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Diagnostic Methods - Class 03
Chinese Medicine Diagnostic Methods
By: David Botton

Conducting an Interview

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Interview

Steps

1. Introduction

2. Present reasons for questions

3. Prompt patient to describe their issues

do not let interview wander

look for non verbal indications

4. Direct question the patient on details needed

5. Present summary

6. Ask if they have anything to add

Expectations

Help

Sincerity

Influenced by

experiences

history

personality

Issues

Transference

See you as being too ideal

Resentment toward physician

Personal Issues

pre-judging patients

personality conflict

Compliance

not born out of force

Privacy

compliance with HIPA

insurance to patients

geographic privacy

prevent interruption

Comfort

seating comfortable and close

address by sir names

False reassurance

relieves your anxiety not theirs

trivializes their issues

Unwanted advice

advice can shift accountability

use of authority

condescending

reduces compliance

prevents self healing

Condescending questions

yields false results

Limit professional jargon

do not interrupt patient

prevents getting all the information

Do not use Why? questions

non verbal issues

professional look

inappropriate gestures

pointing

fidgeting

professional facial and body language

appropriate touch


(c) 2005 All Rights Reserved - David Botton