History station will generally discuss a chronic disease problem that has deteriorated in the past 3-6 months.
e.g.: Diabetes, Inflammatory Bowel disease, Asthma, Renal failure…….
Important points:
1: Ask social history sooner – virtually immediately after details of presenting complaints / concerns.
2: Do not leave it till the end. There will NOT be time left.
3: The issue to be discussed and teased out in the history will be due to events in the past 4 to 6 months hence concentrate on this period.
4: It is important to get an idea of when disease process started but it is not relevant to the current issues of fine details at the time of start-up of illness or the investigation does to make a diagnosis.
5: At 9 Min to a brief summary of what has been discussed and you have understood.
6: Ask an open question ‘Is there anything important / relevant you would like to tell me that I have not asked?’
7: The presentation to Examiner should be brief with positive and negative information gathered.
8: The Examiner has listening to your interaction with the role player hands you do not need to mention every minor details.
9: Do NOT forget HEADS with young person.
If encounter with teenager / Adolescent:
- H – Home & environment
- E – Education
- A – Activities
- D – Drugs
- S – Sexuality
- S – Suicide / Depression
Can modify questions as per situation.
Qualify in presence of parents.
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