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Depression History Taking: OSCE Checklist

This document provides a checklist for conducting a history taking with a patient presenting with depression. The checklist outlines 33 items to cover which include screening the patient for symptoms of depression, assessing suicide risk, exploring the patient's social history and past psychiatric history, reviewing current and past medications, and ensuring proper PPE and hand hygiene. The goal is to obtain a comprehensive history in order to make an accurate diagnosis and develop a treatment plan.

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Nur Farhana Athirah Azhari
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2K views2 pages

Depression History Taking: OSCE Checklist

This document provides a checklist for conducting a history taking with a patient presenting with depression. The checklist outlines 33 items to cover which include screening the patient for symptoms of depression, assessing suicide risk, exploring the patient's social history and past psychiatric history, reviewing current and past medications, and ensuring proper PPE and hand hygiene. The goal is to obtain a comprehensive history in order to make an accurate diagnosis and develop a treatment plan.

Uploaded by

Nur Farhana Athirah Azhari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Assess Suicide Risk: Focuses on evaluating patient's risk of suicide by direct questioning about current/future plans.
  • Exploring Symptoms of Depression: Details various symptoms of depression to explore with patients, including sleep disruption and mood changes.
  • Presenting Complaint: Outlines the method for presenting patient's complaints through open questioning for accurate dialogue.
  • Screen for Other Psychiatric Diagnoses: Guides the clinician to screen for additional psychiatric conditions and rule out delusions or hallucinations.
  • Screening for Depression: Provides questions necessary for screening patients for signs of depression during initial consultations.
  • Past Psychiatric History: Instructs on gathering comprehensive history about any previous depressive or other psychiatric episodes.
  • Opening the Consultation: Provides steps to properly open a medical consultation, highlighting patient hygiene and introduction techniques.
  • Key Communication Skills: Emphasizes essential communication skills needed for successful patient engagements, including active listening and signposting.
  • Insight: Analyzes the level of a patient's insight into their own condition and the implications thereof.
  • Closing the Consultation: Provides steps to effectively close and summarize the consultation, confirming patient understanding and next steps.
  • Social History: Discusses understanding the patient's social context and addressing possible psychosocial impacts.

OSCE Checklist: Depression History Taking

Opening the consultation


1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Confirm the patient’s name and date of birth

4 Ask the patient if they'd be happy to talk with you about their current issues

Presenting complaint
5 Use open questioning to explore the patient's presenting complaint

Screening for depression


6 Ask the patient if they have felt low, depressed or hopeless in the last month

7 Ask the patient if they have had little interest or pleasure in doing things in the last month

Exploring symptoms of depression


8 Sleep cycle disruption

9 Low mood

10 Appetite change

11 Reduced libido

12 Reduced concentration

13 Negative perception of current/future situation

14 Negative perception of self

Assess suicide risk


15 Assess the patient’s risk of suicide

Screening for other psychiatric diagnoses


16 Screen for features of mania

17 Screen for features of schizophrenia

Past psychiatric history


18 Ask the patient if they have had previous episodes of depression

19 Ask the patient if they have been diagnoses with other mental health conditions

Drug history
20 Ask if the patient is currently taking any prescribed medications or over-the-
counter remedies
21 Ask the patient if they’re currently experiencing any side effects from their medication

Family history
22 Ask the patient if there is any family history of psychiatric disease in first-degree relatives
Social history
23 Explore the patient’s general social context

24 Assess the impact of patient's depressive symptoms on their relationships and work

25 Take a smoking history

26 Take an alcohol history

27 Ask about recreational drug use

28 Ask about gambling

Insight
29 Assess the patient's insight into their condition

Closing the consultation


30 Ask the patient if they have any questions or concerns that have not been addressed

31 Thank the patient for their time

32 Dispose of PPE appropriately and wash your hands.

Key communication skills


33 Active listening

34 Summarising

35 Signposting


 Read the full guide at Download our


geekymedics.com GEEKY MEDICS clinical skills app

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