Abstract
Much of what transpires between physician and patient in the examination room is not measurable, but nonetheless, a major effort has been expended recently to understand and teach clinical evaluation.1,2 The objectives of this effort are to encourage physicians to appreciate patients in the context of their life histories, to enhance humanism and ethical conduct, and to enable physicians to communicate more effectively, especially to listen well.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Stillman PL, Swanson DB, Smee S, et al. Assessing clinical skills of residents with standardized patients. Ann Intern Med. 1986; 105: 762–771.
Lipkin M Jr, Quill TE, Napodano RJ. The medical interview: a core curriculum for residencies in internal medicine. Ann Intern Med. 1984; 100: 277–284.
Beckman HB, Frankel RM. The effect of physician behavior on the collection of data. Ann Intern Med. 1984; 101: 692–696.
Levkoff SE, Cleary PD, Wetle T, et al. Illness behavior in the aged: implications for clinicians. J Am Geriatr Soc. 1988; 36: 622–629.
Health and Public Policy Committee, American College of Physicians. Comprehensive functional asessment for elderly patients. Ann Intern Med. 1988; 109: 70–72.
Consensus Development Panel. National Institutes of Health Consensus Development Conference statement: Geriatric assessment methods for clinical decision-making. J Am Geriatr Soc. 1988; 36: 342–347.
Council on Scientific Affairs. Medical evaluations of healthy persons. JAMA. 1983; 249: 1626–1633.
McCullough LB. Medical care for elderly patients with diminished competence: an ethical analysis. J Am Geriatr Soc. 1984; 32: 150–153.
Tinker GM. Clinical presentation of myocardial infarction in the elderly. Age Ageing. 1981; 20: 237–240.
Ende J, Rockwell S, Glasgow M. The sexual history in general medicine practice. Arch Intern Med. 1984; 144: 558–561.
German PS, Shapiro S, Skinner EA, et al. Detection and management of mental health problems of older patients by primary care providers. JAMA. 1987; 257: 489–493.
Mader SL, Josephson KR, Rubenstein LZ. Low prevalence of postural hypotension among community-dwelling elderly. JAMA. 1987; 258: 1511–1514.
Noble RJ, Rothbaum DA. History and physical examination. In: Noble RJ, Rothbaum DA, eds. Geriatric Cardiology. Philadelphia, Pa: FA Davis Co Publishers; 1981: 55–64.
Lembo NJ, Dell’Italia LF, Crawford MH, et al. Bedside diagnosis of systolic murmurs. N Engl J Med. 1988; 318: 1572–1578.
Jenkyn LR, Reeves AG, Warren T, et al. Neurologic signs in senescence. Arch Neurol. 1985; 42: 1154–1157.
Jacobs L, Grossman M. Three primitive reflexes in normal adults. Neurology. 1980; 30: 184–188.
Levinstein MR, Ouslander JG, Rubenstein LZ, et al. Yield of routine annual laboratory tests in a skilled nursing home population. JAMA. 1987; 258: 1909–1915.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Science+Business Media New York
About this chapter
Cite this chapter
Cassel, C.K., Walsh, J.R., Shepard, M., Riesenberg, D. (1990). Clinical Evaluation of the Patient. In: Cassel, C.K., Riesenberg, D.E., Sorensen, L.B., Walsh, J.R. (eds) Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2093-8_10
Download citation
DOI: https://doi.org/10.1007/978-1-4757-2093-8_10
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-2095-2
Online ISBN: 978-1-4757-2093-8
eBook Packages: Springer Book Archive