Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Med History

863 views

Published on

Published in: Economy & Finance, Technology
  • Be the first to comment

  • Be the first to like this

Med History

  1. 1. Conducting a Medication History
  2. 2. What’s the Point?? <ul><li>To be an effective provider: </li></ul><ul><ul><li>Perform/Obtain necessary assessments of the patient’s health status </li></ul></ul><ul><li>Medication History can: </li></ul><ul><ul><li>Determine medical conditions </li></ul></ul><ul><ul><li>Family History </li></ul></ul><ul><ul><li>Social History </li></ul></ul><ul><ul><li>Etc. </li></ul></ul>
  3. 3. Health Literacy <ul><li>Level of understanding of disease state or medication </li></ul><ul><li>Patient may not know how to express details otherwise </li></ul><ul><li>Be sure to keep this information handy, as it may be useful later </li></ul>
  4. 4. Developing a Relationship
  5. 5. Create Safe Environment <ul><li>Patient feels more comfortable communicating </li></ul><ul><li>Greet the patient with a smile </li></ul><ul><li>Make eye contact </li></ul><ul><li>Introduce yourself and verify the patient’s identity </li></ul><ul><li>Emphasize your role as a caregiver </li></ul><ul><li>Encourage complete, truthful report of information </li></ul>
  6. 6. Ask the Right Questions <ul><li>Use a combination of open-ended and closed-ended questions </li></ul><ul><li>Combine this with active listening </li></ul><ul><li>Open-ended </li></ul><ul><ul><li>Encourages patient to expand on information </li></ul></ul><ul><li>Closed-ended </li></ul><ul><ul><li>Reserved for confirming details and guiding discussion </li></ul></ul>
  7. 7. Active Listening <ul><li>Interpret information to confirm, clarify or encourage discussion </li></ul><ul><li>Techniques: </li></ul><ul><ul><li>Interpretation: “You have been asking a lot of questions…is there something worrying you? </li></ul></ul><ul><ul><li>Reflection: “You said ___. Tell me more about that” </li></ul></ul><ul><ul><li>Clarification: “I don’t understand completely. Tell me what you mean by ___” </li></ul></ul><ul><ul><li>Empathy: “That must have been frustrating for you…” </li></ul></ul><ul><ul><li>Facilitation: “I’m listening…” </li></ul></ul><ul><ul><li>Confrontation: “You appear to be…more than what you’re saying” </li></ul></ul>
  8. 8. Watch Non-Verbals <ul><li>Eye Contact </li></ul><ul><ul><li>Make or break a relationship </li></ul></ul><ul><ul><li>Shows either caring, or lack of interest </li></ul></ul><ul><li>Patient Cues </li></ul><ul><ul><li>Fidgeting, closed body position could indicate discomfort </li></ul></ul><ul><ul><li>Acknowledge, be empathic – could help alleviate </li></ul></ul>
  9. 9. Cultural Competence <ul><li>Ability to address patients with diverse values, beliefs and behaviors </li></ul><ul><li>Tailor delivery to meet patient’s social, cultural and linguistic needs </li></ul><ul><li>Examine your own culture and beliefs… </li></ul><ul><li>Think about mainstream health care model… </li></ul><ul><li>Differences? </li></ul>
  10. 10. Note Taking <ul><li>Address early as a helpful tool </li></ul><ul><li>Not judgmental </li></ul><ul><li>Provides accuracy with record keeping </li></ul>
  11. 11. Patient Knowledge <ul><li>Gather information regarding </li></ul><ul><ul><li>Preferences </li></ul></ul><ul><ul><li>Attitudes </li></ul></ul><ul><ul><li>Understanding </li></ul></ul><ul><ul><li>Concerns </li></ul></ul><ul><ul><li>Expectations </li></ul></ul><ul><ul><li>Adherence </li></ul></ul><ul><li>Can help you to tailor interventions to the patient </li></ul>
  12. 12. To Review… <ul><li>Introduce yourself – establish a relationship </li></ul><ul><li>Be open and attentive to patient reports </li></ul><ul><li>Collect pertinent information about medications </li></ul><ul><ul><li>Names, doses, frequencies, believed indications </li></ul></ul><ul><li>Open-ended questioning </li></ul><ul><li>Collect a complete picture of the patient </li></ul>

×