The Importance of Clinical History Taking when Assessing Patient Suspected Positive COVID-19

Zainul Ikhwan Ahmad Khusairi ◽  
Kartik K ◽  
Ahmad Bilal AN ◽  
Chung WM

Introduction: COVID-19 pandemic is an on-going devastating global event. It starts from December 2019 and is yet to resolve. To date, there are more than 25 million people diagnosed and 850 thousand deaths with COVID-19 (CDC, 2020). Healthcare services throughout the world are facing immense challenges. History taking has been inevitably the most emphasized tool in approaching all patients. However, the usefulness of medical history strongly depends on the patient’s story offered. Incorrect or hidden history may not only bring wrong diagnosis but endanger health care personnel.Objectives: This case series is aimed to describe the importance of clinical history-taking in assessing patients associated with COVID-19 symptoms or history.Methods: Assessment through interview method in taking patient history was used. The focus of history taking was related to health and COVID-19 history. The data collected is a type of secondary data from medical reports of patients who come to receive medical services at the Emergency and Trauma Department, General Public Hospital Taiping, Perak. A total of three cases are taken using the purposive sampling technique. Data is analysed and presented in the form of qualitative data.Results: This study found that the clinical history taking through interview method has successfully identified three patients with positive COVID-19 through assessment conducted.Conclusion: Therefore, the study proved that effective history taking implemented by paramedics was able to identify patients with positive COVID-19 and to plan an appropriate management and help them get discharged without complications. All physicians and other health care practitioners in the Emergency Department or in the clinical ward are also advised to be more competent by increasing their level of knowledge and skills related to assessing patients through effective clinical history taking.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S13

2009 ◽  
Vol 1 (3) ◽  
pp. 123-127
Bosiljka M. Lalević-Vasić

Abstract This paper deals with the period from 1881 to 1918, when the following Sanitary Laws were passed: Law on the Organization of the Sanitary Profession and Public Health Care (1881), which implemented measures for protection from venereal diseases, as well as restriction of prostitution; Public Sanitary Fund (1881), with independent budget for health care; Announcement on Free of Charge Treatment of Syphilis (1887). Dermatovenereological Departments were also founded: in the General Public Hospital in Belgrade (1881), and in the General Military Hospital (1909). The Hospital in Knjaževac for Syphilis was reopened (1881), as well as mobile and temporary hospitals for syphilis, and a network of County and Municipality hospitals. The first Serbian dermatovenereologist was Dr. Jevrem Žujović (1860 - 1944), and then Dr. Milorad Savićević (1877 - 1915). Skin and venereal diseases were treated by general practitioners, surgeons, internists and neurologists. Although Dr. Laza Lazarević (1851 - 1890) was not a dermatologist, but a physician and a writer, he published three papers on dermatovenereology, whereas Dr. Milorad Godjevac (1860 - 1933) wrote an important study on endemic syphilis. From 1885 to 1912, organization of dermatovenereology service has significantly improved. Considering the fact that archive documents are often missing, only approximate structure of diseases is specified: in certain monthly reports in Zaječar, out of all the diseased persons, 45% had skin or venereal diseases, while in Užice the number was 10.5%, which points to different distribution of these diseases. High percentage of dermatovenereology diseases was caused by high frequency of venereal diseases and syphilis. During the war: 1912 - 1918, the military medical service dominated, and in 1917 Prince Alexander Serbian Reserve Hospital was founded in Thessaloniki with a Department for Skin and Venereal Diseases. During this period, work of the Civilian Health Care Service was interrupted, consequently leading to a considerable aggravation of public health.

Frannelya Francis ◽  
Fatimah Sham ◽  
Azniah Alias ◽  
Siti Munirah Abdul Wahab ◽  
Suzana Yusof ◽  

Globally, the quality of work-life (QoWL) of nurses is significantly affected. They are the largest health care groups and the leading front liners in the clinical settings. When the nurse's quality of work life is compromised, the work environment's dynamic changes will also be affected. At current, the focus issues in nursing include excessive workload and poor work conditions. This study aimed to determine the prevalence of quality of work-life among public hospital nurses in Sarawak General Hospital (SGH), Kuching, Malaysia. Methods: Descriptive study with a purposive sampling technique was used in recruiting 461 nurses working at SGH. A composite scale was used for the assessment of QoWL in nurses. Data were collected using adapted questionnaires that focused on nine different areas. The questionnaires were distributed to the nurses via an online survey. This study revealed that 52.9% of the respondents were not satisfied with their QoWL, while 47.1% were satisfied. Three areas were identified to record a higher percentage of unsatisfactory QoWL: relation and cooperation, autonomy of work, and resources adequacy. There are significant differences between the nurses' quality of work-life and socio demographic characteristics (p-value≤0.01). Female nurses; those involved in clinical; working and staying at the same hospital for a long time; and those working shifts, having satisfactory QoWL. In sum, the nurse's quality of work-life is at a moderate level. This research further indicates that the socio-demographic features of nurses and QoWL are substantially linked. Result-driven research is also needed to examine the effectiveness, efficacy, and cost benefits of specific strategies to improve quality of life. The health care authorities should implement policies to strengthen nurses' working standards and their QoWL to provide excellent and effective care for their clients.

2020 ◽  
Vol 5 (2) ◽  
pp. 185-191
Ana Faizah ◽  
Nurhatisyah ◽  
Sri Yanti ◽  
Nola Puspita Dewi ◽  
Chablullah Wibisono

Health of Madani or Civil Society is "Healthy, Self-reliant and Equitable People”. The hospital as the spearhead of the leading health care services, whereas there are two kind of hospital in Batam, Public and Private Hospital. Orientation performance of hospitals is certainly influenced by the spirit and variable determiner of the hospital's performance, so this study aims to: "analyse of Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital”. The study population was all over the State Civil Administration, with a random sampling technique as the sample population, totally 220 respondents. The data were analyzed using SEM. The software used for the structural analysis is AMOS, and for a descriptive study using SPSS version 24.0. The research proves that: Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital as Mediator has significant effect. Pursuant to the result of this study is suggested that management of hospital in order to have a spirit of service as health care does not only embed oriented profit, the government also suggested to provide subsidized financing to hospital, so that health Madani which is "Healthy, Self-reliant and Equitable People” can be reached.

Aspasia Goula ◽  
Maria-Aggeliki Stamouli ◽  
Maria Alexandridou ◽  
Lemonia Vorreakou ◽  
Aristeidis Galanakis ◽  

(1) Background: Health care service quality has been equated with preparedness to provide, accessibility, suitability, adequacy, friendliness and ongoing support and has been connected to service excellence. The main aim of this study was to investigate patients’ perceptions and expectations regarding the quality of health services. (2) Materials and Methods: A cross-sectional analysis was carried out in 5 public general hospitals and convenience sampling was used as the sampling technique. Questionnaires were distributed to inpatients and outpatients and 700 valid questionnaires were returned. The SERVQUAL questionnaire was used for data collection in this survey. (3) Results: Overall, in this study, it became apparent that patients’ expectations as regarding the quality of the provided services were not met. All of the five quality dimensions had a negative gap between patients’ expectations and perceptions. (4) Conclusions: The findings suggested that hospital managers and health care professionals should be interested about patient expectations and subsequently they should search out ways and means to meet them. Open communication with patients, individualized attention, as well as responsiveness to their requirements, polite behavior, trustful atmosphere across the hospital and better physical facilities are the key elements that determine the patient’s judgment about quality.

2016 ◽  
Vol 06 (02) ◽  
pp. 040-043
Priya Reshma Aranha

AbstractInformation seeking and receiving is the universally accepted right of children. When the children gets hospitalized and preparing for a surgery, it's the responsibility of the health care professionals to provide them with adequate information. Before giving the information it is essential to know what the children really wants to know. The main purpose of the study was to assess preoperative information needs of children undergoing surgery. With the non experimental research approach, a descriptive survey design was used in the study which was conducted in a selected hospital Mangaluru. Using non probability purposive sampling technique, 100 children of age 6-18 years were selected as study participants. The tool used were – the baseline proforma and the children's desire for preoperative information scale. The study results showed that majority of the children wanted to know the information regarding all the major happenings in their pre, intra and post operative events. Thus the study concludes that a structured preoperative teaching programme can be developed by the health care facility for the children undergoing surgery.

2010 ◽  
Vol 34 (1) ◽  
pp. 116 ◽  
David Banham ◽  
Tony Woollacott ◽  
John Gray ◽  
Brett Humphrys ◽  
Angel Mihnev ◽  

To identify the incidence and distribution of public hospital admissions in South Australia that could potentially be prevented with appropriate use of primary care services, analysis was completed of all public hospital separations from July 2006 to June 2008 in SA. This included those classified as potentially preventable using the Australian Institute of Health and Welfare criteria for selected potentially preventable hospitalisations (SPPH), by events and by individual, with statistical local area geocoding and allocation of relative socioeconomic disadvantage quintile. A total of 744 723 public hospital separations were recorded, of which 79 424 (10.7%) were classified as potentially preventable. Of these, 59% were for chronic conditions, and 29% were derived from the bottom socioeconomic status (SES) quintile. Individuals in the lowest SES quintile were 2.5 times more likely to be admitted for a potentially preventable condition than those from the top SES quintile. Older individuals, males, those in the most disadvantaged quintiles, non-metropolitan areas and Indigenous people were more likely to have more than one preventable admission. People living in more disadvantaged areas in SA appear to have poorer utilisation of effective primary care, resulting in preventable hospital admissions, than those in higher SES groups. The SA Health Care Plan, 2007–2016 is aimed at investing in improved access to primary care in those areas of most disadvantage. The inclusion of SPPHs in future routine reporting should identify if this has occurred. What is known about the topic?Ambulatory care sensitive conditions, or selected potentially preventable hospitalisation separations (SPPH), are an indicator of the availability and effectiveness of primary health care. SPPHs are increasingly reported by area level disadvantage. What does this paper add?This paper offers analysis by individuals. It shows around three-quarters of individuals had one potentially preventable public hospital separation. The rate among those living in the most disadvantaged areas was more than twice that of lowest disadvantage areas. What are the implications for practitioners?Realising the potential for preventing potentially avoidable hospitalisation may involve focus on particular target areas and subpopulations. Potentially preventable separations by area of disadvantage can assist with monitoring performance and evaluating policy and program initiatives. Analysis by numbers of individuals will enhance this further.

2008 ◽  
Vol 3 (1) ◽  
pp. 69-77 ◽  

AbstractMost health economists recommend that improvements in health be valued by asking members of the general public to imagine themselves in different states of health and then to think about how many years of life they would give up or what risk of death they would be willing to accept in order to be in full health. In this paper, I argue that preferences are not a very good guide to future experiences and a more suitable way to value health is to ask people in different states of health how they think and feel about their lives. Valuing health in this way may result in greater priority being given to mental health services. Whatever the precise implications, it is my contention that it is much better to ration health care according to real experiences rather than according to hypothetical preferences.

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 514 ◽  
Mitra Rashidian ◽  
Victor Minichiello ◽  
Synnove F. Knutsen ◽  
Mark Ghamsary

Background: Although obtaining sexual history from patients is essential, the attitudes of physicians can become a barrier to sexual health care. Iranian–American physicians may face particular challenges because talking about sexuality is considered a taboo within their culture. Our study examined these physicians’ attitudes when taking a sexual history from their patients. Methods: In 2013, a self-administrated questionnaire was sent to 1550 Iranian–American physicians in California, USA. Using factor analysis, the principal components approach with a Varimax rotation was used on a set of 12-item questions (five-point Likert scales) to detect latent factors that explain attitudes affecting sexual history taking. Scores are generated to determine physicians’ attitudes towards sexual history taking. Results: In total, 354 questionnaires were returned (23% response rate). Three factors were identified as internally consistent (Cronbach’s α = 0.84 – 0.94): (1) attitude towards various patients; (2) female sexuality; and (3) age and marriage. Significant association were found between these three factors and some variables such as physicians’ gender, country of medical graduation, religion, birthplace and age. Conclusions: Results revealed that cultural attitudes are important factors affecting physicians’ involvement in sexual history taking. Additional studies from this population and other subpopulations of US physicians are needed. New strategies that reflect on physicians’ attitude on sexual healthcare delivery is needed. If confirmed in other studies, our findings could have implications for the training of medical graduates globally.

2019 ◽  
Vol 18 (01) ◽  
pp. 007-012
Jatinder S. Goraya

AbstractSpells are a common clinical problem in children and can be broadly classified into epileptic and nonepileptic spells. Epileptic spells are clinical events that result from abnormal, excessive, and synchronous electrical activity of the cortical neurons. All other spells are included under the category of nonepileptic events. Precise differentiation between epileptic and nonepileptic spells, and their final characterization depend chiefly on obtaining a detailed account of the episode from the patient and/or witness. Physical and neurological examinations are generally non-revealing. In clinical practice, however, misdiagnosis of nonepileptic spells as epilepsy is fairly common and often is a result of incomplete history-taking. Explicit guidelines to elicit a thorough history in children who present with spells are lacking. The purpose of this article is to describe an instinctive and easy-to-remember approach to clinical history-taking in children with spells so as to minimize diagnostic errors.

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