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Old 06-19-2014
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Default When to counsel?

Hello everyone,

I want to know when is the best time to counsel the sp. Should I do it when they mention the problem or in the closure?
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Old 06-19-2014
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Quote:
Originally Posted by 83ashraf View Post
Hello everyone,

I want to know when is the best time to counsel the sp. Should I do it when they mention the problem or in the closure?
i would say right away ! because you might forget it in the end, or might be running out of time

let the patient complete whatever reason to counsel SMOKE, ALCOHOL, DRUGS
Ask them ... Have they ever thought of quitting ?? Ever tried to quit ??
And then counsel
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Old 06-22-2014
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I did it at the end. I wrote on my sheet SAD. I ticked whatever was positive in the patient like smoking alcohol or drugs (SAD) and in the end I explained the differentials and test required. Then I told patient what to do meanwhile waiting for test results then I'd quickly counsel for SAD whichever was ticked then asked if he understood all and any questions. I did it at the end because it saved me time. Taking history, summarizing, proceeding with physical exam all within 11 minutes and giving loads of time for counseling.
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