By Lynn S. Bickley, Robert A. Hoekelman, Barbara Bates
Univ. of Rochester, long island. Textbook, for clinical and nursing scholars, to the actual examination and heritage taking. earlier variation, c1995, used to be at the Brandon/Hill clinical record and entitled: A advisor to actual exam and heritage Taking. Chapters are thumb-tabbed. DNLM: actual Examination--methods.
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Additional info for Bates' Guide to Physical Examination & History Taking
Seek out and establish collegial relationships with healers of different disciplines. Most importantly, be open to learning from your patients. Collaborative Partnerships. Through continual work on self-awareness and seeing through the “lens” of others, the clinician lays the foundation for the collaborative relationship that best supports the patient’s health. Communication based on trust, respect, and a willingness to reexamine assumptions helps allow patients to express concerns that may run counter to the dominant culture.
At each stage, follow the same approach. Be alert to patients’ feelings and to cues that they want to talk about them. Use facilitative techniques to help them to bring out their concerns. ” . . ” . . ” Explore these concerns and provide whatever information the patient requests. Be wary of inappropriate reassurance. If you can explore and accept patients’ feelings, answer their questions, and demonstrate your commitment to staying with them throughout their illness, reassurance will grow where it really matters—within the patients themselves.
She was dressed in a tight top and short skirt and had multiple piercings, including in her eyebrow. ” . . ” . . ” The teenager felt pressured into accepting birth control pills, even though she had clearly stated that she had never had intercourse and planned to postpone it until she got married. She was an honor student, planning to go to college, but the clinician did not elicit these goals. The clinician glossed over her cramps by saying “Oh, you can just take some ibuprofen. ” The patient will not take the birth control pills that were prescribed, nor will she seek health care soon again.