Patient Symptom Assessment SCHOLAR-MAC
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Questions and Answers

What do the letters in SCHOLAR-MAC stand for?

Symptoms, Characteristics, History, Onset, Location, Aggravating Factors, Remitting Factors, Medications, Allergies, Conditions

What questions are associated with Symptoms?

What is bothering you? What is wrong? What brings you in today? What other problems have you noticed? What other symptoms have you noticed?

What questions are associated with Characteristics?

What does the problem feel like? Describe your symptoms/problem to me. Have your symptoms changed over time? How bothersome are your symptoms? To what extent do your symptoms interfere with your activities of daily living?

What questions are associated with History?

<p>Have you had these same symptoms in the past? How have these symptoms affected you in the past? How do these symptoms compare to symptoms you have had in the past? What have you tried this time to relieve the symptoms? What have you tried in the past? What was the result of past treatments?</p> Signup and view all the answers

What questions are associated with Onset?

<p>When did the problem/problems start? How often do the symptoms occur? How did the problems or symptoms start? What were you doing when you first noticed the symptoms? How long have you had this problem? How long have the symptoms been present?</p> Signup and view all the answers

What questions are associated with Location?

<p>Where does it hurt? Where is the problem located? In what part of your body are you experiencing the symptoms?</p> Signup and view all the answers

What questions are associated with Aggravating Factors?

<p>What makes the problem worse? Food, Activities, Medications, Positions. What else do you feel when you have this problem?</p> Signup and view all the answers

What questions are associated with Remitting Factors?

<p>What makes the problem better? Food, Medications, Positions, Activities. What have you done so far to make the problem better? Was it successful?</p> Signup and view all the answers

What questions are associated with Medications?

<p>Prescription medications, Nonprescription medications, Herbals/dietary supplements. What conditions is the patient using each for?</p> Signup and view all the answers

What questions are associated with Allergies?

<p>Medications, Products. Differentiate between sensitivity and adverse effect.</p> Signup and view all the answers

What questions are associated with Conditions?

<p>For what other medical conditions does your doctor see you for? What other illnesses have been acting up lately? What other problems do you have with your health?</p> Signup and view all the answers

What is the purpose of SCHOLAR?

<p>To ask about the current complaint.</p> Signup and view all the answers

What does QuEST stand for?

<p>Quickly and accurately assess your patient, Establish whether patient is appropriate for self-care treatment, Suggest appropriate self-care strategies, Talk with the patient about those strategies.</p> Signup and view all the answers

Which patients are not candidates for Self-Care?

<p>Symptoms are severe and require further diagnosis, Symptoms are persistent and not related to easily identifiable cause, Symptoms have appeared repeatedly, Pharmacist is in doubt regarding patient's medical condition, Self-treatment to avoid medical care.</p> Signup and view all the answers

What should you do if your patient is not a self-care candidate?

<p>Explain reason for referral to patient, Convey importance of referral without scaring patient, Be precise about where to seek treatment such as PCP, Urgent care center, Emergency Room.</p> Signup and view all the answers

Study Notes

SCHOLAR-MAC Overview

  • SCHOLAR-MAC is an acronym representing various aspects to assess patient symptoms: Symptoms, Characteristics, History, Onset, Location, Aggravating Factors, Remitting Factors, Medications, Allergies, Conditions.

Symptoms Questions

  • Inquiry includes:
    • What is bothering you?
    • What brings you in today?
    • Are there any other problems or symptoms noticed?

Characteristics Questions

  • Focus on how the issue feels and includes:
    • Describe your symptoms and any changes over time.
    • Assess the impact on daily activities.

History Questions

  • Investigates past experiences with symptoms:
    • Have these symptoms occurred before?
    • What treatments were tried previously, and how effective were they?

Onset Questions

  • Details the initiation and frequency of symptoms:
    • When did you first notice the symptoms?
    • What activities were ongoing at the onset?

Location Questions

  • Clarifies the area of concern:
    • Where does it hurt?
    • Which part of the body is affected?

Aggravating Factors Questions

  • Identifies contributors to worsening symptoms:
    • What makes the problem worse, such as specific foods or activities?

Remitting Factors Questions

  • Explores alleviating elements:
    • What actions or medications have provided relief?
    • How effective have these measures been?

Medications Questions

  • Discusses all medications being used:
    • Includes prescription, nonprescription, and herbal supplements.
    • Clarifies conditions treated with each medication.

Allergies Questions

  • Assesses sensitivities and reactions:
    • Investigates allergies to medications and products.
    • Distinguishes between sensitivity and adverse effects.

Conditions Questions

  • Gathers information on other health issues:
    • What medical conditions are being treated currently?
    • Identifies potential drug-disease interactions and self-care suitability.

Purpose of SCHOLAR

  • The main objective is to gather thorough understanding of the current complaint for effective assessment.

QuEST Framework

  • Qu: Quickly and accurately assess the patient.
  • E: Establish if the patient qualifies for self-care treatment.
  • Suggest appropriate self-care strategies and discuss them with the patient.

Self-Care Candidates

  • Individuals who are generally not suitable for self-care:
    • Require further diagnosis due to severe symptoms.
    • Have persistent symptoms with unknown causes.
    • Experienced recurrent symptoms without clear resolution.
    • Have health conditions that warrant professional evaluation.

Referral Process for Non-Self-Care Candidates

  • Explain the rationale for referral clearly to the patient.
  • Emphasize the importance of seeking treatment without causing alarm.
  • Provide specific guidance on where to pursue care, such as:
    • Primary Care Provider (PCP)
    • Urgent care center
    • Emergency Room
  • Clarify timelines for when treatment should be sought.

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Description

This quiz focuses on the SCHOLAR-MAC framework for assessing patient symptoms. It covers eight key areas including symptoms, characteristics, history, onset, location, aggravating factors, remitting factors, medications, and allergies. Test your knowledge on how to effectively inquire about patient symptoms and their history.

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