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Add “ICE” to history – Patient’s perspective
In medical history taking, “ICE” is an acronym for trilogy of “Ideas”, “Concerns” and “Expectations” which is a doctor’s tool to assess the patient’s perspective of the presenting problem. There has been a shift towards patient centered approach and many patients tend to prefer a shared decision-making model which includes…
History Taking : Sequence and Mnemonics
Introduction Mnemonic: WIPER General information Mnemonic: DNA SORAN Presenting Complaint (PC) A good opening question might be “What seems to be the problem today?”. It must be recorded: It can be recorded as: History of Presenting Complaint (HPC) Start in the order of PC, i.e. reverse chronological order. The HPC…
WIPERS mnemonic for starting patient examination
A useful approach before examining any patient, using the mnemonic WIPER. 1. Wind up clothes above elbow, Withdraw all jewelry and Wash your hands. 2. Introduce yourself. 3. Purpose and Permission – explain purpose and gain verbal consent (permission) to proceed with the examination. 4. Expose the patient as needed….
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