2022年医学专题—病史采集(英文)(1).pptVIP免费

HistoryTaking2011/09/062011/09/06第一页，共三十七页。Importance•Dataformakingdiagnosis•ClueforPE,Labandotherexamination•Patient-doctorrelationship•Bio-psycho-socialmedicalapproach•Always,thefirststeptotreatpatient2011/09/062011/09/06第二页，共三十七页。A“goodphysician”•Agoodobserver•Agoodcommunicator•Agoodcritic•Agooddecisionmaker•Agoodstudent---nowandlater2011/09/062011/09/06第三页，共三十七页。BasicPrinciples•Communication•Interviewer’sskillInterviewer’sskill2011/09/062011/09/06第四页，共三十七页。BasicPrinciples•Interviewer–Cheerful,friendly,butrespectfulandgenuinelyconcernedCheerful,friendly,butrespectfulandgenuinelyconcernedaboutthepatientaboutthepatient•Noviceinterviewers–HavetogainexperienceaskingquestionsaboutHavetogainexperienceaskingquestionsaboutsubjectsthataremorepainful,delicateorsubjectsthataremorepainful,delicateorunpleasantunpleasant•Permitpatienttoexpressthemselvesintheirownwords2011/09/062011/09/06第五页，共三十七页。ObservebodylanguagefornonverbalcluesObservebodylanguagefornonverbalcluesListeningwithoutinterruption:isimportantandListeningwithoutinterruption:isimportantandrequiresskill.requiresskill.Ifyouinterruptthepatientyoucandisruptthepatient’sIfyouinterruptthepatientyoucandisruptthepatient’strainofthoughttrainofthoughtINGENERAL:INGENERAL:ListenmoreListenmoreTalklessandTalklessandInterruptinfrequentlyInterruptinfrequently2011/09/062011/09/06第六页，共三十七页。BasicPrinciples•Ifpatientgivesavaguehistory–AskmoredirectAskmoredirectquestionsquestions•Listenwithoutanysuggestionofprejudice•Treatallpatientswithrespect–Regardlessoftheirage,Regardlessoftheirage,gender,beliefs,gender,beliefs,intelligence,educationalintelligence,educationalbackground,legalstatus,background,legalstatus,practices,culture,illness,practices,culture,illness,bodyhabitus,emotionalbodyhabitus,emotionalcondition,oreconomiccondition,oreconomicstatestate2011/09/062011/09/06第七页，共三十七页。BasicPrinciplesFollowthe“ruleoffivevowels”•uditi...