the luxury.
Remember you have to learn the process and basics then safely adapt to the situation.
Its comprehensive alright, but im not sure about the relevance of whether he is a house owner.
A house owner could indicate a more permanent and stable housing situation. Where as living in an apartment would mean that the Pt is exposed to more people which means more chances of catching contagious diseases.
I do not understand why she would ask "What do you think it is", I feel this is clearly why the patient has come to her in the first place and it was a unnecessary silly question.
Thank you very helpful!