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Negotiating relevance in pre-operative assessments

Author

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  • Benwell, Bethan
  • Rhys, Catrin S.

Abstract

Preoperative assessments provide an essential clinical risk assessment aimed at identifying patient risks and requirements prior to surgery. As such they require effective and sensitive information-gathering skills. In addition to physical examination, the preoperative assessment includes a series of routine questions assessing a patient's fitness for surgery. These questions are typically designed to elicit minimal, ‘no problem’ responses, but patients sometimes produce expanded responses that extend beyond the projected information. Our analysis reveals that troubles-telling is often invoked by both nurses and patients as an effective, patient-centred resource for negotiating the medical relevance of patients' concerns in these contexts.

Suggested Citation

  • Benwell, Bethan & Rhys, Catrin S., 2018. "Negotiating relevance in pre-operative assessments," Social Science & Medicine, Elsevier, vol. 200(C), pages 218-226.
    • Handle: RePEc:eee:socmed:v:200:y:2018:i:c:p:218-226
    DOI: 10.1016/j.socscimed.2018.01.034
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    References listed on IDEAS

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    1. Robinson, Jeffrey D. & Heritage, John, 2005. "The structure of patients' presenting concerns: the completion relevance of current symptoms," Social Science & Medicine, Elsevier, vol. 61(2), pages 481-493, July.
    2. Denvir, Paul M., 2012. "When patients portray their conduct as normal and healthy: An interactional challenge for thorough substance use history taking," Social Science & Medicine, Elsevier, vol. 75(9), pages 1650-1659.
    3. Pilnick, Alison & Coleman, Tim, 2006. "Death, depression and 'defensive expansion': Closing down smoking as an issue for discussion in GP consultations," Social Science & Medicine, Elsevier, vol. 62(10), pages 2500-2512, May.
    Full references (including those not matched with items on IDEAS)

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