Understanding the Patient Interview- Goals and Components of Patient History

Understanding the Patient Interview- Goals and Components of Patient History

What is the purpose of a patient interview?

A patient interview is a process that a doctor or physician uses to elicit information about the patient’s medical history. All medical practitioners must conduct these interviews before providing any medical care to patients. There are numerous reasons why a doctor should conduct a patient interview before treating them.

Medication compliance is one of the primary goals of patient interviews. Medication compliance refers to a patient’s reaction to a specific drug (Zhu et al., 2016). A medical practitioner cannot decide which medication to give to a patient unless they know how the medication affects them. As a result, patient interviews allow medical practitioners to determine the best medication for their patients based on their compliance. The patient interview’s second goal is to identify drug-related issues. Only by speaking with patients can medical practitioners understand existing patient drug problems (Stämpfli et al., 2018). Doctors can learn about the patient’s medical history by conducting a proper patient interview. Medical history assists practitioners in making decisions regarding the prescription of various drugs. A patient may be allergic to certain types of medication, which can only be determined through interviews. As a result, medical practitioners must establish a positive rapport with their patients.

Furthermore, patient interviews assist medical practitioners in making a diagnosis. Medical practitioners rely on the therapeutic relationship formed between them and the patients during interviews to properly diagnose a patient (Stämpfli et al., 2018). The doctors are able to make the correct diagnosis and save their patient’s lives by using the explanations, empathy, support, partnership, and cultural competence gained during the interview.

Each component of the Patient’s History should be named and described (Chief Complaint, History of Present Illness, etc.).

The term “patient history” refers to the accumulation of signs, symptoms, impact, and medication related to the patient’s previous hospitalization (Beeson, 2018). It is divided into four sections: chief complaint (cc), past, family, and/or social history (PFSH), history of present illness (HPI), and review of systems (ROS). As illustrated below, these four refer to different historical periods.

Chief Complaint (CC): A statement taken by the medical practitioner as the second part of the history-taking process. It includes the current interaction with the patient. This encounter includes the presenting problem, symptoms, condition, diagnosis, and any other reason for the physician’s visit.

History of Present Illness: The history of the present illness is usually given after the history of the chief complaint. It addresses the issues raised by the chief complaint history. Typically, it is a description of all of the symptoms displayed by the patient during the current illness.

Past, family, and/or social history (PFSH): A review of the patient’s previous illnesses, injuries, or operations that may have an impact on the current situation. It also covers a wide range of family medical issues, such as hereditary illnesses that may affect the patient.

System review (ROS): A system review is a process used by medical practitioners to elicit information about the patient’s medication history. To identify the correct diagnosis, the results of the history of the present illness (HPI) and other documentation from the patient’s history are combined.

Describe an incident in which you used an incorrect blood pressure measurement technique; what did you learn from that incident?

The use of manual blood pressure readings without regard for cuff size resulted in incorrect readings. This taught me that I needed to practice many more proper ways to test blood pressure and that I should always be prepared to correct any errors before moving on to the next step.

Describe a challenge you faced when evaluating a patient from a different culture.

A complete review of systems would be the barrier to assessing a patient from a different culture. According to Beeson (2018), such patients may have been exposed to various cultural practices that may impede the current drug prescription (Zhu et al., 2016). Some communities practice rituals that they believe will heal their loved ones. As a result, doctors must learn to ask the right questions. Otherwise, treating such a patient would be difficult due to a lack of complete information.

References

Beeson, P. (2018). The Middle of the Interview: Clinician-Centered Interviewing. Smith’s Patient-Centered Interviewing: An Evidence-Based Method, p. 89.

Stämpfli, D., Boeni, F., Gerber, A., Bättig, V. A., Hersberger, K. E., & Lampert, M. L. (2018). Contribution of Patient Interviews as Part of a Comprehensive Approach to the Identification of Drug-Related Problems on Geriatric Wards. Drugs & Aging, 35(7), 665- 675.

Zhu, H., Colgan, J., Reddy, M., & Choe, E. K. (2016). Sharing patient-generated data in clinical practices: an interview study. In AMIA Annual Symposium Proceedings (Vol. 2016, p. 1303). American Medical Informatics Association.

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What are the goals of a patient interview?

Name and describe each component of the Patient’s History (Chief Complaint, History of Present Illness, etc.).

Describe an incident where you had used the improper technique in measuring blood pressure, what did you learn from that incident?

Patient Interview

What are the goals of a patient interview?

Name and describe each component of the Patient’s History (Chief Complaint, History of Present Illness, etc.).

Describe a barrier when you had to assess a patient from a different culture.

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