Been doing a lot of subjective history this week. Trying to do it with every patient, and it is normally pretty informal. Just via chatting to them as we treat them, because there is no acute patients at the quad centre, the subjective history doesnt really affect our treatment. Some patients are a lot more comfortable disclosing their history and this makes it very easy, however others are much more apprehensive. This is fairly understandable because getting a history usually involves the patient recalling the accident/incident that caused them to be a quadriplegic. For some of them this incident is only very recent and is a very fragile topic for them to discuss. Its hard to know how to respond because there is no way i know how they feel and i dont want to sound patronising. At the same time its nearly impossible to put a positive spin in their situation or to give them some sort of false hope. What ive decided is that its just best to listen because this is all that a lot of them want, because they get pretty lonely.
Anyway thats my thoughts.
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