monsieur_76
Forum Newbie
Topics: 9
Posts: 22
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Could anyone please advise me how to counsel a patient with MI/unstabe angina for quitting somking, alchohol, dietary habits and exercise program. Considering the few minutes we would have to counsel how can address all these issues briefly.
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| docmama
Forum Senior
Topics: 3
Posts: 83
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"Mr. Soandso, you most likely have just experienced a heart attack. Now i need to run some tests to confirm my diagnosis but in the mean time i will be giving you something to relieve the pain. Regarding your personal habits, Smoking alcohol and your dietary habits are among the factors that could have caused your heart attack and unless you change your habits your heart will continue to suffer more damage than it already has...and no amount of medicine will be able to reverse that damage. Your risk of a second heart attack will be cut in half as soon as you quit smoking and stop drinking. Exercise will also help the risk to be lower. I know it is very hard to put into action, but we have a good team that can help you with changing your lifestyle if you are willing to give it a try. Are you willing?
DOES THAT SOUND OK??
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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hi docmama
ur counselling is relevant in this case.but what if the pt is a smoker and comes with abdominal pain?how do we open up couselling then.
thanks
bye
dev
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| docmama
Forum Senior
Topics: 3
Posts: 83
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Dev, I think that you can start out the same way...
Mr XYZ, I have finished examining you but i dont yet have a definite diagnosis until we run some laboratory tests...such as blood work, ultraonogram of your abdomen, and perhaps a contrast xray of your abdomen . So let me work on those before we can sit down and discuss the definite root of your problem. In the mean time, i hope you understand the ill effects that your smoking is having on your body. We hve a wonderful team that can help you to quit if you are willing to give it a try. The minute you quit smoking, your body will thank you by cutting the risks of all the major illnesses such as heart attacks, lung cancer, stomach cancer, stroke, etc. Are you willing to give it a try?
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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thanks docmama
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| CSobsessed
Forum Senior
Topics: 6
Posts: 144
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docmama wrote: "...In the mean time, i hope you understand the ill effects that your smoking is having on your body..."
There is a big discrepancy on the issue of to counsel or not to counsel even within the same course. Kaplan 2 Step CK videos tell you that you must convinse everyone who steps in your office to quit smoking. Kaplan CS course points out that unless there is a DIRECT connection between bad habit and disease you suspect in the patient-- you do not counsel because it is being judgemental. For example, if this is patient with CAD or COPD or DM-- you counsel but I do not think that such counseling would mean much( give you additional points) in the case of meningitis or OA.Say, it is pancreatitis: he drinks--you "CAGE" him and you counsel, he smokes-- you do not have to counsel. Hope it will help somebody to save a few so much needed seconds...
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