The Consultation Process and Patient History Flashcards
What are the 3 aims of a consultation?
- What do you want to achieve?
- How do you want the owner to feel?
- What do you want the owner to achieve?
What are the 6 stages of the Calgary-Cambridge Model?
- Preparation
- Initiating the session
- Gathering information
- Physical examination
- Explanation and planning
- Closing the session
What should you do throughout the consultation?
- Provide structure by summarising and attending to time
- Build a relationship and develop rapport
Why is preparation used?
- To establish a context
- To create a professional, safe and effective environment
Why is initiating the session used?
- To establish initial rapport
- Identify the reasons for the consultation
Why is gathering information used?
- To explore the patient’s problem
What areas should you check for physical examination?
- Head: nose, eyes, mouth and ears
- Limbs: Scapula/stifle to phalanges
- Spinal and ventral area
- Genitals and Anus
Why is explanation and planning used?
- To provide correct information in chunks
- Recall and understanding
- Plan and shared decision making
Why is closing the session used?
- Forward planning
- Appropriate point of closure
What does ICE stand for?
I: Ideas
C: Concerns
E: Expectations
What is chunking and checking?
Giving information in chunks and then checking their understanding
What is screening?
Using a closed questioning technique to get as much specific information out of the client
What is signposting?
Explaining what is going to happen next in the consultation
What are warning shots?
Prompts that you will asking about something sensitive
What is golden silence?
Pauses to allow the owner to reflect, finish talking and to ask questions
