General CE components (3+3)
- HOPC
- HEADS/SNAP
- ICE
Summarise + questions - DDX
- Ix + Ex
- Management
5As of behaviour change (or smoking cessation)
- Ask - identify current activity and thoughts
- Advise - pros and cons
3, Assess - evaluate patients situation in more detail - Assist - collaborate for plan
- Arrange - enact plan + follow-up
5 Principles of Trauma informed care
- Safety - optimise sense of safety
- Soothe arousal - foster capacity to soothe
- Validate - validate perceptions/concerns
- Collaborate - colab or empower them with decision making
- Ongoing connection - plan regular appts
Assessing alcohol intake tool
AUDIT-C
1. How often do you drink alcohol
2. How many drinks would you have on a typical day of drinking
3. How often did you have 6+ dinks on one occasional
4+ for men, 3+ women
HEADSSS
Home
Education
Activities
Drugs+alcohol
Sexual
Safety
Suicide risk
Motivational interviewing - ORAPS
O- Open ended questions - essentially SNAP
R - Reflections - evidence based suggestions
A- Affirmation - cover good things
P - Patient input into further management
S- Summarise
Management (7)
“Touch and Go” - Every Patient Needs Syphilis RPR
1. Education + summarise
2. Pharmacological
3. Non pharmacological
4. SNAP
5. Referrals
6. Preventative
7. Review +- care plan
When explaining to patient - Q?
Short + “do you want to know more about that”
Pain - Ax, Mx and F/U
- 4Ps of Ax
- 4Ps of Mx
- 6As of F/U
Assessment - Pain, PMHx, Performance/function, Psychological
Mx - Physical, psychological, pharmacological, procedural/intervention
Follow-up - Activities, Analgesia, Adverse effects, Aberrance behaviours, Affect, Adequate Documentation
