hands, face, abdomen) – moving on in the examination requires inspection of the new area as the first step each time General Inspection (end of the bed inspection – take a step back – look around the bed and look at the patient – I recommend telling the patient you are doing this and an the same time saying that you “are going to talk to your colleagues” as you go – this can put the patient at ease when you say things like “there is no evidence of clubbing” to the observing doctors/students.What are the key aspects on Inspection?.Generally 4 Main Phases of most clinical examinations:Īs an Example – The Respiratory Examination.Present your findings at the end of your exam succinctly.If you are being observed tell the patient you may be ‘talking to your colleague(s) as you go.Explain the purpose of the examination (and obtain consent).We outline the fundamentals of examination below: Having said all this, examination skills are an important part of the modern medical curriculum and can be helpful in helping to make a diagnosis in some situations. In addition, there is a need for early recognition of pathology so more sensitive tests (usually investigations rather than examination) are more likely to lead to a timely diagnosis. Deficiencies in the accuracy of examination have been demonstrated in a number of clinical studies. The de-emphasis of examination stems from the increased reliance on investigations as well as the non-reproducibility of clinical signs. In the age of ‘ Osler‘ it may have been the most important. Of the 3 aspects of assessment, examination has been ‘relegated’ to the least favoured in modern healthcare. The Overall Patient Assessment includes “3 systematic parts” – History, Examination and InvestigationsĪll 3 aspects of the ‘medical assessment’ are important and all may be used to varying degrees when it comes to making a diagnosis.Social History (Click HERE for more information).ICE will help the medical team tailor the plan to the individual patient. An effective management plan requires patient concordance (including patient understanding and insight).These questions are possibly the most important from the patient’s point of view and the first to be discarded by the Doctor when time is short….Expectations (Is there one thing we could do to make you more comfortable?).Ideas (What are you most worried about?).Ideas, Concerns and Expectations (I.C.E.).Severity Ask the patient to score pain from 1 to 10 (with 0 as no pain).Alleviation What makes the pain better?.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |