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Lecture Mosby's paramedic textbook (4th ed) - Chapter 18: History taking

In this chapter, you will learn: Explain what a drug is, identify the four types of drug names, explain the meaning of drug terms that are necessary to interpret information in drug references safely, outline drug standards and legislation and the enforcement agencies pertinent to the paramedic profession. | 9/10/2012 1 Chapter 18 History Taking 2 Learning Objectives • Describe the purpose of effective history taking in prehospital patient care. • List components of the patient history as defined by the National EMS Education Standards. • Outline effective patient interviewing techniques to facilitate history taking. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/10/2012 Learning Objectives • Describe how the paramedic uses clinical reasoning. • Outline the process to determine differential diagnoses. • Identify strategies to manage special challenges in obtaining a patient history. 4 History Taking • Details gathered during interview with patient • Provides account of medical, social events in patients life • Indicates environmental factors that have an impact on the condition 5 History Taking • Gives structure to patient assessment • Crucial to establish priorities in patient care 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/10/2012 Patient History Components • History obtained in prehospital setting – Focused on problem or reason EMS was summoned, problem‐based history 7 Patient History Components • Several purposes – History places emphasis on identifying life‐ threatening conditions requiring immediate intervention • Gives full attention to “needs of moment” • Patient provides information, leads, appropriate care for urgent, emergent, and nonemergent patient • Identifies potential life threats, existence of current life threat 8 Patient History Components • Can be expanded when appropriate – Allows patient education – Opportunities to provide service referrals to agencies, organizations, help with specific health care needs 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/10/2012 Patient History Content • Each part has specific purpose – Offers “snapshot” of patient condition – Date, time obtained – .