Lung cancer screening checklistCreated OnApril 14, 2020Last Updated OnOctober 27, 2020byadmin You are here: Main OSCE common in exam Lung cancer screening checklist < All Topics Table of Contents Lung cancer screening checklist Step/Task Pass Borderline Fail Opening Session Introduce yourself to the patient and uses his name Data Gathering Domain • Explore smoking history details (type of smoking, frequency and duration) • Calculate the smoking index • Explore patient Ideas, Concerns and Expectations • Asks about possible symptoms suggestive for lung cancer as cough, expectoration, hemoptysis, chest pain, dyspnea, anorexia and weight loss in the past 6 months …etc. • Ask about past medical history of lung cancer or any organ cancer • Ask about family history of lung cancers or cancers in general • Assess psycho-social aspects (depression and anxiety) Clinical Management Skills: • Explain to the patient regarding eligibility criteria for lung cancer screening. • Make appropriate decision based on patient preferences. • Counsel patient regarding smoking cessation: Use the 5 As frame (Ask-Advise-Assess-Assist-Arrange) to effectively counsel about smoking cessation. Use the 5 Rs frame if the patient is unwilling to quit smoking (Risk-Reward-Relevancy-RoadBlocks-Repetition)
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