How to improve your subjective examination​​​
Begin with an open-ended question… “can you tell me about why you’re here today?” or “how can I help you?”.
Roberts & Langridge (2017) encourage: use questions that include the words “describe”, “tell” or, “explain”. i.e. “can you explain to me how your knee pain is effecting your life?”.
Complete the body chart thoroughly.
Encourage the patient to be in control (Roberts & Langridge, 2017). For example, “what do you think is going on in your knee?”.
Non-verbal communication is also very important. Don’t sit too close or too far away.
Rapport is paramount – create it by making a good first impressions through greeting with a smile, offering a handshake, making eye contact and approaching the patient with an open posture (Roberts & Langridge, 2017) and allowing the subjective interview to be directed by all parties (McAllister et al. 2004).
Don’t be scared of awkward silences.
Spend a lot of time on subjective examination. Lots of information regarding diagnosis, goals & expectations are learnt during this time. Patients will reveal a lot of valuable information on aggravating factors, movements and activities that can guide management.
Learn about the patient outside of their complaint. Learn about their hobbies, families & experiences without being too nosey.
Listen actively!
Sometimes patients get upset – be prepared.
Try not to interrupt the patient too quickly!
Don’t assume anything - follow up questions with further questioning when needed.