Medical Interview

• Internal factors in a medical interview

  • pt is unsure why they are here
  • No patient-therapist relationship
  • do not tell their full medical history
  • cognitive impairments
  • patient anxiety
• External factors

  • intimidating scenario
  • noisy room
  • Lack of privacy
  • lack of supporting documentation
• Stages of the assessment interview process

  1. review ancillary data
  2. develop the patient-therapist relationship
  3. introduction/overview phase
  4. working phase, gathering information
  5. closing phase, summarize information
• Stage 1: review ancillary data

  • referral
  • medical record
  • medical tests
  • previous records
  • hand-off