history and symptoms

Question 1

Why do we bother taking history and symptoms

Answer 1

• you dont know nothing about the person inside
• need to identify any problems
• ascertain baseline
• ensure approprait tests are carried out
• establish good rapport
• ensure no test are missed out
• appear as if you know what you are doing
• litigation

Question 2

what is an open question?

Answer 2

How are you today?
-good
-terrible
-much better 
more than one answer

Question 3

what is a closed question ?

Answer 3

yes/no limited choice of answer

Question 4

What is funnel questioning?

Answer 4

• answer a open question
• narrow the questions
• response

Question 5

what is the order of history and symptoms?

Answer 5

..Reason for attendance
..current ocular and optical status 
..previous ocular history 
..previous family ocular history 
..general health
..previous family general health
..medication
..allergies
..lifestyle and occupation

Question 6

what is the difference between symptoms and signs?

Answer 6

• -symptom is what patient feels and sees

- -signs is what the optician sees

Question 7

what three categories of symptoms are there?

Answer 7

1) what the px sees
2) what the px sees in the mirror
3) what the px feels

Question 8

examples of typical complaints?

Answer 8

• visual
• aches, pain
• inflammation, redness, congestion
• lumps, mass, swelling
• crustiness, flakes on lids
• eyelid problems
• squint, nystagmus
• visual defects

Question 9

What does FLOADS stand for ?

Answer 9

F- frequency 
L- location
O- onset
A- association
D- duration
S- severity

Question 10

why do we ask about double vision and headaches?

Answer 10

px might have bv problems
tumour
vascular problems

Question 11

why do we ask about previous ocular history ?

Answer 11

to expect a long standing problem

if px has had operations in the pasts or tendencies such as conjunctivitis

Question 12

why do we ask about family ocular history?

Answer 12

certain diseases more like to be within family, inherited
10-20% of POAG px report FH
siblings with POAG than 4x more likely
parent with POAG 2x more likely

Question 13

why do we ask about general health?

Answer 13

know what illnesses are associated withe the eyes

Question 14

why do we ask about medications?

Answer 14

• some medication effect the eyes

- need to know to look for them

Question 15

why do we ask about allergies?

Answer 15

allergies associated with certain eyes condition such as hayfever

Question 16

why do we ask if the px drives?

Answer 16

drivers need to be under the driving standards to drive otherwise cause accidents

Question 17

why do we ask q about their occupation?

Answer 17

need to know if they meet occupational standards or require safety specs

Question 18

what are standard for the police?

Answer 18

unaided vision binocularly -6/36
corrected visual acuity -6/12
near VA corrected binocularly -N6 AT 40CM
refractive surgery - if visual standard is met
colour vision - yes
other - retinal detachment and glaucoma is not acceptible

Question 19

why do we ask about vdu?

Answer 19

need to know what advice to offer
as blink rate reduces
eyes tend to get dry
reduced eyelid coverage
employers require eye check

Question 20

what does asthenopia cause?

Answer 20

sore eyes
tired eyes
eyes pull
visual discomfort

Question 21

why doe we ask about hobbies?

Answer 21

need to know what to advice?

Question 22

what question do we always finish with?

Answer 22

is there anything else i need to know about your eyes?

NOC

Question 23

why do we need a good history and symptoms report?

Answer 23

can save you from being banned from the practice