Communication Flashcards
how can you respond to pt feelings
active listening
encourage expression of emotions
acknowledge pt emotion
what do classic methods of pt-physcian communcations do
leave pts feeling unheard and unsupported
leave physicians frustrated demoralized
how does better communication make a difference for patients
improve their adjust to illness
lessen pain and physical symptoms
increase adhernce to reatment plan
increases pt saatisfcation
how does better communcation make a difference for physicians
increases enjoyment in practice
decrease stress and burnout
decrease malpractice claim
NURSE acknowledgment
Name emotion Understand emotion Respect patient Support patient Explore emotion
Non-verbal acknowledgement
face pt Squarely to indicate interest Open body posture Lean toward patient Eye contract Relaxed body posture
what percentage of physicians are realistis
37
what percentage of physcians are optimists
40
what percentage of physicians are avoids
23
more advanced illness correlates with what
wanting less information
what to do with patients who want information
negotiate context of dicussion
provide info
acknowledge reactions
check for understanding
what to do with patients who don’t want information
try and find out why
acknowledge concerns
ask for permission to revisit topic
make private assessment about whether prognosis might change their decision making
what to do for patients who are ambivalent
name it
explore pros and cons
acknowledge the difficulty fo pt’s situation
consider outlining the options for discussion and consequences
