[PDF] [PDF] PATIENT INTERVIEW GUIDE

o Is this a new problem / first time having this problem? o Intermittent or constant? It may not be necessary to ask every question, if not pertinent • Childhood 



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[PDF] The Patient Interview

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[PDF] PATIENT INTERVIEW GUIDE

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PATIENTINTERVIEWGUIDE

interview

ChiefComplaint

"Whatbringsyouheretoday?"

HistoryofPresentIllness

questions

Whereitislocatedonthebody(suchaspain)

o Doesitradiate

Timing

o Whendiditstart/howlonghasitbeengoingon? o Isthisa newproblem/firsttimehavingthisproblem? o Intermittentorconstant? o Ifintermittent,howlongdoesitlast,andhowoftendoesitoccur?

Quality(particularlyimportantifpain)

o Dull,sharp/knifeͲlike,achy,pressure,tightness,tingling,etc

Severityorintensity

Whattriggersthesymptom

o Whatwereyoudoingwhenitstarted o Whatcausesittooccur

Alleviating/aggravatingfactors

o What helpsit o Whatmakesitworse

Anyothersymptomsthatyouhave?

PastMedicalHistory

Childhoodillnesses

Adultillnesses

o Includeanyrecentillnesses(i.e.infection)

Surgeries

Hospitalizations

Injuries

Trauma

Screeningtestsorexams

Allergies

Makesureyouincludethereaction

CurrentMedications

o Questionstoaskaboutmedications

Nameofmedication

Thewaythepatientisactuallytakingit

(don'tassumeit'sthesameaswritten)

Thereasonthepatientistakingthedrug

Howlongtakingit

Doesthepatientfeelitisworking

Compliance/rememberorabletotakeit(can

askhowthepatientrememberstotakeit) o Remindoftypically"forgotten"medications:

Samples

Birthcontrolpills

Creams/ointments

Eye/earmedications

Inhalers

Recent/currentantibiotics

OverͲtheͲcountermedications

o Herbal/natural products(includinghouseholdremedies) o Vitamins

Immunizationstatus

FamilyHistory

SocialHistory

Maynot

needtoaskallofthese(usejudgment)

Occupation

Tobacco/Alcohol

Illicitdrugs

Caffeineuse(ifapplicable)

Sexualpartners(ifapplicable)

Living

situation

Recreation

Safetysituations(i.e.abuse;ifapplicable)

ReviewofSystems

Maynotneedtoaskallofthesequestions,

Canstart

lately,etc) exam,ocularpain,photophobia,etc) (tinnitus),dizziness(vertigo),ear pain,drainage,etc) pain,reducedorenhancedsenseofsmell,etc) mouthorlips,fever changes,etc)

Cardiac(ask

indigestion/bloating,gas,melena,etc)

GU(askaboutchangeinfrequency/volumeof

issueswithgenitalia,etc)

Vascular(ask

Disease),etc)

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