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. |