Competency information
Details
Record a comprehensive and contemporaneous patient history, recognising the significance of changes in the patient’s reported health status and taking appropriate action.
Considerations
- Clinical history-taking frameworks.
- Patient-centred history taking, including how to build up a picture of the patient’s problems from their perspective of their physical complaints, the impact of these complaints on their lives and any psychosocial issues that are also active.
- The importance of an accurate and complete patient history and the potential implications of missing or incorrect information.
- Factors relevant to the range of investigations to be undertaken.
- How to listen, interpret and act on the information provided.
- How to communicate with patients in ways that facilitate cooperation and an understanding of requirements, including patients with special needs.
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 3 | Outcome Record a comprehensive and contemporaneous patient history recognising the significance of changes in the patient’s reported health status and taking appropriate action. |