Problem definition

Part of the diagnostic process is defining the patient's problem or problems. The more complex the presentation, the more necessary it is to have an orderly approach. It is clearly important to list the problems in a priority order. These problems may have been 'offered' by the patient, 'observed' by the doctor, 'derived' during the interview or 'known' from the past history. Problems can be conveniently considered as organic or physiological, and intrapersonal or social. 5 Touching the patient

Sometimes a natural response is to touch the distressed patient as a reassuring gesture. It is best to adopt a caring-and-support gesture such as offering a box of tissues to the weeping patient, but it may be quite acceptable in most patients to give a reassuring momentary touch somewhere between the shoulder and wrist on the arm nearest to you. Touching should be a natural gesture that is comfortable for both the doctor and patient. Touch elsewhere should generally be avoided.

Body Language

Body Language

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