Comms bullshit Flashcards
When giving information about procedures what distinct areas should be covered in the conversation and list some skills to aid in achieving these:
Correct amount of information and type of information
- chunking and checking
- checking patients prior knowledge
- asking what info would be helpful to them
Aiding accurate recall and understanding
- signposting
- chunking and checking
- clear language (jargon free)
Achieving a shared understanding
- patients perspective
- concerns and expectations
- encourage participation
What preparations could be made prior to speaking with a patient about something serious:
Protected time
Privacy ensured
Good background info on the patient and condition
Plan of key points
**key points should be given near beginning as this is what patient is most likely to remember
List some key aspects of effective communication:
Observation
Listening
Language
What is it called when the body language does not match what is being said?
incongruence
Whats it called when you match a persons speed of talk?
Pacing - this can lead to good rapport and is an effective use of language.
What communications skills are useful at exploring the patients problems (Silverman set):
Encourage the patient to tell you story
Use open and closed questions
Listen attentively
Facilitate responses
Pick up on cues
Clarify patient statements
Summaries every so often
Use concise and easy understood questions
Establish dates and events
What % of a GP’s time is given advice?
25%
What are the stages of the ‘revolving door of habit change’ that are recognised stages of behavioural change:
pre- contemplation
- “I don’t have a problem”
Contemplation
- “I can see that is bad for me”
Planning
Action
Maintenance
Identification
What skills and strategies can be used to effective motivate for change during an interview:
guide the patient rather than direct
Emphasis their autonomy over decision making
Assist with agenda setting
Discuss pro’s and Con’s
Goal setting
What are the five domains in which behaviour changes?
Cognitive
Attitudinal
Instrumental
Planning and coping
Social Support
What is biggest concordance of successful medication use?
Doctor patient relationship
In preparing for breaking bad news what should you do?
Comfortable private room
Presence of a relative or nurse
What are the stages of the grief cycle:
Shock Stage
- paralysed on hearing the news
Denial Stage
- trying to avoid the inevitable
Bargaining
- negotiating
Depression
- final realisation
Testing Stage
- Seeking realistic solutions
Acceptance stage:
- finding a way forward
What are some difficulties or feelings a doctor may experience giving bad news:
Feeling of failure - not being the healer
Fear of being blamed
Fear of unleashing an emotional response
Not known how to deal with emotion
Fear of feeling or displaying emotional
Having to confront one’s own fears
What can be done immediately to saying there is bad news:
Warning shot
“got bad news”
