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Technique
1. Summarize your understanding of the problem
2. Explain clearly what you think is happening and say what you will do about it
3. Confirm that the patient understands
• Non-verbal rapport:
- Confidence
- Eye contact
- Physical contact
- Act as if you have all the time for the patient
- Prevent distractions
Attributes of Pain
P. Q. R. S. T.
P: Palliative - What makes you feel better or worse?
Q: Quality - What is the pain like?
R: Region - What is the region involved? Where does it hurt? Does it radiate?
S: Severity - How much does it hurt? Can you still work? Are you incapacitated? Are you able to sleep?
T: Temporal (time) - When does the pain occur? Is the pain intermittent or constant?
How to be a Good Doctor
Facts alone are not good enough! A good physician should have:
- A strong humanity i.e. a basic interest in human beings
- An interest in disease: its causation and treatment
- An ability to communicate: with patients to obtain a full understanding of their problems and be able to give
Accurate information and be non-judgemental
- An ability to examine patients and elicit abnormal physical signs
- An ability to summarize facts and make a case history
- An up-to-date knowledge base
- An ability to realize when knowledge is deficient and to learn in response to new knowledge
- An ability to acknowledge errors and learn from them
- Appropriate technical skills in diagnostic and therapeutic procedures.
- An understanding of economic, social and cultural, political health care systems.
- Excellent managerial and interpersonal skills.
Material adapted from MEDICINE AT A GLANCE BY PATRICK DAVEY
QUESTION WORDS
- WHO ? Who is that man?
- WHEN? When did you hurt your arm? When do take your pills? When did the pain start?
- WHAT? What do you do for a living? What did you do yesterday? What did you do to your leg? What makes the pain better?
- WHAT….LIKE? What is your lecturer like? What is the pain like?
- HOW ? How are you ? How are you feeling? How did you cut yourself?
How strong is the pain?
HOW LONG? How long have you been learning English?
How long have you had the pain?
HOW MANY? How many tablets do you take a day? How many cigarettes do you smoke?
HOW MUCH? How much sleep do you get?
HOW OFTEN? How often do get regular exercise? How often do you eat vegetables?
WHY? Why didn't you follow your doctor's instructions?
WHOSE? Whose is this medication?
Human Anatomy Name________________________________
Find It! Quiz
Use the Little Explorers picture dictionary to answer the following questions.
1. This word starts with an "A." It is the part of the body between the leg and the foot. What is it? _______________
2. This word starts with an "A." You have two of these. Each one bends in the middle and is above your waist. What is it? _______________
3. This word starts with a "B." These hard things are inside your body and provide support for your body. What are they called? _______________
4. This word starts with a "B."
This part of your body controls the rest of your body; it also thinks. What is it? Brain
5. This word starts with an "E." You have two of these on the sides of your head; they sense sounds. What are they? Ears
6. This word starts with an "E." It is the part of your arm that bends. What is it? Elbow
7. This word starts with an "E." You have two of these on your face and you use them to see. What is it? Eyes
8. This word starts with an "F." It is the front of your head. What is it called? Face
9. This word starts with an "F." You have two of these. You stand on them. What are they? Feet
10. This word starts with an "F." You have ten of these on your hands, and they are very sensitive to touch. What are they? Fingers
11. This word starts with an "H." We have these strands growing over most of our body (so do other mammals). A lot of it grows on the top of our head. Hair
What is it called? 12. This word starts with an "H." We have two of them, each one at the end of an arm. What are they? 13. This word starts with an "H." This organ pumps blood through the body. What is it called? 14. This word starts with an "H." It is the underside of the foot directly beneath the leg. What is it called? 15. This word starts with an "I." It is the part of the eye that is usually colored brown, blue, or green. What is it called? 16. This word starts with a "K." It is the part of the leg that bends. What is it? 17. This word starts with an "N." It is the part of the body between the head and the body. What is it called? 18. This word starts with an "N." It is the part of the body that senses smell. What is it? 19. This word starts with an "S." It is the part of the body thatsupports us. It is made up of over 200 bones. What is it called?
20. This word starts with an "S." It is the name of the major bones in the head. What is it called?
21. This word starts with a "T." We have ten of these. They are at the end of our feet and help us balance as we walk. What are they called?
22. This word starts with a "T." It is the name of the organ that senses taste. It also helps us eat and talk. What is it called?
23. This word starts with a "T." These things are used to bite and crush our food. What is one of these called?
24. This word starts with a "W." It is the part of the body between the hips and the chest. What is it called?
25. This word starts with an "X." We use this to take pictures of our bones. What is it called?