Taking a patient’s health history is a conversation with a purpose and the ability to communicate and relate totally with patients is one of the most valued skills of clinical care. During the interview you withdraw any of the interpersonal skills used every day for both unique and important differences.
Unlike social conversations in which you express your own needs and interest with responsibility only for yourself. The primary goal of the ex-animating patient is to improve the health and well-being of the patient.
So in the examination and Taking Patient’s health history you would:
- Try to establish a trusting, supportive relationship.
- Gather Information
- Offer information.
At the beginning each examination with the patient, create the patient file and establish report. Always address the patient by name and first introduce yourselves by give the patient your own name.
Name tags are great facility to this and if possible shake hands with the patients. If this is your first contact explain your row in the patient’s care. Never hesitate to ask, how to pronounce the patient’s name. Always use the title while addressing the patient, saying Mr. John and so on. Avoid using the patient’s first name unless you have specific permission. Acknowledge each visitor in the room of examination to maintain confidentiality.
Let the patient to side who stands in a row and then make sure that only those specifically included in the conversation are in a position over hear it.
As an emphatic listener it’s up to you to invite the patient’s story. Sometimes you want to make small talk first as a mean of helping the patients to relax. In most cases the patients’ health history will soon began to close spontaneously. Always give the patients undivided attention and remember the task of organizing this information will be your responsibility. Latter you have to turn the patient’s words into a coherer new order. So take notes and try to cover most of your questions now in the pre-examination, that way you wouldn’t interrupt the inner examination with constant note taking.
Even if time is limited while taking patient’s health history try to appear calm and unheard it, because little can be gained by covering the patient’s story short. By using open-ended questions you allow for freedom of response. Follow the patient’s queues to keep the patient at ease, using the specific language and words the patient understands. Personal and social concern may emerge at any time during the examination.
As you converse with your patient while taking patient’s health history it’s important to employ various techniques:
- Clarify and
With experience you will learn to avoid other fit falls during verbal communications. Such as inappropriate or unproductive statements are the assurance or verbal facilitation that instead of encouraging the patients to talk mutually interrupts them and devils to a train of thought. With experience you also learn to adopt examination techniques in specific situation and types of patients. Weather your patient is silent or overly targeted, anxious, confusing, angry, or even crying, you never lose sight to the importance of listening to them and clarifying their agenda.
Nonverbal communication that is communication that doesn’t involve spoken words occurs continuously and provides important clues to feelings and emotions becoming more sensitive too. Nonverbal messages allow you to both read the patient over effectively and to send messages to your own.
While taking patient’s health history, pay close attention to eye contact; face expression, pastures, head position and movements such as shaking and knotting, interpersonal distance and placement of the arms over legs. Your pastures, gestures, eye contact and tone of voice can express interest, attention, acceptance and understanding. Over conversely boredom, inpatient’s, disapproval, lack of understanding, moving closer or engaging in inappropriate physical contact, such as placing your hands on the patients arm can convey empathy or help the patient cannot control the feelings. Be nonjudgmental, and avoid reactions that are try disapproval and embarrassment.
Being nonverbal communication to the contest level is the first step to using this crucial form of patient’s interaction. Establishing a supportive interaction to both verbal and nonverbal means, enhances information gathering.