Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
2014
F. MIYAMASU
UNIVERSITY OF TSUKUBA
Aggravating & Alleviating factors? What makes it worse? What makes it better?
Hello, Im Dr Suzuki. Please sit down. Its Mary (try to pick up all of the patients problems)
Jones, isnt it? So youve been having headaches and some
Come and sit down. Im Dr Suzuki. Can I just backache. Anything else at all?
confirm that youre Mary Jones? So youve been having headaches and backache
Good morning, Mrs Jones. Take a seat. Im Dr and have been feeling more tired than usual. Is
Suzuki. that right?
Come in and sit down. Am I right in thinking that Is there anything else (you want to talk about)?
we havent met before? Im Dr Suzuki. What would
you prefer me to call you?
Agenda Setting
Hello, Mary. Good to see you.
Okay, now Id like to ask you a few questions
about each of your symptoms. Lets start with the
Asking About the Chief Complaint (CC) headaches, and then well talk about the backache,
and then about the tiredness. Is that okay?
(patient-centered; attentive listening to ensure accurate
and efficient information gathering with facilitative
responses: uh-huh, Go on, I see)
Opening question
What problems have brought you here today?
Tell me what problems youve been having.
Tell me what youve come to see me about.
Whats brought you to the hospital today?
Whats been troubling you?
How can I help you?
What can I do for you?
I see that you have backache. Please tell me more
about it.
When? Where?
Onset Where does it hurt?
When did the pain start / begin? Show me where it hurts.
When did the pain first come on? Please point to where it hurts.
How long have you been having this pain? Which part of your back is affected?
Onset (Precipitating) factors (radiation) Does the pain spread /move /travel
anywhere else?
Does anything bring the pain on?
Does the pain come on at any particular time? Quality?
What usually brings it on? What is the pain like?
..When does the pain usually come on? What does the pain feel like?
Character of onset Could you describe the pain?
Does the pain come on gradually or all of a What do you mean by weird pain?
sudden?
Duration
Quantity?
How bad is the pain?
How long does the pain usually last?
On a scale of 1 to 10, with 10 being the worst
Frequency
pain, how would you rate the pain?
How often do you have the pain?
How is the pain affecting your life?
How often have you had the pain?
How many times have you had the pain?
Aggravating and Alleviating Factors
Course Does anything make the pain better?
Does the pain come and go? Does lying down help (relieve) the pain?
Have you ever had major surgery / a major How old was he when he died?
operation? What did he die of? / Do you know the cause of
Do you have any allergies? / Are you allergic to death?
anything?
And, finally
What kinds of questions do you have for me?