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Diagnosis Reveal

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Opening the consultation:

• [ ] Washes hands and dons PPE if appropriate
• [ ] Introduces themselves to the patient including name and role
• [ ] Confirms the patient’s name and date of birth

Patient history:

• [ ] Asks open questions to gauge the patient’s knowledge of their condition
• [ ] Listens carefully to the patient and provides positive feedback if appropriate
• [ ] Asks about the symptoms that led to their initial consultation
• [ ] Explores relevant symptoms (polydipsia, polyuria, nocturia, fatigue, blurry vision, ulceration, neuropathy, frequent infections, weight changes)
• [ ] Takes a past medical history
• [ ] Takes a medication history
• [ ] Asks about family history
• [ ] Ask about the patient’s living situation and activities of daily living
• [ ] Asks about the patient’s job
• [ ] Takes a smoking history
• [ ] Takes an alcohol history
• [ ] Asks about diet and exercise

Ideas, concerns and expectations:

• [ ] Asks about the patient’s ideas regarding their symptoms
• [ ] Asks about the patient’s concerns regarding their symptoms and diabetes
• [ ] Asks what the patient is hoping to get out of the consultation

Explanation:

• [ ] Begins by signposting what they are going to cover in their explanation
• [ ] Explains the normal anatomy and physiology of glucose control
• [ ] Explains what diabetes is

Patient questions:

• [ ] Explains to the patient regarding the HbA1C result
• [ ] Explain what causes diabetes and the risk factors of diabetes
• [ ] Explains how to prevent diabetes (diet, exercise, weight loss, smoking cessation, reduce alcohol)
• [ ] Explains the complications of diabetes

Closing the consultation:

• [ ] Summarise key points
• [ ] Asks the patient if they have any questions or concerns that have not been addressed
• [ ] Directs the patient to further information about the condition using websites and leaflets
• [ ] Arranges appropriate follow up
• [ ] Thanks the patient for their time
• [ ] Disposes of PPE appropriately and wash their hand

Key communication skills:

• [ ] Active listening
• [ ] Summarising
• [ ] Signposting </aside>