Competency information

Details

Initiate a consultation, elicit information, clarify as necessary, summarise, and empathise and use active listening techniques while taking a patient history.

Considerations

  • The features that should be present in an effective patient consultation.
  • Structure of a consultation model, e.g. the Calgary-Cambridge model, using a logical sequence that includes:
    • brief biographical
    • history of presenting complaint
    • past history
    • smoking/alcohol
    • medication (prescribed and other)
    • allergies
    • family/social
    • concerns and expectations
    • summary
    • commonly used questioning techniques used during history taking and know when to use them.
  • Difference between a health professional-centred and patient- centred consultation.
  • How to modify techniques for patients with special needs, relevant to the circumstances of the patient.
  • The importance of checking for patient allergies in case they are not already documented.
  • Key symptoms relating to respiratory and sleep disorders.
  • Changes in the normal anatomy and physiology result in abnormalities of respiratory and sleep systems.

Relevant learning outcomes

# Outcome
# 1 Outcome Perform and interpret assessments of blood gas status and identify the requirements for supplemental oxygen therapy.
# 2 Outcome Perform full cardiopulmonary exercise testing in the investigation of respiratory, vascular and cardiac disease.
# 3 Outcome Identify the requirement for and initiate non-invasive ventilation (NIV) in patients with both acute and chronic respiratory failure.
# 4 Outcome Discuss and agree management strategies for disorders of respiratory or sleep and demonstrate the communication skills required to discuss subjects that may be difficult and work with patients.
# 5 Outcome Perform, analyse and technically report polysomnographic sleep investigations in patients referred to a sleep service.