Structuring of history taking pertaining to psych presentations and common psych presentations. How to assess capacity in a patient who may lack capacity and how to manage this situation as a junior doctor
ISCE History Taking Part 2 - Psych (and assessing capacity) (2024)
Catch-up content
2Description
Summary
This teaching session continues the exploration of ISCE History Taking with a focus on psychiatric presentations and assessment of patient capacity. Medical professionals who attend can expect to learn how to structure history taking specifically for psych presentations and manage common such situations. Special emphasis will be placed on capacity assessment, providing crucial insights on managing patients who might lack the capacity to make decisions. This is an essential learning opportunity for junior doctors who often face these challenges in their career.
Learning objectives
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Understand and implement the principles of structuring a psychiatric history taking, including the chief complaint, history of present illness, past psychiatric history, family history of psychiatric disorders, and social situation.
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Gain proficiency in diagnosing common psychiatric presentations such as mood disorders, anxiety disorders, psychosis, and substance abuse disorders through effective history taking.
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Learn to recognize signs and symptoms suggesting a patient may lack capacity, including cognitive impairment, difficulty with communication, fluctuation in decision-making, and behavioral changes.
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Develop skills in conducting an assessment of a patient's capacity, including their ability to understand, retain, use or weigh information, and communicate decisions.
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Acquire knowledge of the ethical and legal requirements in managing a patient who lacks capacity, including consent, best interest decision-making and referral to an appropriate authority or specialist if required.