TAILIEUCHUNG - Lecture Clinical procedures for medical assisting (4/e): Chapter 5 – Booth, Whicker, Wyman

Chapter 5 - Interviewing the patient, taking a history, and documentation. The objectives of this chapter are: Identify the skills necessary to conduct a patient interview; implement the procedure for conducting a patient interview; detect the signs of anxiety, depression, and physical, mental, or substance abuse. use the six Cs for writing an accurate patient history. | 5 Interviewing the Patient, Taking a History, and Documentation 5- Learning Outcomes Identify the skills necessary to conduct a patient interview. Implement the procedure for conducting a patient interview. Detect the signs of anxiety; depression; and physical, mental, or substance abuse. Use the six Cs for writing an accurate patient history. 5- Learning Outcomes (cont.) Write on the patient’s chart accurately. Carry out a patient history. Identify parts of the health history form. Use critical thinking skills during a patient interview. 5- Introduction The medical assistant prepares the patient and the patient’s chart before the physician enters the exam room to examine the patient Conducting the patient interview and recording the necessary medical history are essential to the practitioner’s examination process How you conduct yourself during the first few moments with the patient can make a major difference in the patient’s

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• Clinical procedures
• Medical assisting
• Clinical medical assisting
• Patient interview
• Patient responsibilities
• Patient rights
• Administrative medical assisting
• Standard payment procedures
• Accepting payment
• General physical examination
• Clinical diagnosis
• Safety precautions
• Physical examination
• Principles of asepsis
• Infectious disease prevention
• Infectious diseases
• Infection control techniques
• Infection control methods
• Medical asepsis
• Blood borne pathogens
• AIDS patients
• Patient education
• Exam room furnishings
• Treatment areas
• Exam room
• Obtaining vital signs
• Taking temperatures
• Respiration irregularities
• Medical assistant
• Internal medicine
• Gynecologic physical examination
• Highly specialized examinations
• Allergy examinations
• Cardiology examination
• Minor surgery
• Wound care
• Instruments used in minor surgery
• Physical therapy
• Patient assessment
• Administering cryotherapy
• Emergency preparedness
• Medical emergencies
• Handling emergencies
• Alternative medicine
• Alternative medical systems
• Biologically based therapies
• Equipment safety
• Laboratory testing
• Medical assistant’s role
• Microorganisms cause disease
• Classification of microorganisms
• Multicellular parasites
• Testing urine specimens
• Urinary system
• Obtaining specimens
• Testing blood specimens
• Composition of blood
• Collecting blood specimens
• Special diets
• Daily energy requirements
• Dietary guidelines
• Principles of pharmacology
• Sources of drugs
• Drug therapy
• Drug administration
• Dosage calculations
• Geriatric considerations
• Pulmonary function testing
• Anatomy of the heart
• Physiology of the heart
• Diagnostic radiology
• Common diagnostic radiologic tests
• Filing X rays
• Externship process
• Medical assisting externships
• Expectations of externship candidates