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HISTORYTAKING IN ENGLISH
A Booklet for Physicians2014
F. MISHMASH
UNIVERSITY OF TSUKUBAF. Mishmash University of Scuba http://www.md.tsukuba.ac.jp/MECC/selfstudy.htmlCommunicating With Patients: Basic
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How to fill out history-taking in english

01
Start by introducing yourself and explaining the purpose of the history-taking process in English. Make sure the patient understands that you need to gather information about their medical history to provide the best possible care.
02
Use simple and clear language during the history-taking process. Avoid using medical jargon or complex terms that the patient may not understand.
03
Begin by asking general questions about the patient's personal details such as their name, age, occupation, and contact information. This helps establish a basic profile for the patient.
04
Move on to asking about the patient's chief complaint or reason for seeking medical attention. Encourage them to provide a detailed description of their symptoms, including when they started, how severe they are, and any noticeable patterns or triggers.
05
Proceed to inquire about the patient's medical history, including any previous illnesses, surgeries, or hospitalizations. Ask about any known allergies, current medications, and any chronic conditions they may have.
06
Explore the patient's family history, especially regarding any genetic or hereditary conditions that may be relevant to their current health concerns.
07
Inquire about the patient's lifestyle and habits, including their diet, exercise routines, smoking or alcohol consumption, and any recreational drug use. This information can help identify potential risk factors or lifestyle-related health issues.
08
To ensure comprehensive history-taking, ask about the patient's social history, such as their marital status, living conditions, and support system. In certain cases, it may be necessary to assess for any history of domestic violence or abuse.
09
As you gather information, make sure to actively listen and maintain good eye contact with the patient. This demonstrates empathy and helps establish trust, which is crucial for effective history-taking.
10
Finally, summarize the information obtained from the history-taking process, and clarify any remaining doubts or concerns. Inform the patient about the next steps in their medical care and provide them with any necessary instructions or referrals.
Who needs history-taking in English?
01
Medical professionals: Doctors, nurses, and other healthcare providers need to conduct history-taking in English to gather essential information about their patients' medical background and current health concerns. This information helps in diagnosing and treating patients effectively.
02
International patients: Non-native English speakers seeking medical care in an English-speaking country may require history-taking in English. Medical professionals need to communicate with these patients efficiently to understand their medical needs and provide appropriate care.
03
Language learners: Students or individuals learning the English language may practice history-taking as part of their language acquisition process. Simulated history-taking scenarios can help improve their English proficiency in a medical context.
04
Interpreters: Language interpreters may also need to be familiar with history-taking in English to accurately translate conversations between medical professionals and non-English speaking patients. Understanding the structure and content of history-taking helps ensure effective communication.
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What is history-taking in English?
History-taking in English is the process of gathering information about a patient's medical history, including symptoms, past illnesses, medications, and any other relevant details.
Who is required to file history-taking in English?
Healthcare professionals, such as doctors, nurses, and other medical staff, are required to file history-taking in English for their patients.
How to fill out history-taking in English?
History-taking in English can be filled out by conducting interviews with patients, reviewing medical records, and documenting all relevant information in a medical chart or electronic health record system.
What is the purpose of history-taking in English?
The purpose of history-taking in English is to gather comprehensive information about a patient's medical history to aid in diagnosis, treatment, and ongoing care.
What information must be reported on history-taking in English?
Information such as past medical conditions, surgeries, allergies, medications, family history, and lifestyle factors should be reported on history-taking in English.
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