This is one of the most comprehensive videos I've seen here on RUclips and it is actually identical to what medical students in the United States have to practice in preparation for their USMLE Step 2CS, and their clinical rounds in general. Thank you so much for putting this together - I have a practical exam tomorrow and I wanted to hear the comprehensive history taking portion a few times before I did it myself. :) Thanks so much!
Thanks Andrew. The point of the presentation is to ensure a holistic patient assessment is taken. Yes, it takes time, but is the UK taught model to ensure any other issues there may be are picked up, including psycho-social, and to enable all the clinical signs and symptoms to come together to create a more accurate set of differential, diagnosis. A thorough history prevents the patient having to return because the main problem has been missed. Great if it is only a sore throat.
Hi Richard, the point is Gemma is undertaking a holistic assessment to pick up any other issues that may be there or of concern. Sometimes what the person comes in with is related to other isuses, or there is something else worrying them. A holistic approach can also be used to focus in more clearly on what's causing this chest infection. The patient is a little dismissive of her other questions but there is a need not just to treat any issue superficially.
Great video covered appropriate sections of the history- in terms of the time it takes for the history the student NP will get better and faster with time and experience.
I love her accent and the speech when asking so the patient can hear clearly. However, I am wondering the time of history taking in the real situation. How long do we as a nurse practitioner take interview in reality?
Thanks - this debate is very useful. Gemma says: The history taking demonstrated is a guide to a systematic approach to hx taking - it can be tailored to more specific problems. Making the presenting symptoms too complex would not help the student in focusing on the key steps to hx. taking. Sore throats can be trivial, but it's necessary to bear in mind serious underlying pathology. These key steps to hx taking are echoed in major texts and help students develop structure to their practice.
Bombardment of questions after questions lead to confusion state for the practitioner as well as irritation to the patient. I feel 19minutes of vague history taking is too long for a particular case! i.e. sorethroat. I would definitely agree if it was for general physical examination. thanx
Thank you for the video. In the video is not saying about anything to a patient like " I just need to record some general health information. Do you mind if I make some notes while we talk? " ( to get a consent also not been rude while patient talk and head down for writing . In the reality the same thing while you go to see Doctor or Nurse in the hospital they never say that. But in the exam I think " should say " because if not losing mark. I wondering can I not say " I just need ....... While we talk " in the exam?
Great interviewing skills, although I would recommend against using terms like "waterworks" as it's not a direct question and one that could be misunderstood by the patient.
A house owner could indicate a more permanent and stable housing situation. Where as living in an apartment would mean that the Pt is exposed to more people which means more chances of catching contagious diseases.
20 minutes for every patient. lets assume u're in the ED with a waiting list. though the interview was comprehensive, I dun think you'd have the luxury.
I do not understand why she would ask "What do you think it is", I feel this is clearly why the patient has come to her in the first place and it was a unnecessary silly question.
This is one of the most comprehensive videos I've seen here on RUclips and it is actually identical to what medical students in the United States have to practice in preparation for their USMLE Step 2CS, and their clinical rounds in general. Thank you so much for putting this together - I have a practical exam tomorrow and I wanted to hear the comprehensive history taking portion a few times before I did it myself. :) Thanks so much!
Thanks Andrew. The point of the presentation is to ensure a holistic patient assessment is taken. Yes, it takes time, but is the UK taught model to ensure any other issues there may be are picked up, including psycho-social, and to enable all the clinical signs and symptoms to come together to create a more accurate set of differential, diagnosis. A thorough history prevents the patient having to return because the main problem has been missed. Great if it is only a sore throat.
Her tone of voice is soothing. i need to practice to speak like her slow and smooth and listen to the patient carefully.
Hi Richard, the point is Gemma is undertaking a holistic assessment to pick up any other issues that may be there or of concern. Sometimes what the person comes in with is related to other isuses, or there is something else worrying them. A holistic approach can also be used to focus in more clearly on what's causing this chest infection. The patient is a little dismissive of her other questions but there is a need not just to treat any issue superficially.
I AM LOVING THIS ! EXCELLENT HISTORY TAKING ! ! And thanks for the video ❤
Great video covered appropriate sections of the history- in terms of the time it takes for the history the student NP will get better and faster with time and experience.
Good job you asked relevant question, to know the history behind he's sore throat and cough,and the smile on your face make it easy for him to answer.
I love her accent and the speech when asking so the patient can hear clearly. However, I am wondering the time of history taking in the real situation. How long do we as a nurse practitioner take interview in reality?
Thanks - this debate is very useful. Gemma says: The history taking demonstrated is a guide to a systematic approach to hx taking - it can be tailored to more specific problems. Making the presenting symptoms too complex would not help the student in focusing on the key steps to hx. taking. Sore throats can be trivial, but it's necessary to bear in mind serious underlying pathology. These key steps to hx taking are echoed in major texts and help students develop structure to their practice.
Bombardment of questions after questions lead to confusion state for the practitioner as well as irritation to the patient. I feel 19minutes of vague history taking is too long for a particular case! i.e. sorethroat. I would definitely agree if it was for general physical examination.
thanx
slightly excessive for a sore throat!
Very nicely she take history of the patients . its really a good. It's very help for all the nurses . Thanks very much for this video . good luck
I wish doctors ask these questions LOL. Thank you.
Thank you for the video. In the video is not saying about anything to a patient like " I just need to record some general health information. Do you mind if I make some notes while we talk? " ( to get a consent also not been rude while patient talk and head down for writing . In the reality the same thing while you go to see Doctor or Nurse in the hospital they never say that. But in the exam I think " should say " because if not losing mark. I wondering can I not say " I just need ....... While we talk " in the exam?
this has been really helpful for me. Thank you for the video.
As soon as he said Ramipril I knew where his cough was coming from :D
Great interviewing skills, although I would recommend against using terms like "waterworks" as it's not a direct question and one that could be misunderstood by the patient.
Excellent one....but if the patient is in pain, wont that be problematic? i mean, the patient wont be in a position to tell accurately.
not sure asking about thyroid issues/cancer/strokes should be inquired about in a patient presenting with a chest infection..
more close end question which does not allow patient to elaborate anyway that's good HT
That was really helpful, thank you ever so much! (University of Aberdeen medical student)
Very nice history taking... Thank u!!
Its comprehensive alright, but im not sure about the relevance of whether he is a house owner.
A house owner could indicate a more permanent and stable housing situation. Where as living in an apartment would mean that the Pt is exposed to more people which means more chances of catching contagious diseases.
Beautiful. Thank you for this video. :)
Thank you for this video! Nursing Student, Universidad Interamericana de Puerto Rico, Recinto Metropolitano
Thanks Matt, good luck with your studies.. Richard NLC.
20 minutes for every patient. lets assume u're in the ED with a waiting list. though the interview was comprehensive, I dun think you'd have the luxury.
Remember you have to learn the process and basics then safely adapt to the situation.
Very helpful. Thank you!!
Very nice- thanks for the help
Thank you very helpful!
Thank you very much
Great vid
it is good 7 out o 10
I do not understand why she would ask "What do you think it is", I feel this is clearly why the patient has come to her in the first place and it was a unnecessary silly question.
nice!