Wednesday, May 19, 2010

checklist patients

I'm on my Oncology rotation right now. Part of the assessment requirements for this unit include a logbook of 10-12 patients. The logbook worksheets are comprised of specific questions that have to be answered and as such, directed history taking is very helpful.

Last week, S and I spent time talking with patients with the aim of filling out our logbooks. But some things that the patient told me about their concerns didn't make sense. And I'm not going to write them here because it's confidential, but when I went back and clarified with the patient, I was -ok-not quite blown away, but still stunned by what was then revealed.

It reminded me of the incredible value of asking open questions, and the consistent emphasis on history taking skills.

So whether you're a classmate or a colleague (or just interested), I highly recommend reading the poem "A piece of my mind", by Stephen A. Schmidt.

PS It's also my turn to become a patient on Friday, which should be interesting. Except I'll be going to a private hospital, so I doubt there'll be any healthcare students there.

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The world is littered with unfinished visions, and is not life such a vision? And is not the finishing of any thing a little death?

--Darksong