The Medical Interview: Mastering Skills for Clinical Practice,9780803607712

The Medical Interview: Mastering Skills for Clinical Practice

by ;
Edition: 4th
ISBN13: 9780803607712
ISBN10: 0803607717
Format: Paperback
Pub. Date: 2001-04-01
Publisher(s): F a Davis Co
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Summary

State Univ. of New York, Stony Brook. Practical text on interviewing, for health professions students. Includes samples of actual interviews and techniques for pediatric, elderly, and difficult patients. Previous edition: c1997. Softcover.

Table of Contents

Introduction The Poor Historian xvii
PART ONE BASIC SKILLS: UNDERSTANDING THE PATIENT'S STORY 1(128)
I Attach the Same Meaning Interviewing as a Clinical Skill
3(15)
Objectivity
4(1)
Interpretation Versus Observation
5(2)
Precision
7(2)
Sensitivity and Specificity
9(1)
Reliability
10(2)
Science and Art at Work
12(2)
Saga of the Fifth Wheel
14(2)
Summary: Science and Art in Interviewing
16(2)
With Simple, Kindly Words Respect, Genuineness, Empathy
18(20)
Respect
20(3)
Genuineness
23(2)
Empathy
25(1)
Levels of Responding
25(5)
Using Words to Identify Symptoms and Feelings
30(1)
Nonverbal Communication
31(5)
Challenges to Understanding Exactly
36(1)
Summary: Core Therapeutic Skills
36(2)
Why Should You Come to Consult Me? The Chief Complaint and Present Illness
38(23)
The Setting and Getting Started
39(1)
The Chief Complaint
40(5)
The Present Illness
45(7)
A Few Examples
52(2)
Challenges to Eliciting the Chief Complaint and Present Illness
54(4)
Summary: Chief Complaint and History of the Present Illness
58(3)
Transforming Experience into Memory Other Active Problems, Past Medical History, and Family History
61(13)
Other Active Problems
62(1)
The Past Medical History
63(3)
Family History
66(7)
Summary: Other Active Problems, Past Medical History, Family History
73(1)
Gaining Richness and Reality The Patient Profile
74(21)
What Goes Into the Patient Profile?
75(1)
Demographics and Occupational History
76(2)
Lifestyle
78(4)
Spirituality and Beliefs
82(1)
Relationships
83(3)
Sexual History
86(5)
The Patient Profile at Work
91(2)
Summary: The Patient Profile
93(2)
No Air of Finished Knowledge The Review of Systems, Physical Examination, and Closure
95(18)
The Review of Systems
95(8)
Transition to the Physical Examination
103(1)
Conversation During the Physical Examination
104(4)
Ending the Interview
108(4)
Summary: The ROS, Physical Examination, and Closure
112(1)
I Shall Enumerate Them to You The Clinical Narrative
113(16)
Turning the History into the Write-Up: The Clinical Narrative
114(2)
Functions of the Clinical Record
116(1)
Format of the Clinical Record
117(5)
Problem-Oriented Records
122(1)
Presenting the Patient
123(2)
Communication Among Professionals
125(2)
Summary: The Clinical Narrative
127(2)
PART TWO BASIC SKILLS IN PRACTICE: SPECIAL PATIENTS AND SETTINGS 129(64)
Headed in the Right Direction Pediatric and Adolescent Interviewing
131(12)
Children Versus Grown-ups: Similarities and Differences
132(1)
Setting the Stage for Effective Communication
132(1)
Talking with Patients of Different Ages
133(8)
Summary: Techniques for Interviewing the Young Patient
141(2)
A Different Silhouette Interviewing the Geriatric Patient
143(12)
The Style of the Interview
144(1)
The Content of the Interview
145(2)
Mental Status Assessment
147(6)
The Third Party
153(1)
Summary: Techniques for Interviewing the Elderly Patient
154(1)
For the Moment at Least I Actually Became Them Cultural Competence in the Interview
155(15)
The Patient's Values and Your Own
156(1)
Interviewing Patients of a Different Culture and Language
157(4)
Health Beliefs in the Interview
161(7)
Summary: Culturally Sensitive Interviewing
168(2)
The Real Satisfaction Communication with the Patient in the Office Setting
170(23)
Gaining Efficiency and Focus
171(10)
Specific Issues in Managed Care Settings
181(3)
Communicating About Prevention and Health Promotion
184(2)
Truthfulness and Confidentiality
186(4)
Summary: Communication in the Office Setting
190(3)
PART THREE CHALLENGES IN INTERVIEWING 193(101)
Seal Up the Mouth of Outrage Difficult Patient-Clinician Interactions
195(25)
Interactive Styles
196(8)
Somatization
204(4)
Difficult Feelings in the Medical Interview
208(10)
Summary: Diagnosing and Treating the ``Sick'' Interview
218(2)
Something New and Dreadful Telling Bad News
220(16)
Barriers to Communicating Bad News
221(4)
Empathy and Interaction in Telling Bad News
225(3)
Interviewing in Palliative Care
228(2)
Advance Directives
230(2)
Cultural Considerations
232(2)
Summary: Communicating Bad News
234(2)
A Great Many Remedies Talking with Patients About Complementary and Alternative Medicine
236(15)
Consider the Context
237(1)
Definition, Please
238(1)
Who Uses CAM?
239(2)
Learning about CAM in the Clinical Interview
241(5)
Working with the Alternatives
246(4)
Summary: Talking about CAM
250(1)
The Sum of All the General Rage Malpractice and the Clinical Interview
251(17)
Earning Trust Through Mastery of Basic Skills
252(2)
Building Blocks of a Negligence-Free Relationship
254(6)
Informed Consent
260(3)
Communication Within the Health Care Team
263(1)
Keeping Good Records: Documentation, Documentation, Documentation
263(4)
Summary: Avoiding Malpractice Claims
267(1)
Not Through Argument but by Contagion Education and Negotiation
268(13)
Education: Conveying the Information
270(2)
Negotiation
272(7)
Summary: Influencing the Patient
279(2)
The Hunt Is On The Medical Interview at Work
281(13)
Appendix Questionnaires to Assist History-Taking 294(3)
Index 297

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