Treating the person - not the condition

Try the 'seven Cs' to draw out your patient's narrative

Utilising a few key concepts can help a GP focus on the narrative of a patient’s presentation.

consultation approach

Clearly in pain, Vanda nursed her right side, and told me she had no memory of the night before.

She had woken up unable to take a breath without agony. A quick examination confirmed a fractured rib.

Without prompting, she disclosed that she had a problem with alcohol.

She had attempted rehab a number of times and failed; her nights were spent drinking until she passed out.

"I'm broken," she exhaled.

Relating to narrative