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The Medical Interview: Mastering Skills for Clinical Practice

, by Coulehan, John L.; Block, Marian R.

The Medical Interview: Mastering Skills for Clinical Practice by Coulehan, John L.; Block, Marian R., 9780803602670

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

ISBN: 9780803602670 | 0803602677
Cover: Paperback
Copyright: 5/1/1997

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Summary

Table of Contents

Supplemental Materials

-- Presents a succinct explanation of the patient interview process that is written at the level of the medical student
-- Many clinical examples, including 125 excerpts from actual clinician-patient interactions
-- Sample interviews highlight both good and bad technique
-- New chapters include: Interacting with the Patient in Primary Care, Telling Bad News, and Understanding the Patient's Beliefs and Values

Introduction The Poor Historian

xvii

PART ONE BASIC SKILLS: UNDERSTANDING THE PATIENT'S STORY

1

(134)

CHAPTER 1 I Attach the Same Meaning Interviewing as a Clinical Skill

3

(17)

OBJECTIVITY

4

(1)

INTERPRETATION VERSUS OBSERVATION

5

(3)

PRECISION

8

(2)

SENSITIVITY AND SPECIFICITY

10

(1)

REPRODUCIBILITY

11

(2)

SCIENCE AND ART AT WORK

13

(2)

SAGA OF THE FIFTH WHEEL

15

(3)

SUMMARY: SCIENCE AND ART IN INTERVIEWING

18

(2)

CHAPTER 2 With Simple, Kindly Words Respect, Genuineness, Empathy

20

(22)

RESPECT

23

(2)

GENUINENESS

25

(2)

EMPATHY

27

(1)

LEVELS OF RESPONDING

28

(5)

USING WORDS TO IDENTIFY SYMPTOMS AND FEELINGS

33

(1)

NONVERBAL COMMUNICATION

34

(5)

CHALLENGES TO UNDERSTANDING EXACTLY

39

(1)

SUMMARY: CORE THERAPEUTIC SKILLS

40

(2)

CHAPTER 3 Why Should You Come to Consult Me? The Chief Complaint and Present Illness

42

(24)

THE SETTING

43

(1)

GETTING STARTED

43

(2)

THE CHIEF COMPLAINT

45

(4)

THE PRESENT ILLNESS

49

(8)

A FEW EXAMPLES

57

(2)

CHALLENGES TO ELICITING THE CHIEF COMPLAINT AND PRESENT ILLNESS

59

(5)

SUMMARY: CHIEF COMPLAINT AND HISTORY OF THE PRESENT ILLNESS

64

(2)

CHAPTER 4 Transforming Experience into Memory Other Active Problems, Past Medical History, and Family History

66

(15)

OTHER ACTIVE PROBLEMS

67

(2)

THE PAST MEDICAL HISTORY

69

(4)

FAMILY HISTORY

73

(7)

SUMMARY: OAP, PAST MEDICAL HISTORY, FAMILY HISTORY

80

(1)

CHAPTER 5 Gaining Richness and Reality The Patient Profile

81

(21)

WHAT GOES INTO THE PATIENT PROFILE?

82

(2)

DEMOGRAPHICS AND OCCUPATION

84

(1)

CULTURAL AND HEALTH BELIEFS

84

(4)

LIFESTYLE

88

(3)

RELATIONSHIPS

91

(2)

SEXUAL HISTORY

93

(4)

THE PATIENT PROFILE AT WORK

97

(4)

SUMMARY: THE PATIENT PROFILE

101

(1)

CHAPTER 6 No Air of Finished Knowledge Review of Systems, Physical Examination, and Closure

102

(18)

THE REVIEW OF SYSTEMS

102

(7)

TRANSITION TO THE PHYSICAL EXAMINATION

109

(2)

CONVERSATION DURING THE PHYSICAL EXAMINATION

111

(4)

ENDING THE INTERVIEW

115

(3)

SUMMARY: THE ROS, PHYSICAL EXAMINATION, AND CLOSURE

118

(2)

CHAPTER 7 I Shall Enumerate Them to You Getting It All Down and Communicating to Others

120

(15)

WHAT GOES INTO THE WRITTEN HISTORY

121

(2)

FUNCTIONS OF THE MEDICAL RECORD

123

(1)

FORMAT OF THE MEDICAL RECORD

124

(6)

PROBLEM-ORIENTED RECORDS

130

(2)

SUMMARY: THE CLINICAL NARRATIVE

132

(3)

PART TWO BASIC SKILLS IN PRACTICE: APPLYING THE PATIENT'S STORY

135

(148)

CHAPTER 8 A Different Silhouette Pediatric and Geriatric Interviewing

137

(21)

THE PEDIATRIC PATIENT

138

(9)

THE ELDERLY PATIENT

147

(9)

SUMMARY: TECHNIQUES FOR YOUNG AND OLD

156

(2)

CHAPTER 9 The Real Satisfaction Interacting with the Patient in Primary Care

158

(25)

SOLVING COMMUNICATION PROBLEMS IN PRIMARY CARE

159

(12)

SPECIFIC ISSUES IN MANAGED-CARE SETTINGS

171

(4)

PREVENTIVE HEALTH CARE

175

(1)

CONFIDENTIALITY AND TRUTHFULNESS

176

(3)

MALPRACTICE LIABILITY

179

(1)

SUMMARY: COMMUNICATION IN PRIMARY CARE PRACTICE

180

(3)

CHAPTER 10 Seal Up the Mouth of Outrage Interactive Problems in Interviewing

183

(29)

INTERACTIVE STYLES

184

(9)

SOMATIZATION

193

(5)

DIFFICULT FEELINGS IN THE MEDICAL INTERVIEW

198

(11)

SUMMARY: DIAGNOSING AND TREATING THE "SICK" INTERVIEW

209

(3)

CHAPTER 11 Something New and Dreadful Telling Bad News

212

(15)

BARRIERS TO COMMUNICATING BAD NEWS

213

(5)

EMPATHY AND INTERACTION IN TELLING BAD NEWS

218

(4)

ADVANCE DIRECTIVES

222

(3)

SUMMARY: COMMUNICATING BAD NEWS

225

(2)

CHAPTER 12 The Quiz-Docs Will Catch You Questionnaires and Computers

227

(11)

USES OF QUESTIONNAIRES

228

(6)

COMPUTER-ASSISTED HISTORY TAKING

234

(2)

SUMMARY: QUESTIONNAIRES AND COMPUTERS

236

(2)

CHAPTER 13 Is This Case Serious or Not? Clinical Judgment in the Medical Interview

238

(13)

COMPONENTS OF CLINICAL JUDGMENT

240

(3)

JUDGMENT GUIDELINES FOR THE MEDICAL INTERVIEW

243

(1)

BIAS IN CLINICAL JUDGMENT

244

(5)

SUMMARY: CLINICAL JUDGMENT IN THE INTERVIEW

249

(2)

CHAPTER 14 For the Moment At Least I Actually Became Them Understanding the Patient's Beliefs and Values

251

(14)

THE PATIENT'S VALUES AND YOUR OWN

252

(1)

UNDERSTANDING WHAT THE PATIENT BELIEVES

253

(5)

WHEN DO YOU NEED TO KNOW MORE ABOUT THE PATIENT'S BELIEFS?

258

(1)

ELICITING HEALTH BELIEFS IN THE INTERVIEW

259

(4)

SUMMARY: DISCOVERING WHAT THE PATIENT BELIEVES

263

(2)

CHAPTER 15 Not Through Argument But By Contagion Education, Informed Consent, and Negotiation

265

(18)

EDUCATION: CONVEYING THE INFORMATION

268

(2)

INFORMED CONSENT

270

(5)

NEGOTIATION

275

(6)

SUMMARY: INFLUENCING THE PATIENT

281

(2)

Index

283

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