clinical communication

Question 1

paternalism communication

Answer 1

-shot put
-telling
-traditional
-doctor centered

Question 2

relationship centered communication

Answer 2

-frisbee
-conversation
-partnership where doctor is advisor
-explore clients pov

Question 3

greeting and agenda

Answer 3

introductions, establish expectations and needs, articulate agenda, attends to patient and owners comfort

Question 3

core assumptions of communication skills

Answer 3

-communication is a core clinical ability
-communication involves a series of learned skills
-experience alone is a poor teacher

Question 4

non verbal communication awareness

Answer 4

all behaviour signals except verbal
body language
spatial relationships
paralanguage (tone, rhythm, emphasis)
autonomic responses (involuntary responses like tearing, sweating, breathing)

Question 5

open and closed ended enquiry

Answer 5

funnel technique; start open then move to closed
open encourages story, closed is one worded answers that clarifies details

Question 6

not interrupting and pausing

Answer 6

the doctors saying less can actually tell you more, get the client talking to get full picture, don’t start going down one track at the beginning (UTI vs diabetes example)

Question 7

reflective listening

Answer 7

echoing, summarizing and paraphrasing

Question 8

demonstrating empathy

Answer 8

put yourself in their shoes, let them know you care, expressing empathy builds a bridge

Question 9

great explanations

Answer 9

chunk and check
bite sized pieces
assess clients starting point
use appropriate terminology

Question 10

sign posting

Answer 10

ensure logical structure to interaction
organization
“first I’d like to chat to you about Fluffy and then we can have a good look at him”

Question 11

name some useful models and conceptual frameworks for communication

Answer 11

-Calgary Cambridge guides
-segue
-4 habits model
-kalamazoo consensus statement