Clinician's Corner: Taking a good patient history
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- Опубликовано: 2 июл 2024
- Osmosis's Chief Medical Officer, Dr. Rishi Desai, shares 3 helpful strategies that helped him take great patient history reports. Find our full video library only on Osmosis: osms.it/more.
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True. I believe empathy is the key ingredient that is missing from our history-taking. Often we physicians just interact with patients coldly, showing no visible concern etc. It is the human touch, the human element that sets the patient's mind at ease, makes them feel secure with their doctor. With so much hatred and wars and bloodsheds going on in the world, we doctors could play at least a small role in comforting our patients by, as Dr. Rishi pointed out, showing empathy and, above all, use a soft tone in our voice when talking to the patient. It makes a world of difference, I tell you.
The emotion that is consistent in basically every single patient we see is fear. People are unwell and scared of what it might mean. Empathy is key to trying to alleviate that and build trust.
All great.
When you take notes and end with, “Let me read over what I have so we’re on the same page. I want to be sure I’m getting the whole story.”
That’s saved me in EMS, and is serving me in medical school.
This is on time. Thanks again.
Wonderful tips, thank you! My tip: I always start the conversation with ‘why have you come to see me today?’ . Adding a little emphasis on today: why not yesterday? Or last month? What triggered somebody to come to me today? I have found this to be a way to get to the motivations, fears, social surroundings, etc, relatively easy and early on in the conversation.
Thank you, great tip :)
Come to see your nice face
Yes! Great too. I was taught to say this in med school in Nigeria.
What brought you to the hospital today. Today?
@@usamakhalaf3585 🤣🤣🤣🤣🤣
Omg the boy’s story made me cry
The same empathy point was taught to us ...as a ug medical student . What we can give to a patient a smile,a reassurance that they are going to be alright ❤️
This made me cry. Thanks for the video!
Thank you so much for this video, this will actually help me get rid of my nerves and actually focus on the patient. I am naturally an empathetic person but sometimes med school brings the worst out of you due to testing/stress. So I appreciate it
Practical exams can be really stressful, especially as you feel like you're acting. Everyone goes through it and as long as you apply it in real life then that's all that matters.
It can be as much (if not more) about your observation skills and using silence effectively to elucidate the answers you're looking for. This is especially true in my specialty of psychiatry.
I really loved the personal story about the patient act you shared. That really put things into perspective and shows the true importance of checking in with your patient to see how they are really feeling.
It really brought tears to my eyes. Thank you! I’ve been going through this in the wrong way.
I had my theory and digital osce today. My interactive osce exam is tomorrow and this bring tears on me. Thank you. :")
This was beautiful. Especially your talk about making sure to appreciate what your patient is worried about... not just what the clinician is worried about!!
We're glad that you appreciate this video, Zach! Thanks! 💕
Thank you for your valuable tips.i will try my best.
Thanks for your valuable guidance...Will try to apply them in my internship days...
This is awesome! thank you for sharing. These 3 strategies are at the core of motivational interviewing and getting the client to change talk. Empathizing, open-ended questions, affirmations, reflections and summarizing. As clinicians, these factors are key as we enter into a partnership WITH the client (not FOR) encouraging them to take charge of their own health. And it builds a healthy, therapeutic and trusting relationship. Thanks for this summary! So great:)
I think that the importance of obtaining a patient's medical history is to gather subjective data from the patient and/or the patient's family so that the health care team and the patient can collaboratively create a plan that will promote health, address acute health problems, and minimize chronic health conditions.
Very well explained! Great video.. kudos!
Thank U! it's very practical Approach... I will make sure from now On
Excellent advice, thank you!!
Thanks. These tips are amazing. Will be adding to my practice.
ICE is the best tip. Thanks doc!
Amazing video, Dr. Desai!
Soo much needed this today :)
Thank you, it's really good
Thanks Doc I have appreciated your concerns and Tips
thank you for your great advises
Thank you for these helpful tips 😊
Thank you...very helpful 😀
Thank you so much DR.
Hey there I am a first year medical student in Nelson Mandela University, South Africa. Thank you for this video it has helped me prepare for my practical session with a simulated patient. I have picked up quite a lot of points and I will keep them for as long as I go into this medical course. Really appreciate it .😁
Thanks for letting us know, Iviwe! Glad to help! ❤️
Thank you very much❤️
Amazing !
Thank you
As an NP student, this video reinforced my need to stay focused and present when actively listening. I will need to work on keeping my questions to a minimum and summarizing - will need practice on that. Thank you so much for this highly informative approach to obtaining much needed data to properly care for my future patients!
Most welcome, Jo Ann! 🥰
1.Listen
2.Empathize
3.Ideas concerns expectations
Thank you dr rishi
I loved this!
Thanks!
I think your patients are truly blessed to have you as a physician, Dr. Desai!
How has implementation of the electronic medical record changed the interview process and how can physicians maintain the same level of intimacy while ensuring they take accurate and careful notes?
Amazing 👏👏👏
Awesome.. I love the way you explained you handle your patients ❤❤❤ I've nothing to say over you said .. I just want to say thanks to you Sir..
Thanks for the feedback, Muhammad! ❤️
I'm a second year medical student , and I'm just being posted to surgery wards .....this video was really really helpful ... especially the 'ICE' .thank you !
Hi Chinmayee! Glad we were able to help! Best of luck! :)
Very nice ..... impressive and informative 👍
Thanks a lot for these golden tips. I'll be sure to share them with my colleagues.
Our pleasure! 🥰
Well said Doc, goes to show you can't learn all from books. Actively learning vs passively learning
I liked the childs concern part sir
Thank u
its so amazing , i totally agree with u , and thats exactly what i do
i always start to ask the pt what he fell and listen carfully for him later on i summerized to the pt what he said and if i had any mistake they will correct it 4me
🙌🏼 👍🏽 👏🏻
Amazing❤️
Thank you Bhaiya ❤️
Thanks
ICE was new to me. Thank you doctor🌸
Welcome, Samia! 🌟
I think, it's also important to redirect the conversation when the patient is repeating the same things
I realize abour the ICE too in my clinical practice
Thank you so much for doing the video sir❤
Our pleasure 🙌🏼
Thankkk uuu
Woooo,this is good and I am going for Clinical ttachments next week!
My history taking will be perfect.
Thanks osmosis for your help
Good luck on your attachments. Have fun :)
Thank you very much, I believe I will do my best!
I absolutely loved this!
Thank you! 🙏🏽
Good informative video
great👍
Wonderful tips sir! Thank u
Most welcome! ❤️
But how can you try to clear crowding when there is less paitents
Love this
Thank you! 💫
this videa help me alot INSHAALLAH...thank you so much
My tip would be not to have prejudices during hx taking.. it somehow prevents you from exploring more possibilities.
It's a great one sir!
Glad you think so, Mustafa! 🥰
GREAT 💗💗
That's difficult to do as a brazilian student, because my university ask me to fill out an entire anamnesis list. I know, it is kinda counter-productive, but I have to do their way, at least while as a student
its a great video with good explanation...
Glad you think so! 😊
Thanks , It was really helpful
Glad it helped, Ahmed! 😊
Plz we need physical examinations for cardiovascular system it is so difficult and thank you 🙏
Really?
Very very useful.
Glad you think so! 😊
Great
Thanxxxxxxxxxx
sir please make the lecture on use of stethoscope... I want to learn it's use
PRIYA GUPTA watch videos about cardiology examination & chest examination
nice bro
And More medical students then the patients itself
thanks
You're welcome! 🤓🩺 🙌🏼
I’d add that acronyms help me remember what I need to ask e.g. APRICOTS and SOCRATES
What's APRICOTS used for? Thank you :)
Thanks For the Video .👏👉
JAZAKALLAH
Abstract: We need to communicate well
How to approach a non cooperative child?
OSCES next
thanks , ps i hate taking histories , but u man it less painful and logicall 😯🤓
English is my second language, so I am always nervous about taking histories.
How to take a good nursing history
I must be the only one looking for an actual breakdown of the CC, PMHx, SHx, FHx, etc...
👏👏
😊
But what when AI robots can empathize?
💖💖💖💖
I Ideas
C Concerns
E Expectations
I did not really understand the concept of expectation in the ICE
I think it means what the patient expects. Their treatment, what kind of medicine they will need, how they will feel when the treatment is over... At least that's what I understood. I'm still in my first year of uni though, so take it with a grain of salt.
@@cyrilltate7065 thank you tho...it was helpful
@@favouronoriode3886 No problem.
And what if patient changes his/her history infront of attending 🙄😑
Happened to me today I wanted to punch him soo bad
Guy looks like the Indian version of Ronnie O'sullivan
i got e first like
Listen the story and enqiure the cause which they never tell properly...thats the basic rather than empathy which can deviate us to their wrong story sometimes😃
very crutial
Sorry it's not good at all
Thanks for the feedback! We'd like to know more about how we can improve, if you can, please email us at support@osmosis.org. ❤️
Haha what a joke..this is not realistic in a 10 minutes visit in community clinic where you already loose 5 minutes to rooming the patient already
Dismissal of people's opinions and views. There you go. Another thing to avoid in a good history!