DSMP comments for the Consultation after watching the DVD.
Talked over pt in intro. V.Good. needs GP/Clinic. v/v as frusemide needs v/v. repition not/time effective.
Talked over/ closed Q's/ breathlessness/ didnt allow Q's.
Didn't introduce himself. Prioritisation dodgy/ Good listener, Vague at ???
V Empathy, nice explanations/lay language, practicioner centred, Did not explain other possible causes/symptoms. E.g. COPD/prostate. No said Hx
Introduction x, empathetic, vague and little rambling, structure x, use of Q's x.
most of the above, didn't explore social side + any other meds (OTC)/, medical problems that may be relevent.
+ve: friendly, approachable, empathetic style. -ve: lack of any info written/recording given.
Should have given def following appt with himself/IP.
Poor start but got better as went on. Good summary. Didn't say who/where to go if problems.
Nice manner/ good encouraging, does not rush pt. Good use of open Q's, checks understanding of drugs + problems. Could have checked more about other risk factors/problems patronising!
Didn't respond/listen to what pt saying and let interview flow from that therefore repetitive.
Started talking about changes to Imdur use and GTN then dropped in favour of furesemide. Did not comment on patients belief. GTN for SOB
Good rapport, some repition at start? explain structure at start.
Good overall view of pt understanding. No oppurtunity for pt to feedback that he understood.
Prompting end encouraging pt to report/explain medication related issues.
Good overall explanation + identifying pproblems.