The medical interview : mastering skills for clinical practice / John L. Coulehan, Marian R. Block.

Format:

• Book

Author/Creator:

• Coulehan, Jack, 1943-

Contributor:

• Block, Marian R., 1947-

Language:

English

Subjects (All):

• Medical history taking.
• Medical History Taking.
• Physician-Patient Relations.

Medical Subjects:

• Medical History Taking.
• Physician-Patient Relations.

Physical Description:

xxi, 304 pages : illustrations ; 23 cm

Edition:

Fourth edition.

Place of Publication:

Philadelphia, PA : F.A. Davis Co., [2001]

Contents:

• Introduction: The Poor Historian xvii
• Part 1 Basic Skills: Understanding the Patient's Story 1
• Chapter 1 I Attach the Same Meaning: Interviewing as a Clinical Skill 3
• Objectivity 4
• Interpretation Versus Observation 5
• Precision 7
• Sensitivity and Specificity 9
• Reliability 10
• Science and Art at Work 12
• Saga of the Fifth Wheel 14
• Summary: Science and Art in Interviewing 16
• Chapter 2 With Simple, Kindly Words: Respect, Genuineness, Empathy 18
• Respect 20
• Genuineness 23
• Empathy 25
• Levels of Responding 25
• Using Words to Identify Symptoms and Feelings 30
• Nonverbal Communication 31
• Challenges to Understanding Exactly 36
• Summary: Core Therapeutic Skills 36
• Chapter 3 Why Should You Come to Consult Me?: The Chief Complaint and Present Illness 38
• The Setting and Getting Started 39
• The Chief Complaint 40
• The Present Illness 45
• Challenges to Eliciting the Chief Complaint and Present Illness 54
• Summary: Chief Complaint and History of the Present Illness 58
• Chapter 4 Transforming Experience into Memory: Other Active Problems, Past Medical History, and Family History 61
• Other Active Problems 62
• The Past Medical History 63
• Family History 66
• Summary: Other Active Problems, Past Medical History, Family History 73
• Chapter 5 Gaining Richness and Reality: The Patient Profile 74
• What Goes Into the Patient Profile? 75
• Demographics and Occupational History 76
• Lifestyle 78
• Spirituality and Beliefs 82
• Relationships 83
• Sexual History 86
• The Patient Profile at Work 91
• Summary: The Patient Profile 93
• Chapter 6 No Air of Finished Knowledge: The Review of Systems, Physical Examination, and Closure 95
• The Review of Systems 95
• Transition to the Physical Examination 103
• Conversation During the Physical Examination 104
• Ending the Interview 108
• Summary: The ROS, Physical Examination, and Closure 112
• Chapter 7 I Shall Enumerate Them to You: The Clinical Narrative 113
• Turning the History into the Write-Up: The Clinical Narrative 114
• Functions of the Clinical Record 116
• Format of the Clinical Record 117
• Problem-Oriented Records 122
• Presenting the Patient 123
• Communication Among Professionals 125
• Summary: The Clinical Narrative 127
• Part 2 Basic Skills in Practice: Special Patients and Settings 129
• Chapter 8 Headed in the Right Direction: Pediatric and Adolescent Interviewing 131
• Children Versus Grown-ups: Similarities and Differences 132
• Setting the Stage for Effective Communication 132
• Talking with Patients of Different Ages 133
• Summary: Techniques for Interviewing the Young Patient 141
• Chapter 9 A Different Silhouette: Interviewing the Geriatric Patient 143
• The Style of the Interview 144
• The Content of the Interview 145
• Mental Status Assessment 147
• The Third Party 153
• Summary: Techniques for Interviewing the Elderly Patient 154
• Chapter 10 For the Moment at Least I Actually Became Them: Cultural Competence in the Interview 155
• The Patient's Values and Your Own 156
• Interviewing Patients of a Different Culture and Language 157
• Health Beliefs in the Interview 161
• Summary: Culturally Sensitive Interviewing 168
• Chapter 11 The Real Satisfaction: Communication With the Patient in the Office Setting 170
• Gaining Efficiency and Focus 171
• Specific Issues in Managed Care Settings 181
• Communicating About Prevention and Health Promotion 184
• Truthfulness and Confidentiality 186
• Summary: Communication in the Office Setting 190
• Part 3 Challenges in Interviewing 193
• Chapter 12 Seal Up the Mouth of Outrage: Difficult Patient-Clinician Interactions 195
• Interactive Styles 196
• Somatization 204
• Difficult Feelings in the Medical Interview 208
• Summary: Diagnosing and Treating the "Sick" Interview 218
• Chapter 13 Something New and Dreadful: Telling Bad News 220
• Barriers to Communicating Bad News 221
• Empathy and Interaction in Telling Bad News 225
• Interviewing in Palliative Care 228
• Advance Directives 230
• Cultural Considerations 232
• Summary: Communicating Bad News 234
• Chapter 14 A Great Many Remedies: Talking With Patients About Complementary and Alternative Medicine 236
• Consider the Context 237
• Definition, Please 238
• Who Uses CAM? 239
• Learning about CAM in the Clinical Interview 241
• Working with the Alternatives 246
• Summary: Talking about CAM 250
• Chapter 15 The Sum of All the General Rage: Malpractice and the Clinical Interview 251
• Earning Trust Through Mastery of Basic Skills 252
• Building Blocks of a Negligence-Free Relationship 254
• Informed Consent 260
• Communication Within the Health Care Team 263
• Keeping Good Records: Documentation, Documentation, Documentation 263
• Summary: Avoiding Malpractice Claims 267
• Chapter 16 Not Through Argument but by Contagion: Education and Negotiation 268
• Education: Conveying the Information 270
• Negotiation 272
• Summary: Influencing the Patient 279
• Chapter 17 The Hunt Is On: The Medical Interview at Work 281
• Appendix Questionnaires to Assist History-Taking 294.

Notes:

Includes bibliographical references and index.

ISBN:

0803607717

OCLC:

45418989