Communication Skills in Healthcare

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Questions and Answers

What is the purpose of asking 'What would you like to get out of today's visit?'?

To identify the patient's expectations

Which of the following phrases is used to explore the patient's feelings?

Tell me more about what was worrying you.

What is the goal of asking 'How has your illness affected your daily life?'?

To assess the impact of the illness on daily life

Why is it important to negotiate the agenda with the patient?

To prioritize the patient's concerns Signup and view all the answers

In the case scenario of Mrs. Salma, what is the possible effect of her problem?

All of the above Signup and view all the answers

What is the purpose of speculating the patient's perspective of their illness?

To provide patient-centered care Signup and view all the answers

What type of questions can be asked to children to initiate conversation?

About their school activities Signup and view all the answers

What is the purpose of nonverbal facilitation techniques?

To minimize distractions and encourage the speaker Signup and view all the answers

What is the goal of confrontation in verbal facilitation?

To focus the patient's attention on their feelings Signup and view all the answers

What is the purpose of paraphrasing in communication?

To summarize the patient's message in the physician's own words Signup and view all the answers

What is the outcome of effective verbal facilitation?

The patient is encouraged to explore their feelings further Signup and view all the answers

What type of questions can be asked to elderly patients to initiate conversation?

About the good old days Signup and view all the answers

What is the main difference between the disease framework and the illness framework?

The disease framework is focused on the doctor's agenda, while the illness framework is focused on the patient's agenda. Signup and view all the answers

What is the purpose of using open-ended questions in patient-centered care?

To elicit the patient's agenda items and understand their concerns Signup and view all the answers

What is the recommended way to start a patient-centered care conversation?

By asking 'What can I do for you today?' Signup and view all the answers

What is the goal of patient-centered care?

To provide care that is respectful of, and responsive to, individual patient preferences, needs and values Signup and view all the answers

What is an example of an eliciting question to understand the patient's concerns?

What do you worry about regarding your health? Signup and view all the answers

What should the healthcare provider do to ensure that all of the patient's agenda items are discussed?

Ask the patient, 'Is there something else?' until they reply in the negative Signup and view all the answers

What is the fundamental skill of medical practice?

Verbal and nonverbal communication Signup and view all the answers

What is the primary goal of establishing a doctor-patient relationship?

To develop a good working relationship with the patient Signup and view all the answers

What is the first step in establishing a doctor-patient relationship?

Greeting the patient, standing, smiling, and shaking their hand Signup and view all the answers

Why is it essential to socialize with the patient at the beginning of the consultation?

To build rapport and put the patient at ease Signup and view all the answers

What should the doctor call the patient during the consultation?

By their surname Signup and view all the answers

What is the purpose of inquiring about non-medical areas of the patient's life?

To develop a relationship with the patient as a person Signup and view all the answers

What is the primary goal of verbal mirroring in patient communication?

To repeat the patient's words to show attention Signup and view all the answers

What skill is used to show understanding of the patient's message after a considerable amount of information has been shared?

Summarizing Signup and view all the answers

What is the effect of using reflection in patient communication?

It encourages the patient to explore their deep thoughts and fears Signup and view all the answers

What is the purpose of interpretation in patient communication?

To tie events together to reach a conclusion Signup and view all the answers

What is the primary goal of summarizing in patient communication?

To reveal whether the physician grasps the total meaning of the message Signup and view all the answers

What is the benefit of using verbal mirroring and reflection in patient communication?

It encourages the patient to think out loud about their deep thoughts and fears Signup and view all the answers

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Study Notes

Disease Framework vs. Illness Framework

The disease framework is focused on the doctor's agenda, while the illness framework is focused on the patient's agenda.
Patient-centered care involves providing care that is respectful of, and responsive to, individual patient preferences, needs, and values.

Components of Patient-Centered Care

Elicit the patient's agenda
Avoid starting with "How are you feeling?" or "How are you today?" as it may lead to somatization of concerns into physical symptoms.
Use open-ended questions to discuss the patient's agenda items, such as "How may I help you today?" or "What can I do for you today?"
Ask about the patient's ideas, concerns, expectations, feelings, and the impact of the problem on their daily life.

Eliciting the Patient's Agenda

Ask about the patient's ideas: "What do you think is the cause of…?" or "Do you have any thoughts on what might be causing this?"
Ask about the patient's concerns: "What do you worry about regarding your health?" or "Is there something you worry might happen?"
Ask about the patient's expectations: "What would you like to get out of today's visit?" or "What more can I do for you today?"
Ask about the patient's feelings: "Tell me more about what was worrying you." or "What were your emotions at that time?"
Ask about the impact of the problem: "How has your illness affected your daily life?" or "What difficulties are you facing because of your illness?"

Facilitation

Minimize distractions and maintain eye contact.
Use active listening, nod appropriately, and touch when appropriate.
Posture, leaning forward and not crossing arms.
Use verbal facilitation through questioning and listening, probing, confrontation, paraphrasing, and reflection.

8 Steps to Develop Effective Doctor-Patient Relationship

Establish the relationship by greeting the patient, introducing yourself, and using a welcoming phrase.
Socialize with the patient by inquiring about non-medical areas of their life.
Use verbal mirroring and reflection to encourage the patient to explore their thoughts and feelings.
Interpret and summarize the patient's main ideas and feelings to show understanding.