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Showing posts with the label OSCEs

Sample CASC-Opiate (opioid) Withdrawal Assessment

Opiate Withdrawal History and Physical Examination   Opiate withdrawal symptoms peak between 36-72 hours. Symptoms run their course in 5-7 days, though craving continues for some time.  Withdrawal from Heroin Withdrawal from heroin may begin up to 8 hours after the last use. During the next few hours, the person experiences muscle pain, sneezing, sweating; tearfulness; yawning excessively.  At 36 hours after the last use, symptoms are most severe. These symptoms include chills, muscle cramps, flushing, sweating, tachycardia, hypertension, inability to sleep, vomiting & diarrhoea . Symptoms typically continue for about 72 hours & gradually diminish over 5-10 days. History  This history part is in Urdu/Hindi. I will add the " Objective Opiate Withdrawal Scale"  soon here so anyone can benefit.   For now: COWS  Aap kia istemal karty Akhri bar kab lia hai aap ne Abhi dil chahta ke aap dobara se kar lyn? Kitna had tak?   Gutno ya baqi jorhon mai dard ho raha hai? Baqi

What are the aims of the Counseling Sessions

What are the aims of the Counseling Sessions? Counseling Sessions are an important part of psychiatric management. The following list sums up the Aims of Counselling Sessions;  Establish mutual trust Clarification and explanation Freely expresses emotions Reassurance Understanding of health Indent various choices Making decisions Seeking support Learning the necessary skills

What are the Basics of Communication Skills?

The Basics of Communication Skills Communication skills are central to clinical assessment. The following are the basic techniques that improve communications Skills.  Attending and listening Active listening Verbal techniques Funneling Paraphrasing Selective reflection Empathy building Checking for understanding.

Biopsychosocial Model of Healthcare and doctor-patient relationship

The biopsychosocial model of healthcare emphasizes the following paradigms of doctor-patient relationship Psychosocial assessment, Use of communication skills, Informational care, Counseling, Crises intervention, and Extension of care to the family.     "The biopsychosocial model is an interdisciplinary model that looks at the interconnection between biology, psychology, and socio-environmental factors. The model specifically examines how these aspects play a role in topics ranging from health and disease models to human development. George L. Engel developed this model in 1977 and is the first of its kind to employ this type of multifaceted thinking. The biopsychosocial model has received criticism about its limitations but continues to carry influence in the fields of psychology, health, medicine, and human development." Source: Biopsychosocial model - https://en.wikipedia.org

Open Ended Questions

An open-ended question is one that puts the least restrictions over the answer to a select option-list. For example, an open-ended question to assess the thoughts would be: What do you think about most often? You can already notice, it is impossible to ask an absolute-open ended question.  For the purpose of the Research Workshop, the College of Physicians and Surgeons states:  Open-ended questions elicit detailed responses and provide no preselected options. These types of questions are the hallmark of qualitative research.   Also, learn the advantages of open-ended questions. 

Advantages of Open-Ended Questions

What are the advantages of open-ended questions? During the clinical assessment, open-ended questions are always preferred to close-ended questions. there are several advantages to the open-ended questions.  If you still don't know What are Open-Ended Questions? Open-ended questions allow patients to start talking about themselves and puts them at ease as they have the floor.  Allows you time to think and plan areas of questioning as you assess their style and content of the response. Allows a period of non-verbal response from interviewer; listening and facilitating.  >> Just slight info: To Have the floor means to have the right or opportunity to speak in a group, especially at a formal event or gathering.  Please, Dr. Dunstaple, your colleague has the floor. You'll have the opportunity to reply when he has finished speaking.