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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
This is the patient's description of the pain. Questions can be open ended ("Can you describe it for me?") or leading. [9] Ideally, this will elicit descriptions of the patient's pain: whether it is sharp, dull, crushing, burning, tearing, or some other feeling, along with the pattern, such as intermittent, constant, or throbbing. Region and ...
Some patients prefer to be asked specific questions by the interviewer, whereas some patients prefer to open-endedly talk about their feelings. In many cases, the interviewer can get a sense of the patients’ preference. [10] It is important that the client build rapport during the interview.
Different sources include different questions to be asked while conducting an HPI. Several acronyms have been developed to categorize the appropriate questions to include. The Centers for Medicare and Medicaid Services has published criteria for what constitutes a reimbursable HPI. A "brief HPI" constitutes one to three of these elements.
History-taking may be comprehensive history taking (a fixed and extensive set of questions are asked, as practiced only by health care students such as medical students, physician assistant students, or nurse practitioner students) or iterative hypothesis testing (questions are limited and adapted to rule in or out likely diagnoses based on ...
Separate versions were used to assess psychiatric patients (SCID-P) and to study non-patient populations (SCID-NP). Another form of the SCID-P, SCID-P W/PSY SCREEN , was developed for patients in which psychotic disorders were expected to be rare and only included screening questions for these disorders but not the complex module.
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This is designed to give a clear structure to the interview, and to help to build the relationship between the clinician and the patient. [1] The importance of nonverbal communication is noted. [1] The model is based on 71 skills and techniques that improve patient interviews. [2]
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