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OSCE Checklist Headache History Taking

The OSCE Checklist for headache history taking outlines a systematic approach for healthcare professionals to follow during patient consultations. It includes steps for opening the consultation, exploring the presenting complaint, conducting a systemic enquiry, and closing the consultation, while emphasizing key communication skills. The checklist ensures thorough history taking to identify potential causes and management of headaches.

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369 views2 pages

OSCE Checklist Headache History Taking

The OSCE Checklist for headache history taking outlines a systematic approach for healthcare professionals to follow during patient consultations. It includes steps for opening the consultation, exploring the presenting complaint, conducting a systemic enquiry, and closing the consultation, while emphasizing key communication skills. The checklist ensures thorough history taking to identify potential causes and management of headaches.

Uploaded by

v6p2jyzpkw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OSCE Checklist: Headache 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 Site: ask where the headache is

8 Onset: clarify when the headache first started and if it the onset was sudden or gradual

9 Character: ask the patient to describe how the headache feels

10 Radiation: ask if the headache moves anywhere else

11 Associated symptoms: ask if there are any other associated symptoms

12 Time course: ask how the headache has changed over time

13 Exacerbating or relieving factors: ask if anything makes the headache worse or better

14 Severity: ask how severe the headache is on a scale of 0-10

15 Screen for other key symptoms including red flag features

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

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 medications which are associated with medication-overuse headaches including
frequency of use
Family history
24 Ask the patient if there is any family history of headaches, cancer, bleeds on the brain,
clotting disorders or bleeding disorders

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 Gather details about the patient’s occupation

Closing the consultation


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

32 Dispose of PPE appropriately and wash your hands

Key communication skills


33 Active listening

34 Summarising

35 Signposting

Read the full guide at Download our


geekymedics.com GEEKY MEDICS clinical skills app

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