You are asked to perform a health history interview on a patient that has be described to you as “challenging”. He is new to your practice and has a large list of chronic health problems, but is here today with GI distress and abdominal pain. He has been in your waiting room for 50 minutes and has now started pacing. Your receptionist describes him as angry and disruptive
1. Discuss your approach to interviewing this patient.
2. How will you incorporate the techniques of skilled interviewing that you have been learning about this week into this scenario?
3. Your patient is hesitant to share his life story but only wants to focus on his GI issues and get medications and get out of here. How would the principles of sharing power help open up the avenues of communication?
4. Describe how exploring the patient’s perspective using F-I-F-E( • Feelings – fears about their problem • Ideas – about what is wrong, cause, etc. • Functions – impact of problem on daily activities • Expectations – of the doctor & treatment)might be used to get the patient to clarify and expand his story?
Please answer every portion of the questions with details. Use only peer-reviewed articles. No BOOKS. Must use DOI # for all references.