Escolar Documentos
Profissional Documentos
Cultura Documentos
Family Medicine
Anticipatory care
Symptomatic care
Therapeutic care
Palliative care
Problem solving
A. Problem Solving
I.
Doctor-centered
Disease-oriented, in which the physician
is concerned about the diagnosis not the
total patient as a human being through;
oh heres the
problem !
c)
d)
Hypothetical-deductive method:
Recent studies support the suggestion that a physicians
should formulate his/her hypothesis early in the
consultation, based on verbal and non-verbal clues,
previous experiences, patient medical records and
patient in the family contexts.
Presenting
Clues
Existing
clues
PROVISIONAL DIAGNOSIS
Stage II
Hypothesis
formulation
Clinical evaluation
(history & physical
examination)
(further clues supplied or
sought)
Support
Stage III
Hypothesis
testing
Hypothesis
revision
No support
hypothesis
CRAPRIOP
(further clues
supplied or sought)
No support
Stage I
Data
collection
Outcome
Stage IV
Diagnosis/Pr
oblem
definition
Stage V
Managemen
t
Stage VI
Outcome
Evaluation
Sources of clues;
1. The patient
2. The relatives or other significant members ( friends,
neighbours)
3. Medical Records
4. Other Sources
Symptoms
Body language
Age
Ethnic group
Thick / Thin records
Subjective
Weighing of clues
The role of clues in diagnosis depends on
the following factors:
Significance
Pattern
Seriousness
Proability
Stage V. Management
Options
Manage your patient (not the disease) by using the
CRAPRIOP acronym as follows;
C: clarify
R: reassure
A: advise the patient
P: prescribe
R: refer
I : investigate
O: observe
P : prevent
The diagnosis
The physician
The setting