Doctor-Patient Communication in Obstetrics and Gynecology PDF

Chapter 6 Doctor-Patient Communication in Obstetrics and Gynecology Section 1 Doctor-Patient Communication in Gynecology Section 2 Doctor-Patient Communication in Obstetrics  Section 1 Doctor-Patient Communication in Gynecology Key learning points  Mental characteristic...

Chapter 6 Doctor-Patient Communication in Obstetrics and Gynecology Section 1 Doctor-Patient Communication in Gynecology Section 2 Doctor-Patient Communication in Obstetrics  Section 1 Doctor-Patient Communication in Gynecology Key learning points  Mental characteristics of the patients diagnosed with gynecological diseases  Communication with patients diagnosed with sexually transmitted diseases  Communication with patients who refuse vaginal examination  Communication with patients who suffer fertility problems  Communication with patients rejecting mate doctors 一、 Physical and mental characteristics of the patientsand the social factors involved Gender psychology Social and family roles  Tend to involve more emotions  Last:Neglect their health  Various gynecological diseases are  Now:pay more attention to their closely related to emotional health problems  Obstetrics and gynecology diseases often involve the patient's privacy 一、 Physical and mental characteristics of the patientsand the social factors involved Reproductive organs Feature of disease  Directly related to the reproductive  Gynecological diseases have their system characteristics  Have to make the decision on  For example cervical whether to retain fertility or not cancer/ovarian  affect the patient’s falmily life in cancer/trophoblastic the future disease/endometriosis 二、Positive communication in medical care Obtain medical history 相关检查  The key points of communication  检查的风险以及花费 （1）understanding and acceptance  检查的目的和必要性 （2）listening and observation  检查注意事项 （3）feedback and clarification  检查结果回报 （4）questioning and summary （5）representation and reconstruction （6）body language  Timing of communication early communication is half the battle 二、Positive communication in medical care Both doctors and patients participate in the clinical decision  gynecology is a surgery-based department, and communication before and after surgery is very important.  Explain the process of treatment to obtain patients and their families’ understanding and cooperation 二、Positive communication in medical care Guide the patients to participate in the treatment Explanation of the unsatisfied curative effect  Communication with patients when the diagnosis is uncertain or curative effect in not satisfied.  Communication with the patient after the changes of conditions  Apprise patients of special circumstances: communication before and after surgery communication before chemotherapy communication when the patient is discharged communication after discharged health education  Section 2 Doctor-Patient Communication in Obstetrics Key learning points  Psychological characteristic of obstetrics patients  Communication with pregnant women who refuse vaginal or ultrasound examination  Communication with pregnant women who insist on cesarean section  Communication with patients who show definite indication of emergent Cesarean section or forceps to terminate pregnancy  Communication with pregnant women with abnormal fetuses 一、 Physical and mental characteristics of the patientsand the social factors involved High expectation for pregnancy  High expectations for newborns  The limitations of medicine Expectations and worries about delivery  Prenatal care  Before the labor  During the labor 二、Positive communication in medical care Communication in the diagnosis of pregnancy Communication with patients before ultrasound and MRI in pregnancy Communication of medication during pregnancy Communication on termination of pregnancy in advance due to pregnancy complications Communication when complications occur during childbirth Communication during emergency cesarean section and vaginal midwifery Communication when discovering newborn malformation Postpartum communication Thanks for your attention！