{"id":7050,"date":"2019-07-01T09:00:31","date_gmt":"2019-07-01T00:00:31","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7050"},"modified":"2023-12-25T11:35:44","modified_gmt":"2023-12-25T02:35:44","slug":"menu_04","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_04\/","title":{"rendered":"Menu 4\u3000\u82f1\u8a9e\u3067\u73fe\u75c5\u6b74\u3092\u4e0a\u624b\u304f\u5c0b\u306d\u308b\u30b3\u30c4"},"content":{"rendered":"\"\"\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u73fe\u75c5\u6b74\u3092\u5c0b\u306d\u308b\u969b\u306b\u5f79\u306b\u7acb\u3064\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n\r\n

\u73fe\u5728\u3001\u307b\u3068\u3093\u3069\u5168\u3066\u306e\u533b\u5b66\u90e8\u3067\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u306e\u4e00\u74b0\u3068\u3057\u3066\u300c\u82f1\u8a9e\u3067\u306e\u533b\u7642\u9762\u63a5<\/strong>\u300d History Taking in English<\/strong>\u3092\u6307\u5c0e\u3057\u3066\u3044\u308b\u3053\u3068\u3068\u601d\u3044\u307e\u3059\u3002\u305f\u3060\u82f1\u8a9e\u570f\u3067\u306e\u6d77\u5916\u81e8\u5e8a\u5b9f\u7fd2\u3084USMLE Step 2 Clinical Skills \u3068\u3044\u3046\u7c73\u56fd\u533b\u5e2b\u8cc7\u683c\u306e\u81e8\u5e8a\u30b9\u30ad\u30eb\u306e\u8a66\u9a13\u306e\u53d7\u9a13\u3092\u8003\u3048\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u3001\u300c\u65e5\u672c\u306eOSCE\u3092\u82f1\u8a33\u3059\u308b\u300d\u3068\u3044\u3046\u3084\u308a\u65b9\u3067\u306f\u5341\u5206\u3067\u306f\u306a\u304f\u3001\u82f1\u8a9e\u570f\u3067\u306e\u300c\u75c5\u6b74\u8074\u53d6<\/strong>\u300dHistory Taking<\/strong> \u3067\u7279\u306b\u91cd\u8981\u8996\u3055\u308c\u308b\u3001\u300c\u73fe\u75c5\u6b74<\/strong>\u300dHistory of Present Illness<\/strong> (HPI<\/strong>) \u3092\u4e0a\u624b\u306b\u5c0b\u306d\u308b\u30b9\u30ad\u30eb\u3092\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u304c\u5927\u5207\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u305d\u3053\u3067\u672c\u65e5\u306f\u3001\u3053\u306e\u73fe\u75c5\u6b74\u3092\u4e0a\u624b\u304f\u5c0b\u306d\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u308b\u30b3\u30c4\u3068\u3001\u5f79\u306b\u7acb\u3064\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u305d\u3082\u305d\u3082\u300c\u533b\u7642\u9762\u63a5<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u4f55\u3068\u3044\u3046\u306e\u3067\u3057\u3087\u3046\uff1f\u65e5\u672c\u3067\u306f\u6614\u300c\u554f\u8a3a<\/strong>\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3057\u305f\u304c\u3001\u300c\u75c5\u6b74\u8074\u53d6\u3060\u3051\u3067\u306a\u304f\u3001\u60a3\u8005\u3068\u306e\u671b\u307e\u3057\u3044\u4fe1\u983c\u95a2\u4fc2\u3092\u69cb\u7bc9\u3059\u308b\u3068\u3044\u3046\u6a5f\u80fd\u3082\u3082\u3064\u300d\u3068\u3044\u3046\u7406\u7531\u3067\u300c\u533b\u7642\u9762\u63a5<\/strong>\u300d\u3068\u547c\u3073\u540d\u304c\u5909\u3048\u3089\u308c\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u82f1\u8a9e\u570f\u3067\u306f\u300c\u75c5\u6b74\u8074\u53d6\u306b\u304a\u3044\u3066\u60a3\u8005\u3068\u306e\u671b\u307e\u3057\u3044\u4fe1\u983c\u95a2\u4fc2\u3092\u7bc9\u304f building a rapport with a patient<\/strong> \u3053\u3068\u306f\u5f53\u7136\u3067\u3042\u308b\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u3001\u6614\u3082\u4eca\u3082 History Taking<\/strong> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u305f\u3060\u82f1\u8a9e\u570f\u3067\u306f\u300c\u533b\u7642\u9762\u63a5\u300d History Taking \u300c\u8eab\u4f53\u8a3a\u5bdf\u300d Physical Examination \u300c\u60a3\u8005\u6559\u80b2\u300d Patient Education \u306a\u3069\u3092\u5168\u3066\u540c\u6642\u306b\u884c\u3046\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001\u3053\u308c\u3089\u5168\u3066\u3092\u540c\u6642\u306b\u884c\u3046\u5916\u6765\u3067\u306e\u8a3a\u7642\u884c\u70ba\u306f\u3001 Patient Encounter<\/strong> \u3084 Clinical Encounter<\/strong>\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u60a3\u8005\u3055\u3093\u3068\u5bfe\u9762\u3057\u305f\u3089\u307e\u305a\u306f\u3053\u3061\u3089<\/strong><\/span><\/a>\u306b\u3042\u308b\u3088\u3046\u306bGreeting\u3001Introduction\u3001Describing your role\u3001Getting a consent\u3001Confirming the patient\u2019s full name, date of birth, and age<\/strong> \u3092\u3057\u307e\u3059\u3002<\/span>
\r\n \u3053\u308c\u3089\u304c\u6e08\u3093\u3060\u3089\u6765\u9662\u3057\u305f\u7406\u7531\u3068\u306a\u308b\u300c\u4e3b\u8a34<\/strong>\u300dchief complaint<\/strong> \u3092\u5c0b\u306d\u308b\u308f\u3051\u3067\u3059\u304c\u3001\u3053\u3053\u3067\u306f \u201c How can I help you today?<\/strong><\/em> \u201d \u3084 \u201c What seems to be the problem?<\/strong> <\/em>\u201d \u3068\u3044\u3063\u305f\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3057\u3087\u3046\u3002\u9593\u9055\u3063\u3066\u3082 \u201c What is your problem? \u201d \u3084 \u201c What is wrong with you? \u201d \u3068\u3044\u3063\u305f\u8868\u73fe\u306f\u4f7f\u308f\u306a\u3044\u3088\u3046\u306b\u3002\u3053\u308c\u3089\u306f\u300c\u6587\u53e5\u3042\u308b\u304b\uff1f\u300d\u3068\u3044\u3046\u30cb\u30e5\u30a2\u30f3\u30b9\u306e\u8868\u73fe\u3067\u3059\u306e\u3067\u3002<\/span>\r\n<\/p>\r\n\r\n

\u60a3\u8005\u3055\u3093\u304c\u4e3b\u8a34\u3092\u8ff0\u3079\u305f\u3089\u3001\u4e3b\u8a34\u306e\u8a73\u7d30\u306a\u60c5\u5831\u3067\u3042\u308b\u300c\u73fe\u75c5\u6b74<\/strong>\u300d History of Present Illness<\/strong> (HPI<\/strong>) \u306b\u3064\u3044\u3066\u5c0b\u306d\u3066\u3044\u304d\u307e\u3059\u3002\u82f1\u8a9e\u570f\u3067\u306f\u3053\u306e\u73fe\u75c5\u6b74\u306f\u975e\u5e38\u306b\u91cd\u8981\u8996\u3055\u308c\u3001\u3053\u308c\u3092\u4e0a\u624b\u304f\u5c0b\u306d\u3089\u308c\u308b\u304b\u3069\u3046\u304b\u306f\u533b\u5e2b\u306e\u8a55\u4fa1\u306b\u3082\u5927\u304d\u304f\u5f71\u97ff\u3057\u307e\u3059\u3002\u305d\u306e\u6700\u521d\u306e\u8cea\u554f\u8868\u73fe\u3068\u3057\u3066\u306f\u3001\u300c\u3067\u306f\u305d\u306e\u75c7\u72b6\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u8a71\u3057\u3066\u3082\u3089\u3048\u307e\u305b\u3093\u304b\uff1f<\/strong>\u300d \u201c Could you tell me more about the symptom?<\/em> <\/strong>\u201d \u3068\u3044\u3046\u300c\u958b\u653e\u578b\u8cea\u554f<\/strong>\u300dopen-ended question<\/strong> \u3092\u4f7f\u3044\u3001\u60a3\u8005\u3055\u3093\u306b\u81ea\u7531\u306b\u8a71\u3057\u3066\u3082\u3089\u3046\u3053\u3068\u3092\u5fc3\u304c\u3051\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u3053\u3053\u307e\u3067\u306f\u65e5\u672c\u306eOSCE \u3067\u3082\u7fd2\u3063\u305f\u3084\u308a\u65b9\u3068\u540c\u3058\u3067\u3001\u304a\u305d\u3089\u304f\u591a\u304f\u306e\u65e5\u672c\u4eba\u306e\u533b\u5b66\u751f\u3084\u533b\u5e2b\u3082\u554f\u984c\u306a\u304f\u3067\u304d\u308b\u3053\u3068\u3068\u601d\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u554f\u984c\u3068\u306a\u308b\u306e\u306f\u3053\u306e\u5f8c\u306a\u306e\u3067\u3059\u3002<\/span>
\r\n \u5b9f\u306b\u591a\u304f\u306e\u65b9\u304c\u958b\u653e\u578b\u8cea\u554f\u306e\u300c\u5f62\u5f0f\u300d\u3060\u3051\u306b\u6349\u308f\u308c\u3066\u3057\u307e\u3044\u3001\u958b\u653e\u578b\u8cea\u554f\u306e\u672c\u6765\u306e\u610f\u56f3\u3067\u3042\u308b\u3001\u300c\u60a3\u8005\u3055\u3093\u306b\u81ea\u5206\u306e\u8a00\u8449\u3067\u8a9e\u3063\u3066\u3082\u3089\u3046<\/strong>\u300d\u3068\u3044\u3046\u70b9\u3092\u5fd8\u308c\u3066\u3057\u307e\u3046\u306e\u3067\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u60a3\u8005\u3055\u3093\u304c\u8a71\u3057\u59cb\u3081\u305f\u3089\u3001\u60a3\u8005\u3055\u3093\u306b\u6b63\u5bfe\u3057\u3066\u69d8\u3005\u306a\u5f62\u3067\u300c\u50be\u8074<\/strong>\u300d active listening<\/strong> \u3092\u3057\u3066\u3001\u5b9f\u969b\u306b\u60a3\u8005\u3055\u3093\u306b\u81ea\u5206\u306e\u8a00\u8449\u3067\u8a9e\u3063\u3066\u3082\u3089\u3046\u3053\u3068\u4fc3\u3059\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u82f1\u8a9e\u570f\u306e\u533b\u5e2b\u306f\u3001\u300c\u30ea\u30e9\u30c3\u30af\u30b9\u3057\u305f\u96f0\u56f2\u6c17\u300d\u3092\u4f5c\u308a\u51fa\u3057\u3066\u60a3\u8005\u306e\u8a00\u8449\u3092\u5f15\u304d\u51fa\u305d\u3046\u3068\u3057\u307e\u3059\u3002\u305d\u306e\u3084\u308a\u65b9\u306f\u533b\u5e2b\u306b\u3068\u3063\u3066\u69d8\u3005\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u73fe\u75c5\u6b74\u3092\u5c0b\u306d\u308b\u6bb5\u968e\u3067\u306f\u7279\u306b\u300c\u81ea\u5206\u306e\u8a00\u8449\u3067\u8a9e\u3063\u3066\u304f\u3060\u3055\u3044\u300d\u3068\u3044\u3046\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u6709\u5f62\u7121\u5f62\u3067\u9001\u308d\u3046\u3068\u3059\u308b\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u3053\u306e\u6700\u521d\u306e\u6bb5\u968e\u3067\u306f\u3001\u300c\u60a3\u8005\u306e\u8a71\u306b\u81e8\u6a5f\u5fdc\u5909\u306b\u5bfe\u5fdc\u3059\u308b<\/strong>\u300d responding to the patient\u2019s remarks<\/strong> \u3068\u3044\u3046\u3053\u3068\u304c\u4f55\u3088\u308a\u3082\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\u3064\u307e\u308a\u81ea\u5206\u304c\u7528\u610f\u3057\u305f\u300c\u958b\u653e\u578b\u8cea\u554f\u300d\u3092\u7acb\u3066\u7d9a\u3051\u306b\u6d74\u3073\u305b\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u60a3\u8005\u3055\u3093\u306e\u8a71\u306b\u6cbf\u3063\u3066\u300c\u4f1a\u8a71\u300d\u3092\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u306a\u306e\u3067\u3059\u3002\u305d\u306e\u969b\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u300c\u76f8\u69cc<\/strong>\u300d active listening cues<\/strong> \u304c\u3068\u3066\u3082\u5f79\u306b\u7acb\u3061\u307e\u3059\u3002\u82f1\u4f1a\u8a71\u306b\u6163\u308c\u306a\u3044\u3046\u3061\u306f\u540c\u3058\u3088\u3046\u306a\u76f8\u69cc\u3092\u4f7f\u308f\u306a\u3044\u3088\u3046\u306b\u3001\u3044\u308d\u3044\u308d\u3068\u7d44\u307f\u5408\u308f\u305b\u3066\u4f7f\u3063\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u201cHmm<\/strong>.<\/em>\u201d \uff0f \u201cAha.<\/em><\/strong>\u201d\uff0f \u201cOK.<\/em><\/strong>\u201d\uff0f \u201cGo on.<\/em><\/strong>\u201d\uff0f \u201cI see.<\/em><\/strong>\u201d \uff0f \u201cI understand.<\/em><\/strong>\u201d<\/span><\/p>\r\n\r\n

\u7279\u306b\u65e5\u672c\u8a9e\u306e\u300c\u306a\u308b\u307b\u3069<\/strong>\u300d\u306b\u5f53\u305f\u308b\u8868\u73fe\u3068\u3057\u3066\u3001\u4e0a\u8a18\u306e \u201cI see.<\/em><\/strong>\u201d \u3084 \u201cI understand.<\/em><\/strong>\u201d \u306f\u6709\u52b9\u3067\u3059\u3002\u305f\u3060 \u201cI know.\u201d \u3068\u3044\u3046\u8868\u73fe\u306f\u4f7f\u3044\u65b9\u306b\u3088\u3063\u3066\u306f\u3001\u300c\u308f\u304b\u3063\u3066\u308b\u3088\u300d\u306e\u3088\u3046\u306b\u805e\u3053\u3048\u3001\u72b6\u6cc1\u306b\u3088\u3063\u3066\u306f\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u5370\u8c61\u3092\u4e0e\u3048\u3066\u3057\u307e\u3046\u306e\u3067\u3001\u4f7f\u308f\u306a\u3044\u65b9\u304c\u7121\u96e3\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u4e00\u901a\u308a\u60a3\u8005\u3055\u3093\u304c\u8a71\u3057\u7d42\u3048\u305f\u3089\u3001\u4e3b\u8a34\u306e\u7d4c\u904e\u3092\u8a73\u3057\u304f\u8a71\u3057\u3066\u3082\u3089\u3044\u307e\u3059\u3002\u3053\u3053\u3067\u610f\u8b58\u3057\u3066\u3082\u3089\u3044\u305f\u3044\u306e\u306f Drawing the \u201c picture<\/strong> <\/em>\u201d of the patient\u2019s story \u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3064\u307e\u308a\u4e3b\u8a34\u306e\u7d4c\u904e\u3092\u60a3\u8005\u306e\u8996\u70b9\u3067\u3057\u3063\u304b\u308a\u3068\u8996\u899a\u7684\u306b\u518d\u73fe<\/strong>\u3067\u304d\u308b\u3088\u3046\u306b\u6574\u7406\u3057\u3066\u8a71\u3057\u3066\u3082\u3089\u3046\u306e\u3067\u3059\u3002<\/span>
\r\n \u5177\u4f53\u7684\u306b\u306f\u7d4c\u904e\u3092\u300c\u767a\u75c7\u6642<\/strong>\u300d Onset<\/strong>\u3001\u300c\u767a\u75c7\u524d<\/strong>\u300d Before the Onset<\/strong>\u3001\u300c\u767a\u75c7\u5f8c<\/strong>\u300d After the Onset<\/strong> \u306e3\u3064\u306b\u5206\u985e\u3057\u3066\u3001\u305d\u308c\u305e\u308c\u306b\u958b\u653e\u578b\u8cea\u554f\u3092\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\n\u25cf\u00a0Onset: \u201cCould you tell me how things were when the symptom started?<\/em> \u201d<\/strong><\/span>
\r\n \u25cf\u00a0Before the Onset: \u201cHow about before it started?<\/em> \u201d<\/strong><\/span>
\r\n \u3000\u30fbPrevious presence of the same symptom: \u201cHave you ever had the same symptom before?<\/em> \u201d<\/strong><\/span>
\r\n \u25cf\u00a0After the Onset: \u201cCould you tell me how things have been since the<\/em> (chief complaint<\/em>) started?<\/em> \u201d<\/strong><\/span>
\r\n \u3000\u30fbOther Symptoms: \u201cHave you noticed anything else besides the<\/em> (chief complaint)?<\/em> \u201d<\/strong><\/span>
\r\n \u3000\u30fbTreatment: \u201cHave you taken some medications or have seen a doctor about this already?<\/em>\u201d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\r\n\u4e0a\u8a18\u306e\u3088\u3046\u306b\u300c\u767a\u75c7\u524d<\/strong>\u300d\u306b\u95a2\u3057\u3066\u306f\u300c\u4ee5\u524d\u306b\u3082\u540c\u3058\u75c7\u72b6\u304c\u3042\u3063\u305f\u304b<\/strong>\u300d\u3092\u3001\u300c\u767a\u75c7\u5f8c<\/strong>\u300d\u306b\u95a2\u3057\u3066\u306f\u300c\u4ed6\u306b\u75c7\u72b6\u304c\u3042\u308b\u304b<\/strong>\u300d\u3084\u300c\u4e3b\u8a34\u306b\u5bfe\u3057\u3066\u670d\u7528\u3084\u4ed6\u306e\u533b\u7642\u6a5f\u95a2\u306e\u53d7\u8a3a\u3092\u3057\u3066\u3044\u308b\u304b<\/strong>\u300d\u3082\u5c0b\u306d\u3066\u304a\u304f\u3068\u3001\u4e3b\u8a34\u306e\u7d4c\u904e\u306b\u95a2\u3057\u3066\u3088\u308a\u8a73\u3057\u304f\u8a71\u3057\u3066\u3082\u3089\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span>
\r\n \u3053\u306e\u3088\u3046\u306b\u4e00\u901a\u308a\u300c\u767a\u75c7\u6642<\/strong>\u300d\u300c\u767a\u75c7\u524d<\/strong>\u300d\u300c\u767a\u75c7\u5f8c<\/strong>\u300d\u306e3\u3064\u306b\u5206\u3051\u3066\u805e\u304d\u51fa\u3057\u305f\u5f8c\u3001 \u201cNow I\u2019m going to ask more details about the (chief complaint).<\/em><\/strong>\u201d \u3068\u8a00\u3063\u3066\u3001\u8a3a\u65ad\u306b\u5fc5\u8981\u306a\u8a73\u3057\u3044\u8cea\u554f\u306b\u79fb\u308a\u307e\u3059\u3002<\/span>
\r\n \u7279\u306b\u4e3b\u8a34\u304c\u300c\u3081\u307e\u3044<\/strong>\u300d dizziness<\/strong> \u306e\u3088\u3046\u306b\u6700\u521d\u306b\u5206\u985e\u304c\u5fc5\u8981\u306b\u306a\u308b\u3088\u3046\u306a\u3082\u306e\u306e\u5834\u5408\u3067\u3082\u3001\u3044\u304d\u306a\u308a \u201cDo you feel lightheaded, or do you feel like the room is spinning?\u201d \u306e\u3088\u3046\u306b\u9589\u9396\u578b\u8cea\u554f\u3067\u5c0b\u306d\u308b\u306e\u3067\u306f\u306a\u304f\u3001 \u201cPlease describe the sensation you\u2019ve been feeling without using the word \u201cdizzy.<\/strong><\/em>\u201d \u306e\u3088\u3046\u306b\u958b\u653e\u578b\u8cea\u554f\u3067\u5c0b\u306d\u308b\u65b9\u304c\u3088\u3044\u3067\u3057\u3087\u3046\u3002<\/span>\r\n<\/p>\r\n\r\n

\u4e3b\u8a34\u304c\u75db\u307f\u306e\u5834\u5408\u3001 \u201cOPQRST<\/strong>\u201d \u3084 \u201cSOCRATES<\/strong>\u201d \u3068\u3044\u3063\u305f\u6709\u540d\u306a\u300c\u8a9e\u5442<\/strong>\u300dmnemonics<\/strong> \u304c\u3042\u308a\u307e\u3059\u3002\u3053\u3046\u3044\u3063\u305f\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u306f\u300c\u30e2\u30ec\u306a\u304f\u30c0\u30d6\u308a\u306a\u304f\u300d\u8cea\u554f\u3059\u308b\u306b\u306f\u5927\u5909\u6709\u52b9\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u3046\u3044\u3063\u305f\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u306b\u3042\u308b\u8cea\u554f\u3092\u8a71\u306e\u6587\u8108\u306b\u5408\u308f\u305b\u305a\u3001\u305f\u3060\u8a9e\u5442\u306e\u9805\u76ee\u306b\u6cbf\u3063\u3066\u5c0b\u306d\u3066\u3044\u304f\u306e\u306f\u304a\u52e7\u3081\u3057\u307e\u305b\u3093\u3002\u307e\u305a\u306f\u4e0a\u8a18\u306e\u3088\u3046\u306b\u300c\u767a\u75c7\u6642\u300d\u300c\u767a\u75c7\u524d\u300d\u300c\u767a\u75c7\u5f8c\u300d\u306b\u95a2\u3057\u3066\u8074\u304d\u51fa\u3057\u305f\u5f8c\u3001\u60a3\u8005\u3055\u3093\u306e\u8a71\u3092\u9069\u5b9c\u300c\u307e\u3068\u3081\u308b<\/strong>\u300dsummarize<\/strong> \u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002\u3053\u3046\u3057\u3066\u60a3\u8005\u3055\u3093\u306e\u8a71\u3092\u9069\u5b9c\u307e\u3068\u3081\u306a\u304c\u3089\u305d\u306e\u6d41\u308c\u306e\u4e2d\u3067 \u201cOPQRST\u201d \u306e\u3088\u3046\u306a\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u3092\u53c2\u7167\u3059\u308b\u3068\u3001\u805e\u304d\u6f0f\u3089\u3057\u305f\u9805\u76ee\u306b\u3064\u3044\u3066\u81ea\u7136\u306a\u6d41\u308c\u3067\u5c0b\u306d\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3089\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u30dd\u30a4\u30f3\u30c8\u3092\u62bc\u3055\u3048\u3066\u7df4\u7fd2\u3092\u91cd\u306d\u308c\u3070\u3001 building a rapport with your patient <\/strong>\u3082 drawing the \u201cpicture\u201d of your patient’s story<\/strong> \u3082\u53ef\u80fd\u3068\u306a\u308a\u3001\u4e0a\u624b\u306b\u82f1\u8a9e\u3067\u73fe\u75c5\u6b74\u3092\u5c0b\u306d\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u4eca\u65e5\u3054\u7d39\u4ecb\u3057\u305f\u73fe\u75c5\u6b74\u3067\u5f79\u306b\u7acb\u3064\u82f1\u8a9e\u8868\u73fe\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

Chief Complaint: \u201cHow can I help you today?<\/em>\u201d or \u201cWhat seems to be the problem?<\/em>\u201d<\/strong><\/span><\/p>\r\n\r\n

Open-Ended Question: \u201cCould you tell me more about the symptom?<\/em>\u201d<\/strong><\/span><\/p>\r\n\r\n

\r\nActive Listening Cues:<\/strong><\/span>
\r\n \u3000\u25cf\u3000\u201cHmm.<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf<\/strong>\u3000\u201cAha.<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf\u3000\u201cOK.<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf\u3000\u201cGo on.<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf\u3000\u201cI see.<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf\u3000\u201cI understand.<\/em>\u201d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\r\nOnset, Before the Onset, and After the Onset:<\/strong><\/span>
\r\n \u3000\u25cf Onset: \u201cCould you tell me how things were when the symptom started?\u201d<\/strong><\/span>
\r\n \u3000\u25cf Before the Onset: \u201cHow about before it started?<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u3000\u30fbPrevious presence of the same symptom: \u201cHave you ever had the same symptom before?<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf After the Onset: \u201cCould you tell me how things have been since the (chief complaint) started?<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u3000\u30fbOther Symptoms: \u201cHave you noticed anything else besides the (chief complaint)?<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u3000\u30fbTreatment: \u201cHave you taken some medications or have seen a doctor about this already?<\/em>\u201d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\r\nMore Details about the Chief Complaint:<\/strong><\/span>
\r\n \u3000\u25cf \u201cNow I\u2019m going to ask more details about the (chief complaint).<\/em>\u201d<\/strong><\/span>
\r\n \u3000\u25cf \u201cPlease describe the sensation you\u2019ve been feeling without using the word \u201c(chief complaint).<\/em>\u201d<\/strong><\/span>\r\n<\/p>\r\n\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u73fe\u75c5\u6b74\u3092\u5c0b\u306d\u308b\u969b\u306b\u5f79\u306b\u7acb\u3064\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u73fe\u5728\u3001\u307b\u3068\u3093\u3069\u5168\u3066\u306e\u533b\u5b66\u90e8","protected":false},"author":14,"featured_media":6831,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-7050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7050"}],"version-history":[{"count":2,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7050\/revisions"}],"predecessor-version":[{"id":7052,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7050\/revisions\/7052"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6831"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}