Translate the sentences into Russian:
1.The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. 2. In the United States, the most basic rules governing access to a medical record dictate that only the patient and the health-care providers directly involved in delivering care have the right to view the record. 3. The second step is to have systematically developed complete records of the patient's problems and the care administered to monitor progress. 4. Remember that the patient's symptoms represent what the patient feels to be wrong. 5Your job is to lead the patient so nothing to be left out of the patient’s story. 6. To understand why a patient thinks and acts as he does, the doctor must first learn why he thinks and acts as he does. 7. It is always a good idea to ask the patient if there's anything to be asked at the end of a consultation. 8. A common mistake is to rush into investigations before considering the history or examination. Translate the sentences into Russian:
1.If a diagnosis cannot be made, a provisional diagnosis may be formulated, and the differential diagnoses may be added, listed in order of likelihood by convention.2. This documentation must also include the medical report and must be archived by the attending physician for at least 10 years. 3. A computer may have been helpful in the accumulation and sorting of data, but it can never be programmed to interpret correctly in light of human problems. 4. The patient may have been perfectly open and honest during the interview. 5. You need to show that you can appreciate the complexity of medical problems that might be exacerbated by psychiatric conditions. 6. These reports can help you get accurate information when patients are unable to provide it or for patients you’ve never seen before. 7. It may have dates of operations, operative reports, and/or the detailed narrative of what the surgeon did, including complications, trauma.
Listening Watch the Video ’Warwick Approach to Clinical History Taking - The Four Frames’ And answer the questions:
https://www.youtube.com/watch?v=fO2eivnLrDg
ü What are four frames of the patient’s case history? ü What information does Presenting Complaint include? ü What information does Past Medical History, Drugs, Allergies include? ü What information does Social and Family History include? ü What information does Ideas, Concerns, Expectations include?
Vocabulary 36. Look at the diagram below and tell what information each section contains::
Sources: https://en.wikipedia.org/wiki/Medical_history https://en.wikipedia.org/wiki/Medical_record http://www.chiro.org/ACAPress/Patient_Profiles.html https://www.monash.edu/rlo/assignment-samples/medicine-nursing-and-health-sciences/writing-in-psychological-medicine/case-history
https://patient.info/doctor/history-taking http://www.medecine.ups-tlse.fr/DIUinternational-anglais/stuff/docs/WS/07-Consultation.pdf http://www.med-college.de/en/wiki/artikel.php?id=144 http://www.questprimaryinsights.com/patienthistory/ https://www.medicalassistantschools.com/articles/taking-patient-history/ https://en.wikipedia.org/wiki/Health_care https://en.wikipedia.org/wiki/Admission_note
Extension video: https://www.youtube.com/watch?v=IJ_U1VUE63Y children’s hospital, admission, examination, surgery https://www.youtube.com/watch?v=OKis_b46-sI https://www.youtube.com/watch?v=S4wWClQhZaA case history https://www.youtube.com/watch?v=RJQPA2zFobE presentation of the patient https://www.youtube.com/watch?v=Wrz622LqBII case presentation (movie) https://www.youtube.com/watch?v=CUSxC-XHT2A obtaining case history OB\GYN https://www.youtube.com/watch?v=7PYAnB5Jx-k lecture, good language https://www.youtube.com/watch?v=IViQKF9qFaw present history fast patient https://www.youtube.com/watch?v=EbdMiNRaZJg (till 4 min) history taking+examination!!!!!!!!!!!! https://www.youtube.com/watch?v=NW-ZRo6GJnA history taking, nurse (till 5.38 min)!!!!!!!!!! https://www.youtube.com/watch?v=fO2eivnLrDg approach to history taking!!! https://www.youtube.com/watch?v=ZKS_VkbSXjY (self control) https://www.youtube.com/watch?v=JLLUkiZZfBo interview, good temo!!!1 https://www.youtube.com/watch?v=gsjKcQUsQY8 https://www.youtube.com/watch?v=hNvMMkW9ilg!!!! https://www.youtube.com/watch?v=Wzj9k68Atkw history, system review
Appendix
Unit 23
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