Michelle Thomas

Michelle Thomas

Taking an Organ Inventory for a New Patient


Scenario

Setting: Primary Care Clinic

PATIENT NAME: Michelle Thomas

Reason for Visit: Establish care, unintentional weight loss

This is your first appointment with Michelle, a 50-year-old person who is presenting to establish care and is concerned about unintentional weight loss.

Please introduce yourself to the patient with your pronouns and ask the patient’s pronouns. After collecting a history of present illness, use the Organ Inventory tool to determine what organs the patient has. Try to use gender-neutral terms when possible, or ask the patient about the terms they use for their body parts. Use the information from the Organ Inventory and other information from the patient’s history to determine what age-appropriate cancer screening is indicated, and any other testing you would recommend to evaluate the weight loss.

Organ Inventory Tool:

Supporting Materials - Michelle Thomas

When introducing the Organ Inventory, consider using this wording:

“In order to provide you with the best clinical care, it is important for me to know if you have certain body parts. Is it okay if we talk through a list of body parts, and you can let me know whether you have these? If you use your own words for parts of your body, please let me know.”

VITAL SIGNS:

●      Weight: 195 lbs

●      BMI: 28

●      BP: 150/90

●      HR: 95

●      RR: 14

●      Temp: 97.9 F

 

SOGI:

●      Pronouns: (patient did not fill this out on the form – you will need to ask)

●      Sex assigned at birth: Male

●      Sexual Orientation: Lesbian

________________________________________________________________

You have 20 minutes to conduct this interview.


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Visit Objective

  • Introduce yourself to the patient with your own pronouns
  • Ask the patient’s pronouns
  • Use the Organ Inventory to determine age-appropriate cancer screening for this patient

Target Audience

Although this case may be of particular interest to primary care providers, hospitalists, and emergency medicine clinicians, it provides skills practice for clinicians in all disciplines of healthcare.

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