Таълим вазирлиги ўзбекистон республикаси соғЛИҚни сақлаш



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ХАЛҚАРО-ҲАМКОРЛИК-ВА-ИННОВАЦИЯЛАР-ТИББИЙ-ТАЪЛИМ-ИСЛОҲОТЛАРИНИНГ-АСОСИДИР

1.
 
What are you complaining of? (That has imparted you?) 
2.
 
Tell me more about the pain. (About a problem) 
3.
 
Specifying questions. (Where does the pain irradiate?, how long does it last?, 
what about character?, how many times a day does the child have fever? …) 
4.
 
What do you do? 
5.
 
Have you tried to treat at home, what medicines did you take? 
6.
 
Chronical diseases. 
7.
 
The allergic anamnesis. 
8.
 
Hereditary diseases. 
9.
 
Smoking, alcohol, in what quantities. 
10.
 
The epidemic history. 
It should be given more time for answering to the first question[10,12]. 
There can be told much about illness, about excitements and expectations. It 
is important do not interrupt the patient because he can easily loose a thread of 


124 
thoughts. The second open question can be set about the biggest problem of the 
patient which must be pictured in better way. And for this purpose the doctor has 
to set special questions – what disturbs you more, or what made you come to me? 
It is possible to ask about a pain when the patient complains of a pain or about a 
diet when he complains of loss or gain of weight. These questions help a doctor to 
collect more and correct information and at the same time to show the patient his 
interest on the problem the patient has. 
Practically all patients have their own opinion about their problems. In many 
cases those opinions erroneous – didn’t wear warm clothes and had a flu, was 
poisoned because of tea and begun acute diarrhea. But in each case it is necessary 
to listen to opinion of the patient attentively and to disassemble with the patient. 
By ignoring opinion of the patient the doctor loses his trust. It is possible to tell 
«Yes you may have caught it because of cold, but most likely you have caught it 
from the colleagues or members of your family. Further, do not ignore fresh air 
and a hot shower which will facilitate a disease currently».
Almost all patients try to treat themselves at home[14,15], and these 
medicines should be cleared out. It would help to prevent poisoning by medicine. 
Chronic diseases, allergic reaction to a medicine and the epidemic anamnesis are 
important at diagnostics and prescription of medicines. It is possible to add 
questions in other cases – travel and sexual contacts at young men, a sleeping and 
appetite at the child. The patient actively involved in diagnostics and treatment 
process. By it a part of responsibility for successful treatment can assigned on the 
shoulders of the patient.
Some kinds of supervision have been applied to consultation discussion for 
students – direct supervision, a consultation audio record, consultation video 
recording. All these kinds of consultation observations have the advantages and 
down sides, but video supervision can be the most advanced variant. At video 
recording it is possible to estimate verbal and nonverbal skills assumptions of 
patients the doctor gains the confidence of the them[19]. Many mothers think that 
no one may understand their children better themselves, even doctors. If mum 
confirms that without antibiotics he cannot recover from a flu in any way that it is 
necessary to choose one from two harms – the patient leaves without antibiotics 
and finds other doctor or appoints antibiotics once a day for three days.
For an estimation of skills of consultation it was used a card of consultation 
and a scale of an estimation of consultation.

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