Karteikarten
Clinical communication
Karten in diesem Stapel (36)
- 1What is clinical communication?The exchange of infomation within the clinical context between healthcare professions and to patients via various mediums
- 2What is good communication with patients?Establish a rapport,
Recieve informed consent
Provide infomation to patiennts
Empathy and sensitivity
Lack of judgement
Good non-verbal communication - 3Why is good clinical communication immportant?Establish rapport, recieve informed consent, quicker diagnosis, provide info to patients and family members, Develop better treatment plans
- 4What is the Calgary-cambridge framework?Initiation-Gather infomation-Develop a rapport-Explanation and planning
- 5Describe factors of initiating clinical communication with patientEstablish rapport
Identidfy reasons for consultation - 6Describe factors of gathering infomationExplore the patients problems
Understand the patients perspective
Bring structure to the interview if it goes of track - 7Describe factors of developing a rapport (CCF)Involve the patient-Do not dominate the conversation-Do not create divide between patient and doctor
- 8Describe factors in explanation and planning (CCF)Provide the appropriate infomation to patient
Take into account patients illness framework
Come to a mutually shared decision - 9Describe the FACE model;Doctors agenda Patients agenda
Communicational skills
Mutually agreed plan - 10Describe the disease-illness model;Patient presents problem
Gather infomation
Disease framework Illness framework
Integrate together
Shared decision - 11What is the disease framework?Biological way of assessing a patients needs;
Symptoms
Signs
Investigations
Pathology - 12What is the illness framework?Psychological affect of disease on patient;
Experience of illness
Expectations
Worries and concerns
Impact of illness
Feelings - 13What is a patient centred interview?Takes into account;
Patients experience with healthcare
Expectations
Worries and concerns
Impact on their lives
Thoughts and feelings
-Leads to finding commonground and shared decisions-Fewer follow ups, fewer appointments, fewer referals and fewer investigations - 14What factors influence clinical communication?Enviroment
The patient
The doctor - 15Outline enviromental factors that affect clinical communicationSeating arrangments
Physcal barries
Privacy
Possibility of being interupted or overheard - 16What Doctor factors influence clinical communication?Doctor training
Personality
Cultural factors-Language
Physical factors such as Gender
Psychological factors such as anxiety - 17What patient factors influence clinical communication?Psychological factors; depression, anxiety, anger etc
Physical factors; Gender, lack of sight or hearing
Cultural factors; Native language
Experience of healthcare system
Perceptions of health and illness - 18What is meant by the following terms; Locus of control Transference Counter-transference Self disclosureLocus of control-Amount of control one feels they have over their lives
Transference-Patient transfers feelings for a significant individual onto the doctor or therapist
Counter transference-Doctor or therapist transfers feelings for a significant person onto patient
Self disclosure-The revelation of infomation about oneself to a patient - 19List Pendletons rules for criticismPerson performing says something positive first, then the person being performed on and then observers
Start with positives
Then go to negatives BUT with solution
Always end on a positive note with an action plan
Personn performing must be asked how they feel after feedback - 20Give two examples of problems of clinical communication?Hello my name is-Doctors and nurses do not introduce themselves
Doctors interupt patients opening statements-18 seconds before interuption!!! - 21How to establish initial rapport?Greet patient and get name and DOB
Tell your name, role and purpose for being there
Explain nature of the task and seek consent
Be interested and respectful
Show empathy and sensitivity when needed
Be aware of non verbal communication - 22Give 5 examples of non-verbal communicationEye contact
Vocal cues-Tone, speed, rhythm etc
Posture
Position
Facial expressions - 23How do you close an interview?Summarise the interview
Discuss steps forward
Ask if they have questionsk
Thank themm for their time
"Have a lovely day" - 24What are the 3 Key elements of active listening?Non-verbal communication, open questioning and facilitatory responses
- 25What non verbal and verbal cues could you sense for in a patient?Non-verbal; Tone, body language emotions
Verbal; Repeated words, concerns, ideas
Look for a mismatch of non-verbal and verbal cues- determine whether being untruthful, underexaggerating or overexaggerating - 26How would you respond to cues?Repetition of words; Eg; "Worried?"
Check out verbal cues; You mention diabetes, is this a concern of yours?
Check out non-verbal cues; I can sense you're uncomfortable, would you like to move on from this? - 27What are open questions?Questions that require a broad response
Place more emphasis on interviewee rather than interviewer - 28What are the advantages of open questions?Allow a broad examination of patient
Allow experiences and opinions to be expressed
Patient participation not just physical dominance
Exploration of both disease and illness frameworks
Buys doctor time to think
Contributes to more diagnostic reasoning - 29What are the basic principles of any question?Must be concise
Must be understandable and clear
Little to no jargon
If jargon used it must be explained - 30When taking a history what is a logical question approach to take?Open at start
Closed at end
Allows for broad exploration
Leads to more precise and focussed exploration of symptoms - 31What are closed questions?Require very little response, often yes/no
Stab in the dark type questions; EG: does it hurt?
Places more emphasis on interviewer for creating new questions that interviewee answeringk - 32Name 3 other types of questionsProbing questions; explore a mentioned theme; EG: You said you had headaches, can you tell me more about this?
Clarifying questions; You said you felt you were being judged, could you explain what you mean by this?
Statements as questions; All the way from the begining, tell me about your headaches - 33What are the types of facilitatory responses?Paraphrasing-So this pain is knew to you...
Repetition-So you said you were worried?
Encouragement-Nods, ok.., etc
Summarising-So you have these for a while..
Interpreting-It sounds like you're worried about this..
Silence-Allow time to think and reflect - 34What two things bring structure to a consultation?Signposting
Summarising - 35What is signposting?Identifies certain themes and explores each one in turn
Allows for each theme to be explored and connections to be made between them
Brings clarity and structure to the interview
EG: you said you were worried about you headaches as your painkillers wernt working, lets start talking about your headaches... - 36What is summarising?A brief overview of the info collected
Can be internal-Specific info during consultation
Can be overall-All info summmarised at end
Shows patient you're listening
Allows them to follow your thoughts
Allows clarification in interpretations leading to better diagnosis
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- Karteikarten am Clinical communication, erstellt von Joe carlow am 07/12/2015.
- Erstellt von
- Joe carlow
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