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What are you complaining of? (That has imparted you?) 2
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ХАЛҚАРО-ҲАМКОРЛИК-ВА-ИННОВАЦИЯЛАР-ТИББИЙ-ТАЪЛИМ-ИСЛОҲОТЛАРИНИНГ-АСОСИДИР
1. What are you complaining of? (That has imparted you?)
2. Tell me more about the pain. (About a problem) 3. Specifying questions. (Where does the pain irradiate?, how long does it last?, what about character?, how many times a day does the child have fever? …) 4. What do you do? 5. Have you tried to treat at home, what medicines did you take? 6. Chronical diseases. 7. The allergic anamnesis. 8. Hereditary diseases. 9. Smoking, alcohol, in what quantities. 10. The epidemic history. It should be given more time for answering to the first question[10,12]. There can be told much about illness, about excitements and expectations. It is important do not interrupt the patient because he can easily loose a thread of 124 thoughts. The second open question can be set about the biggest problem of the patient which must be pictured in better way. And for this purpose the doctor has to set special questions – what disturbs you more, or what made you come to me? It is possible to ask about a pain when the patient complains of a pain or about a diet when he complains of loss or gain of weight. These questions help a doctor to collect more and correct information and at the same time to show the patient his interest on the problem the patient has. Practically all patients have their own opinion about their problems. In many cases those opinions erroneous – didn’t wear warm clothes and had a flu, was poisoned because of tea and begun acute diarrhea. But in each case it is necessary to listen to opinion of the patient attentively and to disassemble with the patient. By ignoring opinion of the patient the doctor loses his trust. It is possible to tell «Yes you may have caught it because of cold, but most likely you have caught it from the colleagues or members of your family. Further, do not ignore fresh air and a hot shower which will facilitate a disease currently». Almost all patients try to treat themselves at home[14,15], and these medicines should be cleared out. It would help to prevent poisoning by medicine. Chronic diseases, allergic reaction to a medicine and the epidemic anamnesis are important at diagnostics and prescription of medicines. It is possible to add questions in other cases – travel and sexual contacts at young men, a sleeping and appetite at the child. The patient actively involved in diagnostics and treatment process. By it a part of responsibility for successful treatment can assigned on the shoulders of the patient. Some kinds of supervision have been applied to consultation discussion for students – direct supervision, a consultation audio record, consultation video recording. All these kinds of consultation observations have the advantages and down sides, but video supervision can be the most advanced variant. At video recording it is possible to estimate verbal and nonverbal skills assumptions of patients the doctor gains the confidence of the them[19]. Many mothers think that no one may understand their children better themselves, even doctors. If mum confirms that without antibiotics he cannot recover from a flu in any way that it is necessary to choose one from two harms – the patient leaves without antibiotics and finds other doctor or appoints antibiotics once a day for three days. For an estimation of skills of consultation it was used a card of consultation and a scale of an estimation of consultation. Download 3.4 Mb. Do'stlaringiz bilan baham: |
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