Advanced Health
Assessment Chapters 1 &
2 | Study Guide, Practice
Questions & Exam
Review
|Guaranteed success|
, Calgary-Cambridge Guide A guide describing the structure and timeline of a clinical encounter across 5
major steps.
Highlights need to elicit info regarding both biomedical disease process & pt's
perspective
Also includes place for physical exam
5 major steps of Calgary-Cambridge Guide Initiating session, Information Gathering, Physical Exam, Explaining & planning,
& closing session
Initiating Session Relationship building w/ pt
Respect, trust, rapport
Set the stage & make pt comfortable
Adjust env to ensure effective communication(use privacy curtains, remove
physical barriers)
Choose distance for good eye contact
Be mindful of things that may convey disrespect
Create priv & welcoming env to help facilitate effective communication & build
positive rapport
Set agenda
Greet pt & establish initial rapport
Initiating Session- Greeting 1) Newborns/infant- 1mnth-yr- congrats fam on newborn, ask about caregivers
wellbeing, encourage them to feed newborn while talking
2) Young & school-age children- 1-4yrs,5-10yrs- introduce yourself first then
engage child w/ play to build rapport & manage mood, when child is playing,
obtain health history from caregiver
School age- familiarize yourself w/ kid culture & ask age approp ques
3) Adolescents- prioritize confidentiality & trust & ensure family is heard &
comfortable, open-ended ques, acknowledge imp of their privacy, inform
family they will have opportunity to speak but first spend time alone wl teen
4) Older adults- elicit their preferred way of being addressed, well lit warm
setting, min background noise, allow time for open end ques, include fam when
cognitive impairment present
5) Physical/sensory disabilities- speak directly w/ pt, use "people-first"
lang(person who is blind, person who uses wheelchair"), always presume their
competent to manage their medical care
Blind - verbally identify yourself when approaching, dont leave w/o letting pt
know, always ask how pt would like to be assisted, provide written materials of
pt preference
HOH- ask how best to communicate, give written materials as long as they are
not primary form of communication, sign language available, dont talk at a
distance, look directly at pt so mouth visible, speak normal & clear, dont
shout/exaggerate mouth movements/speak rapidly, minimize background noise
& glare
Deaf- ask how best to communicate, sign language available, dont use family
members to interpret, address pt not interpreter
Wheelchair- make sure path of access to room, respect personal space, dont
propel wheelchair unless asked, provide accessible equip, assist as needed,
dont separate pts from wheelchairs
6) LGBTQ- recog they may experience anxiety related to
Assessment Chapters 1 &
2 | Study Guide, Practice
Questions & Exam
Review
|Guaranteed success|
, Calgary-Cambridge Guide A guide describing the structure and timeline of a clinical encounter across 5
major steps.
Highlights need to elicit info regarding both biomedical disease process & pt's
perspective
Also includes place for physical exam
5 major steps of Calgary-Cambridge Guide Initiating session, Information Gathering, Physical Exam, Explaining & planning,
& closing session
Initiating Session Relationship building w/ pt
Respect, trust, rapport
Set the stage & make pt comfortable
Adjust env to ensure effective communication(use privacy curtains, remove
physical barriers)
Choose distance for good eye contact
Be mindful of things that may convey disrespect
Create priv & welcoming env to help facilitate effective communication & build
positive rapport
Set agenda
Greet pt & establish initial rapport
Initiating Session- Greeting 1) Newborns/infant- 1mnth-yr- congrats fam on newborn, ask about caregivers
wellbeing, encourage them to feed newborn while talking
2) Young & school-age children- 1-4yrs,5-10yrs- introduce yourself first then
engage child w/ play to build rapport & manage mood, when child is playing,
obtain health history from caregiver
School age- familiarize yourself w/ kid culture & ask age approp ques
3) Adolescents- prioritize confidentiality & trust & ensure family is heard &
comfortable, open-ended ques, acknowledge imp of their privacy, inform
family they will have opportunity to speak but first spend time alone wl teen
4) Older adults- elicit their preferred way of being addressed, well lit warm
setting, min background noise, allow time for open end ques, include fam when
cognitive impairment present
5) Physical/sensory disabilities- speak directly w/ pt, use "people-first"
lang(person who is blind, person who uses wheelchair"), always presume their
competent to manage their medical care
Blind - verbally identify yourself when approaching, dont leave w/o letting pt
know, always ask how pt would like to be assisted, provide written materials of
pt preference
HOH- ask how best to communicate, give written materials as long as they are
not primary form of communication, sign language available, dont talk at a
distance, look directly at pt so mouth visible, speak normal & clear, dont
shout/exaggerate mouth movements/speak rapidly, minimize background noise
& glare
Deaf- ask how best to communicate, sign language available, dont use family
members to interpret, address pt not interpreter
Wheelchair- make sure path of access to room, respect personal space, dont
propel wheelchair unless asked, provide accessible equip, assist as needed,
dont separate pts from wheelchairs
6) LGBTQ- recog they may experience anxiety related to
