Name:
Fortin: Smith’s Patient-Centered Interviewing 4e: New Patient Interview
Description:
Fortin: Smith’s Patient-Centered Interviewing 4e: New Patient Interview
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/64314214-a0df-4e2a-b4c7-8662434fbc46/thumbnails/64314214-a0df-4e2a-b4c7-8662434fbc46.jpg?sv=2019-02-02&sr=c&sig=r4Y4PcXwKkA7e%2FQoBtmi8IWUwWrgfo1YhHjWpq5bn50%3D&st=2024-05-03T07%3A31%3A34Z&se=2024-05-03T11%3A36%3A34Z&sp=r
Duration:
T00H03M37S
Embed URL:
https://stream.cadmore.media/player/64314214-a0df-4e2a-b4c7-8662434fbc46
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/64314214-a0df-4e2a-b4c7-8662434fbc46/NEW_INPATIENT_1080.mp4?sv=2019-02-02&sr=c&sig=bKDvJ18b9dhLAMMdIww6myBCwaUv2363y8rDwj%2BpecE%3D&st=2024-05-03T07%3A31%3A35Z&se=2024-05-03T09%3A36%3A35Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
>> You're going to see a new inpatient. She was just admitted to the hospital from the emergency room. Notice how the clinician will use the same five steps of the patient centered interview. >> Hi, Miss Jones. I'm Dr. Manning. >> Hi. >> Nice to meet you. I'm a physician that will be taking care of you here in the hospital. >> OK.
>> Is now a good time to talk? >> Yeah. >> Are you comfortable? >> Maybe if you could put the bed up. >> Sure. Is that better? >> Yeah. >> OK. All right. So it's nice to meet you.
Like I said, I'll be one of the doctors taking care of you while you're in the hospital. Could you tell me what brought you in? >> Well, I can't catch my breath. I'm short of breath all the time. My daughter was talking with me on the phone and she noticed that I was having trouble breathing so she insisted that I come in. And she came over to my house and drove me here to the emergency room. >> I'm hearing you tell me that you've been short of breath.
Is anything else going on? >> Well, I -- I notice my legs are swelling a little bit and, you know, just the shortness of breath is the main thing. >> OK. So we'll primarily discuss the shortness of breath that brought you in then today. OK? Can you tell me how you've been feeling? >> I feel terrible. I'm tired and I can't breathe good. I'm having trouble sleeping at night and so I don't know what's going on.
It worries me. >> Yeah. It sounds like you've been having a hard time with this. So what worries you? Is there anything in particular? >> Well, I'm worried I might have lung cancer. >> OK. Tell me more. >> Well, my husband had lung cancer and died a couple years ago from it and, you know, I -- I don't want to go through what I watched him do. >> OK. I'm really sorry to hear about your husband.
>> Thank you. >> How have you been doing since that time? >> I've been taking it day by day. >> Can you tell me more about the emotions you've been having? >> Well, I -- I'm worried and I feel guilty about, you know, not encouraging both of us to quit smoking. You know, I should have taken the lead and said, "Let's stop," but I didn't do anything about it. >> So I hear you that you've been also carrying some guilt as well about the situation?
>> Yes. >> OK. All right. And you mentioned that you've been lonely as well since your husband past? >> Yeah. The house feels kind of empty. >> Mm-hmm. >> I have my dog, but, you know, it's not like having another person around. >> OK. Do you have any other family or friends that support you? >> My daughter. >> OK.
>> She lives locally and we -- we see each other regularly and talk on the phone every day. >> OK. So it sounds like you have a good relationship with your daughter. >> Mm-hmm. >> OK. It's good to have other support. Would you like me to talk to her for you as well? >> Yeah. >> OK. >> Tell her what's going on. >> I'd be happy to do that.
OK. So I'd like to switch gears now and concentrate more on the physical symptoms that brought you in so we can work on getting your treatment going. >> OK. >> OK.