Componemts Of The Patient Interview Flashcards
Subjective examination
Patient’s account of their problem and history.
Patient interview (7components)
Patient profile, establishing kind of disorder, location and description of symptoms on the body chart, behavior of symptoms, History of current condition, past history related to current condition, special/precautionary questions including medical screening
Patient profile
Age gender race leisure activities occupational activities and family situation
Kind of disorder Q
As far as you are concerned what do you feel is your main problem at this stage? Can’t do something-> why?
Location description of symptoms (body chart)
Fill out body chart fully/accurately.
Clear areas (UE, neck/head, chest/upper back) (LE, abdomen, low back)
Quality
Constant (variable/invariable) v intermittent.
Depth
Relate/dissociate
Pins/needles/tingling
Constant
Symptoms present for every waking moment
Constant variable
Symptoms vary in intensity relative to certain positions or activities. Indicate musculoskeletal problems
Constant invariable
Symptoms that do not vary with activities or positions and are worst at night maybe suggestive of non-musculoskeletal
Intermittent symptoms
Consistently related to certain positions or activities. associated with musculoskeletal
Behavior of symptoms
Changes in location or intensity of the patient’s symptoms during various activities, positions, or periods of rest over a 24 hour.
Aggravating Q
What activities are positions bring on your symptoms/make your symptoms worse?
Easing factors Q
Is there anything you can do to make your symptoms feel better?
Three components of irritability
How long can you do this activity or be in this position before your symptoms increase? When your symptoms are aggravated by this activity a position how long can you continue before you need to stop? Once you stop the activity how long does it take for your symptoms to settle?
Sleeping Qs
Trouble sleeping? Is it your symptoms that prevent you from getting to sleep? Or is that your symptoms that week you during the night? When you wake up night what do you do to go back to sleep? How long does it take you to get back to sleep? How frequent are you waking?
24 hour pattern questions
How are your symptoms when you first wake in the morning? How are your symptoms as you progress through the day?
Sustained pastors, movement from sustained postures, affects of rest periods
Severity
Clinicians assessment of the magnitude of the patient’s problem. Dictated by how symptoms influence functional activities.
History of current condition questions
When did this problem start? How did this problem start? Were there any changes?What did you do when this problem started? How are your symptoms now compared to when they first started? Have you had any treatment for this problem? How did you respond to treatment?
Nature
Clinicians assessment of the structure our pathology responsible for producing the impairment/symptoms for which the patient seeks physical therapy intervention. Contributing factors, psychosocial issues
Stage
Progression of symptoms for the current episode and progression of disorder and repeated episodes
Stability
Consistency of distribution of symptoms, movement or rest and capabilities, how predictable and consistent responses are to movements in their positions.
