Barbeau test
~ similar to Allen test but uses pulse oximeter to determine arterial patency
risk factors of aneurysms
~ increased age
smoking
cvd
expanding AAA compresses
~ bowel, aortic brach arteries, ureters
s/s of worsening AAA
~ abdominal pain
flank pain
back pain
intermittent c...
is the clinical encounter clinician-centered to patient-centered
✓~ both; needs to be a balance of the clinician meeting their needs of the
interaction and the patient feeling heard and create personal dimension
patient-centered approach
✓~ Interviewing technique empowering the patient to provide a candid and
complete medical history
recognizes importance of patient concerns, feelings and emotions and
understands the patients personal contact of the symptoms/disease
FIFE model
✓~ mnemonic for patients perspective on the illness
,Feelings (fears and concerns about the problem)
Ideas (about nature and cause of problem)
Functioning (effect of illness on function)
Expectations
general structure of patient encounter (5 steps)
✓~ initiate the encounter
gather information
perform the physical examination
explaining and planning
closing the encounter
2 frameworks that continue throughout whole clinical encounter
✓~ relationship building
structuring the interview
what happens while initiating the encounter
,✓~ greet the patient and set the stage/preparation
what does it mean to set the stage
✓~ prepare for the interview
check your appearance
make sure patient is comfortable and environment is conducive to private info
being shared
what happens during the gathering information stage
✓~ initiate information gathering
history of present illness
past medical history
social history
explore patients perspective of disease and relevant background information
what happens during explaining and planning
✓~ provide correct amount and type of information
negotiate plan of action
, shared decision making
when asking patient about there pronouns it may be helpful to....
✓~ share your own pronouns
"in an effort to promote an inclusive and respectful environment, we use
pronouns that are right for us. The pronouns I prefer are......how about you what
pronouns do you prefer?
the initial moments of your encounter lay the foundation for....
✓~ your ongoing relationship
how to establish rapport
✓~ introduce yourself, explain your role and how you will be a part of their care
3 dimensions of cultural humility
✓~ 1) Self-awareness
2) Respectful communication
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