9. Making Communication Work for You Flashcards

1
Q

____ is… “the degree to which individuals have the capacity to
obtain, process and understand basic health information and services needed to make appropriate health decisions”

A

health literacy

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2
Q

Health Literacy incorporates a range of capabilities
• ____
• Comprehending & analyzing information
• ____ instructions, symbols, charts, diagrams
• Weighing risks & benefits
• Making ____
• Taking ____

A

reading
decoding
decisions
action

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3
Q
Factors that affect Health Literacy Skills
\_\_\_\_
› Language
\_\_\_\_
› Culture
\_\_\_\_ to resources
A

education
age
access

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4
Q

How Health Literacy Affects You

____communication

informed ____

providing accurate ____ history

____ labeling, instructions, compliance

medical and insurance forms

understanding ____

A
patient/provider
consent
health
rx drug
co-paymentd
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5
Q

FACT:
Low Health Literacy is directly linked to poor ____ outcomes
Affects ____ of all American Adults Affects all ethnicities, races and classes
Experience more:
• Preventable hospitalization admissions
• Use of ____ services
• Chronic disease conditions
• Reports their health as poor
• Negative ____ effects
• Health disparities: heart disease, diabetes, obesity,
HIV/AIDS, oral disease, cancer deaths, low birth rate
• Higher healthcare costs (4 times higher)
• Higher mortality rates

Less:
• Education
• Income
• Use of ____ services

A
poor
50%
emergency
psychological
preventive
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6
Q
Who is at the highest risk?
• \_\_\_\_ adults
• Racial & ethnic \_\_\_\_
• Less than high school diploma or GED
certificate
• Low \_\_\_\_
• Non-native speakers of English
• Compromised \_\_\_\_ status
A

older
minorities
income
health

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7
Q

Use ____ language

  • limit ____ (3-5 key points)
  • be specific and concrete, not general
  • demonstrate, draw pictures, use models
  • repeat/summarize
  • ____ (confirm understanding)
  • be positive, hopeful, empowering
A

plain
information
teach-back

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8
Q

Factors that influence health communication
• ____
• Language: More than 300 languages are spoken in US
• Less than ____ have English as their first language
• Customs
• ____
• Perspectives

A

behaviors
60%
beliefs

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9
Q

Cultural Competency
Culture affects how people communicate, understand and respond to health information

Definition:
“The ability of health organizations and practitioners to recognize the ____, values, attitudes, ____, language preferences and health practices of diverse populations, and to
apply that ____ to produce a positive health outcome.”

A

cultural beliefs
traditions
knowledge

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10
Q

com·mu·ni·ca·tion noun \kə-ˌmyü-nə-ˈkā-shən\
: the act or process of using words, sounds, signs, or behaviors to express or exchange information or to express your ideas, thoughts, feelings, etc., to someone else

In everything that we do, we communicate…
Why do we communicate??
1. ____: desire to give and receive love
2. ____: desire to be social and be included in the group
3. ____: desire to influence the people and events in our lives

A

affection
inclusion
control

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11
Q
influence
›Keep \_\_\_\_
Follow the treatment plan › Compliance
› Learn about \_\_\_\_ ›
Pay for services 
›Increase \_\_\_\_

What are other ways you influence your patients?

A

appointments
oral health
referrals

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12
Q

Paradigm
› a model, a set of ____; it is the way we view the world
› a frame of reference
› A paradigm can affect the way we ____

Empathy and paradigms are formed from ____

A

assumptions
interact with other people

personal experiences

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13
Q

Paradigm Shift a shift occurs when:
› a change occurs in the way we see a ____
› usually comes with a smack in the head! The “ah-ha” moment!!

A

situation

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14
Q

What is your goal when you communicate??
›interpret ____ and desires ____-centered treatment ›build ____
›build rapport
›create a ____ with your patient

A

needs
person
trust
partnership

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15
Q

How do we create a win/win experience for everyone?

›listen, listen, listen
____ listening ›
____ communication › Empathy
› verbal communication

Remember: verbal communication is the ____ part of effective communication

only ____ of listener’s comprehension is based on the speaker’s words

A

active
non-verbal
smallest
7%

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16
Q

Active listening

5 Rules for active listening: 1) ____ for feelings

2) ____ to feelings
3) Listen for ____ content 4) ____ and restate
5) Note all ____

A
listen
respond
message
paraphrase
cues
17
Q
Listening:
o Being \_\_\_\_
o Selecting & organizing information 
o Interpreting communication
o \_\_\_\_
o Remembering
A

mindful

responding

18
Q

Obstacles leading to ineffective listening

›Message \_\_\_\_
›Message \_\_\_\_
› Preoccupation
› Prejudgment
›Reacting to \_\_\_\_ loaded language › 
Lack of effort
›Failure to adapt \_\_\_\_ style
A

overload
complexity
emotionally
listening

19
Q
Forms of Non-listening
\_\_\_\_ listening
› Monopolizing 
\_\_\_\_ listening ›
Defensive listening › 
\_\_\_\_
› Literal listening
A

pseudo
selective
ambushing

20
Q
\_\_\_\_ of All Communication is Non-verbal
\_\_\_\_ tone of voice › 
Facial expression
\_\_\_\_
› Body language
\_\_\_\_ contact
› Rate and rhythm of speech
› Awareness of \_\_\_\_ differences
A
65%
vocal
gestures
eye
cultural
21
Q

Combine Non-verbal & Verbal Communication

  • Express ____
  • Be direct
  • Warmth conveys sincerity
  • ____ is key to effectiveness
  • Facial expressions show you care and you are interested in them
  • Open ____, head up
  • Maintain ____ contact
  • Communicate so the patient understands

Remember: only ____ is actual words

A
honesty
sincerity
posture
eye
7%
22
Q

____ is…. a mutual sense of trust and openness between individuals that, if neglected, compromises communication.

A

rapport

23
Q

____ is the capability to appreciate, understand, and accept another person’s emotions

A

empathy

24
Q
E:
M:
P:
A:
T:
H:
Y:
A
eye contact
muscles of facial expression
posture
affect
tone of voice
hearing the whole person
your response
25
Q

Emotional Intelligence (EQ)
›Remember: EQ can be ____
› I recommend that everyone take an Emotional &
Social Competence ____

A

learned

inventory

26
Q

Establish the Clinician-Patient Relationship

Interviewing techniques:
\_\_\_\_-ended questions
› Structured/direct questions › Probing
\_\_\_\_list questions
› Summarizing
\_\_\_\_
› Empathy
› Observation/reflection
A

open
laundry
silence

27
Q
Treatment Planning
\_\_\_\_ agreement
› High \_\_\_\_ rate if both parties do not agree
›Present diagnosis - Be \_\_\_\_
› Present all options – only present those that are consistent with your standard of care
› 1. treatment of \_\_\_\_ › 
2. option 2, if applies
› 3. no \_\_\_\_
› 4. \_\_\_\_
A
joint
failure
sensitive
choice
treatment
referral
28
Q

Treatment
planning, continued

› Verify patient ____
› Have ____ dialogue – discuss benefits, hazards, patient responsibility – don’t be in a hurry, give your time to your patient
› Treatment decision – ultimately your ____ decision
› Use caution in giving advice – make it their
____
› Offer support for the decisions made - use ____ and ____

A
comprehension
patients
responsibility
EQ
empathy
29
Q

›Document, Document, Document
›
Document the completion of each step of the treatment planning process
›Thorough treatment notes will save you time and ____ in the long run

›Patient ____ / inform your patient
›
A patient who is well-____ is more likely to adhere to treatment and follow-up and report satisfaction with services.

A

headaches
education
informed

30
Q

The reasons for Patient-Clinician related Malpractice Lawsuits:

  1. Inadequate ____ of diagnoses
  2. Inadequate explanation of ____
  3. Patient feels ____
  4. Clinician fails to understand the ____ of patient
  5. Clinician discounts or ____ views of patients or relatives
  6. Patients feel ____
A
explanations
treatment
ignored
perspective
devalues
rushed