Dr Pamela has shared the Following important section for History and Management station when an adolescent / teenage is the Role player or subject. You will need to phrase the questions in your own ‘language’ and local / reginal context.
“This is a standard set of questions that I asked everyone. Please do not be alarmed. These are just questions that I asked everyone. “
- Home and relationships: How is home? How is relationship with your family?
- Education/employment: How is school? How are you with your friends? How is work?
- Eating: How is your eating habit?
- Activities and hobbies: Do you have any hobbies?
- Drugs/alcohol/tobacco: Do you take drugs, drink alcohol or smoke?
- Sex and relationship: Are you in any relationship with a partner? Are you sexually active?
- Self harm/depression: Do you feel sad? Do you harm yourself?
- Safety and abuse: Is there anyone harming you?
Today in RRR we discussed:
- Acute ataxia
- Cystic fibrosis: DD – Immune deficiency
H&M was with a 66 yr old young person with Diabetes who is referred back by GP for weight loss and being tired. Dr J took the hotseat, DR D and Dr A took the examiners hats. Dr J covered all the important points but important to address Role players presenting concerns – else they will keep coming back. Adolescent history points mentioned above are important.
The learning points are:
- Address Role player’s concerns
- Need not discuss in great detail ( communication scenario) and can park them
- Teenage females: always ask Menstrual history
- Following ‘+ve’ screening test – confirmation is essential
- Summarize at 9 minutes – will refresh for you what has been covered
- Management of Chronic diseases in Multi Disciplinary
- Use MDT members – you CANNOT KNOW EVERYTHING
- Carbohydrate count – get dietician advice
- There isn’t a specific dose of Insulin – do check compliance
Please visit www.mrcpchonline.org to add your comments or points I may have missed.