Bates' Guide to Physical Examination & History Taking by Lynn S. Bickley, Robert A. Hoekelman, Barbara Bates

By Lynn S. Bickley, Robert A. Hoekelman, Barbara Bates

Univ. of Rochester, long island. Textbook, for clinical and nursing scholars, to the actual examination and historical past taking. prior variation, c1995, was once at the Brandon/Hill clinical checklist and entitled: A advisor to actual exam and heritage Taking. Chapters are thumb-tabbed. DNLM: actual Examination--methods.

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Extra resources for Bates' Guide to Physical Examination & History Taking

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Let’s see . . ” “Your address now is . . . . ” You can check these responses against the chart, assuming that the chart is accurate, or by getting permission to speak with family members or friends and then doing so. The Angry or Disruptive Patient. Many patients have reasons to be angry: they are ill, they have suffered a loss, they lack their accustomed control over their own lives, and they feel relatively powerless in the health care system. They may direct this anger toward you. It is possible that hostility toward you is justified .

The Patient With Impaired Vision. When meeting with a blind patient, shake hands to establish contact and explain who you are and why you are there. If the room is unfamiliar, orient the patient to the surroundings and report if anyone else is present. Remember to use words whenever you respond to such patients, because postures and gestures are unseen. 38 BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING ADAPTING INTERVIEWING TECHNIQUES TO SPECIFIC SITUATIONS Encourage visually impaired patients to wear glasses, if available, to ease communication.

You can also help the interpreter by outlining your goals for each segment of the history. After going over your plans with the interpreter, arrange the room so that you have easy eye contact and nonverbal communication with the patient. ” Having the interpreter close by keeps you from moving your head back and forth as though you were watching a tennis match! When available, bilingual written questionnaires are invaluable, especially for the Review of Systems. First be sure patients can read in their language; otherwise, ask for help from the interpreter.

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