Clinician's Corner: Taking a good patient history
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- Опубліковано 8 лип 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.
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 🤣🤣🤣🤣🤣
That sounds too personal, to see you 🤧🤧
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.
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 ❤️
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.
This made me cry. Thanks for the video!
It really brought tears to my eyes. Thank you! I’ve been going through this in the wrong way.
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.
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.
I had my theory and digital osce today. My interactive osce exam is tomorrow and this bring tears on me. Thank you. :")
Excellent advice, thank you!!
Thank you for your valuable tips.i will try my best.
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.
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:)
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! 💕
Thanks for your valuable guidance...Will try to apply them in my internship days...
Thank you very much❤️
Thank U! it's very practical Approach... I will make sure from now On
Thanks. These tips are amazing. Will be adding to my practice.
Very well explained! Great video.. kudos!
thank you for your great advises
Soo much needed this today :)
Thanks Doc I have appreciated your concerns and Tips
Thank you...very helpful 😀
Thank you, it's really good
Thank you so much DR.
ICE is the best tip. Thanks doc!
Thanks!
Thank you for these helpful tips 😊
Thank you
Amazing video, Dr. Desai!
Amazing !
1.Listen
2.Empathize
3.Ideas concerns expectations
I loved this!
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 dr rishi
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! 🥰
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! ❤️
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
🙌🏼 👍🏽 👏🏻
Thank u
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! :)
Amazing 👏👏👏
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?
Very nice ..... impressive and informative 👍
Amazing❤️
I absolutely loved this!
Thank you! 🙏🏽
Thanks a lot for these golden tips. I'll be sure to share them with my colleagues.
Our pleasure! 🥰
But how can you try to clear crowding when there is less paitents
Thankkk uuu
ICE was new to me. Thank you doctor🌸
Welcome, Samia! 🌟
Well said Doc, goes to show you can't learn all from books. Actively learning vs passively learning
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!
Thank you Bhaiya ❤️
Thank you so much for doing the video sir❤
Our pleasure 🙌🏼
Good informative video
great👍
I liked the childs concern part sir
Wonderful tips sir! Thank u
Most welcome! ❤️
GREAT 💗💗
Love this
Thank you! 💫
I think, it's also important to redirect the conversation when the patient is repeating the same things
its a great video with good explanation...
Glad you think so! 😊
Thanxxxxxxxxxx
Thanks , It was really helpful
Glad it helped, Ahmed! 😊
I realize abour the ICE too in my clinical practice
thanks
You're welcome! 🤓🩺 🙌🏼
Great
It's a great one sir!
Glad you think so, Mustafa! 🥰
Very very useful.
Glad you think so! 😊
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
And More medical students then the patients itself
My tip would be not to have prejudices during hx taking.. it somehow prevents you from exploring more possibilities.
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
Plz we need physical examinations for cardiovascular system it is so difficult and thank you 🙏
Really?
this videa help me alot INSHAALLAH...thank you so much
nice bro
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 :)
Abstract: We need to communicate well
JAZAKALLAH
Thanks For the Video .👏👉
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 approach a non cooperative child?
OSCES next
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...
👏👏
💖💖💖💖
😊
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.
But what when AI robots can empathize?
I Ideas
C Concerns
E Expectations
Guy looks like the Indian version of Ronnie O'sullivan
And what if patient changes his/her history infront of attending 🙄😑
Happened to me today I wanted to punch him soo bad
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!