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1. The interview Initiating the session
process Gathering information
Physical examination
Explanation and planning
Closing the session
These steps are proving structure and building the relationship
2. interviewing Nonverbal communication
techniques Empathy
Active listening
Validation
reassurance
partnering
summarize
Guided questioning
Empowerment
3. Setting the stage Explaining point for point what the examination will entail, preparing, privacy,
for examination awareness of the setting in which the exam is taking place, do not assume it is ok
to have others in the room, being aware of disabilities.
4. Establishing Rap- Earning trust, following through, showing empathy and compassion, being
port knowledgeable of the information provided
5. Gender Pro- How a person would like to be referred to. Ex: "She/Her" "He/Him" "They/Them"
nouns etc.
How would you describe your sexual identity
How would you describe your gender identity
What is the sex on your original birth certificate
6. FIFE model Feelings
Ideas
Functioning
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Expectations
Helps explore the patient's perspective about their health and illness
7. Patient-centered Involving the patient in their care and coming up with a plan with the provider.
medical care Provider must acknowledge their own personal biases while being aware of what
is the safest Sam's most effective plan for the patient
8. Fundamentals of Active listening, empathetic responses, guided questioning, nonverbal commu-
skilled interview- nication, validation, reassurance, partnering, summarization, transitions, empow-
ing ering the patient
9. verbal communi- expressing ideas to others by using spoken words
cation
10. nonverbal com- communication using body movements, gestures, and facial expressions rather
munication than speech
11. Challenging Pa- Silent
tient Situations Talkative
and behaviors With confusing narrative
With altered state or cognition
With emotional lability
Angry or aggressive
Flirtatious
Discriminatory
With hearing loss
With low or impaired vision
With limited intelligence
Burdened by personal problems
Nonadherent
With low literacy
With low health literacy
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With limited language proficiency
With terminal illness or dying
12. 5 R's off cultural Reflection— what did I learn?
humility Respect—did I treat everyone involved w respect?
Regard—did unconscious bias drive this encounter?
Relevance—how was cultural humility relevant?
Resiliency—how did my personal resilience affect this interaction?
13. Core Values of nonmaleficence,
Medical Ethics beneficence,
respect for autonomy,
decisional capacity,
confidentiality,
informed consent,
truth telling,
justice
14. Focused Health ALL components of the Complete Health History with the focus on the specific
History reason the client is seeking care.
15. Comprehensive includes biographic data, reason for seeking care, present health status, past
Health History medical history, family history, personal and psychosocial history, and a review
of all body systems
Psych
Obstetrics
Surgery c-section goes here
Hospital stays
16. Components of 1) Demographic information
Health History 2) Source of history
3) Chief concern
4) History of present illness