Etiquette On History Taking And Physical Examination PROF DR ZABIDI AZHAR HUSSIN CONSULTANT PAEDIATRICIAN 2 nd August 2006
Etiquette On History Taking And Physical Examination
PROF DR ZABIDI AZHAR HUSSINCONSULTANT PAEDIATRICIAN
2nd August 2006
Etiquette On History Taking And Physical Examination
WHY BOTHER?
Etiquette On History Taking And Physical Examination
HISTORY TAKING MAKES OR BREAK
Etiquette On History Taking And Physical Examination
WHO IN THEIR RIGHT FRAME OF MIND WOULD:See a foreigner and talk about their weakness
(illness)and confidential secrets
Travel at great expenses of time and money to meet a stranger
Etiquette On History Taking And Physical
ExaminationWHO IN THEIR RIGHT FRAME OF MIND
WOULD:Expose their most secret parts to an
unknown stranger?Give their body fluids ( blood etc ) to
be drained for some unusual tests done by unknown strangers?
Consent to most humiliating positions where medical tests are done?
Etiquette On History Taking And Physical Examination
DOCTORS HAVE THE PRIVILEGES OF MAKING PEOPLE DO WHAT THEY
WOULD NOT NORMALLY DO
Etiquette On History Taking And Physical Examination
THE POWER LIES IN THEIR ABILITY TO COMMUNICATE
AND SHOW THEIR EMPHATY
Etiquette On History Taking And Physical Examination
HISTORY TAKING AND PHYSICAL EXAMINATION ARE THE ESSENTIAL KEY TO THIS
POWER
Etiquette On History Taking And Physical Examination
HOW TO WIN PATIENTS CONFIDENCE IN YOU?
Etiquette On History Taking And Physical Examination
Etiquette On History Taking And Physical Examination
Appearance and Mannerism- unhurried, neat, clean white coat,
body odour, bad breath, shoes, preparedness, interest, interruptions, courtesy to relatives, compassion ( someone may be in
pain or have just been told a bad news)
Etiquette On History Taking And Physical Examination
Verbal and Body Language-appropriate language( dialect, choice of language) and salutation ( try to gauge where patients come
from and the language he speaks ), ascertain how he wishes to be addressed as ( Pak Cik, Abang etc)
- Guide him to tell his story and do not interrogate (finger pointing, pen pointing, loud voice, frequent
prompting not interrupting- Maintain your interest ( force your interest if
necessary)
WINNINGPATIENTS CONFIDENCE
Etiquette On History Taking And Physical Examination
Verbal and Body Language- Careless and inappropriate body language can
convey misleading messages. Therefore beware!- Frequent nods help
- Careful not to convey elements of judgmentin your body language
Etiquette On History Taking And Physical Examination
Verbal and Body Language- Donot be judgmental of patients ( outer appearance may be deceiving, our values are the same, but our
covers may be different, - Do not take sides or attempt to educate patients
during history taking- Do not force patients to accept your technical jargons
and try to fit patients complains into your neat categories
Etiquette On History Taking And Physical Examination
Always seek permission to examineAlways examine together with chaperons
Only one person should touch at any one timeThose watching must not make inappropriate body
signals or points to patients body partsNever laugh, giggle or smile during physical
examination , as patients may take this as a form of insult
Always preserve patients dignity we all have one! Cover , cover, cover
Etiquette On History Taking And Physical Examination
Never hurt a patient. Apologize if you think you have accidentally hurt them
Be careful of inappropriate touch of the opposite sexBeware of local customs ( e.g. the use of right hand is
always preferable in Malay community, always ask permission to touch the head
Never remove patients ornaments without prior consent
Always thank them when you have finished
Etiquette On History Taking And Physical Examination
ENJOY YOUR HISTORY TAKING. TAKING A GOOD HISTORY IS LIKE READING A GOOD TEXTBOOK
CHRONOLOGY IN HISTORY
HPC PC TODAY
Symptoms/signs
progress
Presentation moves events forwards
Etiquette On History Taking And Physical Examination
GOOD LUCK!
Etiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationEtiquette On History Taking And Physical ExaminationCHRONOLOGY IN HISTORYEtiquette On History Taking And Physical Examination