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"A Reflective account relating to a 14 year old female patient ( complaining of painful urination/ UTI) Focusing on a patient centred structured consultation/history taking"
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2007, p. 17).
The second phase of the examination was obtaining the patients agenda as well as the main concerns. The time available for the patient was indicated in the examination while the patient was asked to indicate the need for doctor’s intervention. This was done with the assistance from the mother. The patients full concerns regarding her condition and the procedures involved were tackled. The evaluation of the concerns was followed by a summary of the agenda, and negotiations of the procedure specifics on the agenda were addressed (Nicole 2013, p. 67).
The third phase of the examination involved collection of information based on the specifics identified in the agenda. The questions that were asked were simplified and did not include any medical jargon to avoid any confusion by the patient. The structure of the questions was both open and close ended. The patient was allowed to explain herself in the open-ended questions while the close ended questions required a yes or no answer. These questions were designed not to lead the patient towards eliciting different reactions. The mother as also asked not to participate in the questioning, to avoid leading from the mother. The patient was also asked to participate in the analysis of the concern, by being asked if they had any idea of the cause of the concern. The nurse also used transitional statements to expound on the different types of questions and sections in the inspection. The nurse finalized with a summary of the patient responses, and asked for any feedback from the patient while eliciting any further information from the patient, without any form of judgment (Macleod and Fiona 2006, p. 62).
The fourth phase of the inspection involved collecting information on the history of the present illness (HPI) of the patient. The information that was collected was structured. The first assessment was on ...
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