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QUICKREFERENCE: Psychosocialhistoryandimpactonlife
ByNazmul&MuhammedAkunjee

QUICKPOINTERS
It is essential to explore the psychological context of the patient symptoms. Do enquire about the psychological,social,occupationaland,ifrequired,theimpacttheirsymptomshavehadontheirlife
o o o o o Doctorsoftenforgettheimpactthesymptomshaveuponthepatient.Alsomanyconditionssuchasstress ordepressioncanmanifestasphysicalsymptoms The psychosocial history is often linked to the patient idea, concerns and expectations. Appropriate ICE questioningwillguideyoutowhichareasofthepsychosocialhistorytoprobefurther Itoffersbackgroundcontexttotheconsultationandmakesitappearmorenaturalandpersonal Itpermitsgenuinerapporttodevelopinthedoctorpatientrelationshipandallowsyoutoempathisewith theircircumstance Itallowsyoutopersonaliseyourmanagementplanspecificallytothepatient:Youmentionedhowhardit wasforyougetoutofbed becauseofyourbackpain. Howdoyoufeelabouttryingsomelightexercisesin bed that I can show you just before you get up to ease your pain? Have you thought about some adaptationswecanmaketothehouse?

Askspecificallyaboutthepsychologicalaffectofthesymptomsandhowithasaffectedtheirlife
o It allows the patient to express the severity of their symptoms and how it has impacted their life, i.e. a builder complainingofchronicbackpainwhohaslosthisjobasaresult,nowsuffersfromdepressionand causingfinancialandemotionalstrainontheirrelationship

Alsoenquireaboutthesocialhistoryandfamilystructures
o o Conditionsoftenaffectmorethanjustthepatientandcanaffectrelativesandchildren Knowing who is at home allows you to consider support structures or resources that patient can use themselves.Orinothercasespeopleatriski.e.childprotection,mentalhealthetc
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: csaprep123@gmail.com visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011

CSA scenarios with REAL CSA actors AsclosetotheCSAexamaspossible

Bookyourplaceonthecoursefor350
4 CSA Cases with 4 different CSA actors for less than 400

Individualised feedback from course facilitators & CSA actors on your performance

Askabouttheiroccupationalhistoryandtheimpacttheirsymptomshashadontheirwork
o o Thiscanalsoreinforcetheseverityoftheirsymptomsandtheimpactontheirworkinglives May put into context the impact of certain conditions upon their form of employment, i.e. colour blindnessinapilot,diabeticoninsulininalorrydriver

PSYCHOLOGICAL
Howhaveyoursymptomsaffectedyourlife/impactedonyourdailyactivities? Haveyoursymptomsmadethingsmoredifficult? Howdidthatmadeyoufeel?Didthatmakeyoufeeldown? Howareyoucopingwithallofthis?

SOCIAL
Tellmemoreaboutyourselflikedoesanyonelivewithyouathome? Howisyourrelationshipwithyourpartner? Howhasitaffectedyourhomelife?Howarethingsathome? Hasyoursymptomsaffectedyourrelationship? Therearealotofissuesyouhavesaid,hasitcausedanyproblemsathome?

OCCUPATIONAL
Areyouworkingatthemoment?Whatdoyouworkas?Whatdoesthatinvolve? Howdoyoufindyourwork?Doyouenjoyit? Howhasyourproblemaffectedyourabilitytowork?
2 FOR TWO COURSE HALF DAY MINI-CSA EXAM WITH 8 CSA CASES EACH ROLE-PLAYED BY MRCGP TRAINED CSA ACTORS. FOR ONLY 500
Contact us: csaprep123@gmail.com visit us www.csaprep.co.uk CSA course cases ideas concerns and expectations - CSA prep 2011