Communication

including history taking, documentation...

JAM THREADS

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According to Nixon (2013), obtaining the past medical history from the patient can be an important indicator in understanding their current presenting illness. It is essential to establish if the patient has any significant medical problems. Using an open question can lead to the patient omitting this information as they often downplay its importance.

Therefore, instead of asking the patient "do you have any medical problems?"(open questioning), you can ask specifically "do you have epilepsy, diabetes...?"(closed questioning). 

A useful mnemonic in identifying some common medical conditions is JAM THREADS:
Jaundice
Anaemia
Myocardia infarction
Tuberculosis
Hypertension/heart disease
Rheumatic fever
Epilepsy
Asthma/COPD
Diabetes
Stroke


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