EHR523 Lecture Notes - Lecture 6: Patient Safety, Health Literacy, Comorbidity
Document Summary
Week 6 initial consultation, medical history and. Inform the client of what your appointment entails. Have the correct person in the room. Have consent to collect the health information. Have consent to share the health information: with your team, with the client"s treating team, specifically consider if there are any restrictions. History taking: consider what you need to know for: To refer to another health practitioner: usually comes through a semi-structured interview with the patient but other sources include: Other important information may include: next of kin/emergency contact, allergies, statement of choices/enduring power of attorney, primary language, aboriginal or torres strait islanders, why the client has come to see you: May not be what is documented on the referral (if you have one). Related signs and symptoms including aggravators and alleviators. How they are managing it (e. g. treatment). Psychiatric / mental health: family history:
