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OSCE Checklist Stroke and TIA History Taking

The document outlines the steps for taking a history from a patient presenting with symptoms of stroke or transient ischemic attack (TIA). It details opening the consultation, taking presenting complaints, medical history, family history, social history and closing the consultation. Key communication skills like active listening and summarizing are also mentioned.

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208 views2 pages

OSCE Checklist Stroke and TIA History Taking

The document outlines the steps for taking a history from a patient presenting with symptoms of stroke or transient ischemic attack (TIA). It details opening the consultation, taking presenting complaints, medical history, family history, social history and closing the consultation. Key communication skills like active listening and summarizing are also mentioned.

Uploaded by

sumesaramitali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OSCE Checklist: Stroke and TIA History Taking

Opening the consultation


1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Confirm the patient's name and date of birth

4 Explain that you'd like to take a history from the patient

5 Gain consent to proceed with taking a history

Presenting complaint
6 Use open questioning to explore the patient’s presenting complaint

History of presenting complaint


7 Assess the patient’s ability to understand and communicate information

8 Establish the onset time of the symptoms

9 Ask about the severity of the symptoms

10 Clarify the course of the symptoms

11 Ask about potential precipitating factors

12 Ask about associated symptoms

13 Ask about previous episodes

14 Ask the patient what their dominant hand is

15 Perform focussed questioning to screen for key symptoms

16 Explore the patient's ideas, concerns and expectations

17 Summarise the patient’s presenting complaint

Systemic enquiry
18 Screen for relevant symptoms in other body systems

Past medical and surgical history


19 Ask if the patient has any medical conditions including previous strokes/TIAs

20 Ask if the patient has had any relevant surgical procedures

21 Ask if the patient has any allergies and if so, clarify what kind of reaction they had to the
substance

Drug history
22 Ask if the patient is currently taking any prescribed medications or over-the-
counter remedies
23 Ask about recent medication changes (e.g. new medications, recently stopped medications,
dose changes)

Family history
24 Ask the patient if there is any family history of stroke or TIA

Social history
25 Explore the patient’s general social context

26 Take a smoking history

27 Take an alcohol history

28 Ask about recreational drug use

29 Ask about diet and exercise

30 Gather details about the patient’s occupation and provide appropriate advice

31 Enquire if the patient drives and provide appropriate advice

Closing the consultation


32 Summarise the salient points of the history back to the patient and ask if they feel anything
has been missed
33 Thank the patient for their time

34 Dispose of PPE appropriately and wash your hands

Key communication skills


35 Active listening

36 Summarising

37 Signposting

Read the full guide at Download our


geekymedics.com GEEKY MEDICS clinical skills app

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