After completing Chapter 36, you will be able to: Describe the anatomy of the nose and the function of each part; describe the anatomy of the tongue and the function of each part; describe the anatomy of the eye and the function of each part, including the accessory structures and their functions;. | 36 Patient Interview and History Learning Outcomes (cont.) Identify the skills necessary to conduct a patient interview. Recognize the signs of anxiety; depression; and physical, mental, or substance abuse. Use the six Cs for writing an accurate patient history. Carry out a patient history using critical thinking skills Introduction The medical assistant Prepares the patient and the patient’s chart Conducts a patient interview Records the necessary medical history How you conduct yourself during the first few moments with the patient can make a major difference in the patient’s attitude. Learning Outcome: Identify the skills necessary to conduct a patient interview. The medical assistant is the first contact with the patient in the exam room. Conducting the patient interview and recording the necessary medical history are essential to the practitioner’s exam process. The Patient Interview and History Patient interview First step in examination . | 36 Patient Interview and History Learning Outcomes (cont.) Identify the skills necessary to conduct a patient interview. Recognize the signs of anxiety; depression; and physical, mental, or substance abuse. Use the six Cs for writing an accurate patient history. Carry out a patient history using critical thinking skills Introduction The medical assistant Prepares the patient and the patient’s chart Conducts a patient interview Records the necessary medical history How you conduct yourself during the first few moments with the patient can make a major difference in the patient’s attitude. Learning Outcome: Identify the skills necessary to conduct a patient interview. The medical assistant is the first contact with the patient in the exam room. Conducting the patient interview and recording the necessary medical history are essential to the practitioner’s exam process. The Patient Interview and History Patient interview First step in examination process Establishes a relationship Exchange information Establish reason for appointment Routine check up Illness ~ chief complaint Learning Outcome: Identify the skills necessary to conduct a patient interview. Well-conducted initial interview helps establish a beneficial relationship between you and the patient. Subsequent interviews with established patients may take less time. All patient interviews require good communication skills. Reason for the appointment Routine checkup – ask the patient about general health and lifestyle and about any changes in health status since the last visit Medical problem Ask about his or her symptoms Determine the patient’s chief complaint which is a subjective statement made by the patient describing his or her most significant symptoms. The Patient Interview and History (cont.) Medical and health history Basis for all treatment rendered Information for Research Reportable diseases Insurance claims The chart is a legal record of treatment .
