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PID Exam 4 > Communication > Flashcards

Communication Flashcards

1
Q

Define Communication

A

a process by which information is exchanged between individuals through a common system of symbols, signs, or behaviors

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2
Q

Importance of communication as care provider

A 
Need to communicate what is going on
Goals that you have for patient
Interpreting what patient is communicating to us
Patient education
Patient safety
Talking with other physicians
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3
Q

Importance of communication as a professional

A

Be a credible source
People will judge your knowledge based on your communication
Share expertise and be recognized as an expert
Advocate for the profession

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4
Q

Importance of communication as a person

A

build and maintain relationships

Helps develop trust

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5
Q

Effective Communication

A

The receiver interprets the message the way the sender intended

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6
Q

Expressive Components of Communication

A
  1. Word choice (use ones that patient will understand)
  2. Tone
  3. Pitch (important for how message is received)
  4. Inflection
  5. Pace (slowly enough to be understood but not so slow that its demeaning)
  6. Nonverbals
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7
Q

Word Choice can depend on

A
  1. Language
  2. Language comprehension
  3. Level of education
  4. Culture/ethnicity
  5. Health literacy (tailor things to 8th grade level)
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8
Q

Define Health Literacy

A

Health literacy 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
- strongest predictor for someones health

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9
Q

Verbal vs. Nonverbal

A

35% Verbal

65% Nonverbal - more powerful, but more ambiguous

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10
Q

Nonverbal Communication

A

Body Language

Facial Expression

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11
Q

Receptive Components of Communication

A

Hearing vs. Listening

Interpretation of the speakers verbal and nonverbal cues

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12
Q

Listening

A

A learned skill
Belief that one is being listened to = better outcomes, long term professional relationships, and reduced risk of litigation

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13
Q

Most powerful protector?

A

Creating the belief that you are listening to your patients

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14
Q

Aspects of listenign

A

Eye Contact
Body Language/Facial Expression
Reduce Distractions (External and Internal)
Use of encouraging words/questions
Avoid interrupting (hard with PT cuz of time)

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15
Q

Communication “Noise”

A 
Attitudes
Self Focused (cant listen if you are thinking about what you will say next)
Lack of trust
Environment
Hearing impairment
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16
Q

Communication Tips

A

Active/Reflective Listening
Use “I” Statements
Avoid assumptions, ask for clarification
Consistent verbal and nonverbal

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17
Q

Crucial Conversations

A

Examine motives
Create safety - pool of shared meaning
Master your stories
Speak tentatively

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18
Q

Intentional COmmunication

A 
Advise and evaluate
Analyze and interpret
Reassure and support
Question and clarify
Paraphrase and understand
19
Q
  1. Advise and Evaluate
A

To evaluate performance or behavior and provide recommendations
Telling individuals what they should do - tell them our recommendation for them

20
Q
  1. Analyze and Interpret
A

Goal is to determine what is wrong - what the problem is
Explain the problem to the patient
Interpret the patient’s problem - explain back to the therapist

21
Q
  1. Reassure and Support
A

Demonstrating empathy and compassion

Providing encouragement

22
Q
  1. Question and Clarify
A

The goal is to gain additional detail

Open ended and closed ended questioning - funnel approach

23
Q
  1. Paraphrase and Understand
A

Active/reflective listening

24
Q

The interview process

A

If done well, interview is most important component of the initial examination

25
Q

Interviewing: An Essential Skill

A
  1. Establishing trusting therapeutic relationship
  2. Getting to know your patient
  3. Determinng patient understanding of PT
  4. Determining patient understanding of their condition
  5. Determining status of condition
  6. Listening for clues and red flags
  7. Determining exam components
  8. Determining exam intensity
  9. Establighing differential diagnosis list, categorize as probable, possible and rule out
26
Q

Common Interviewing Traps

A 
Providing false assurance
Giving unwanted advice
Distancing/avoidance
Use of professional jargon
Asking leading or biased questions
Talking too much
Interrupting
27
Q

Preparation of Settign

A

Patient comfort
Patient privacy
Minimal distractions

28
Q

Preparation of self

A 
Avoid fillers or distracting mannerisms
Wear professional attire
Be prepared for anything
Recognize personal bias
Meet patients where they are
Provide empathy
29
Q

Your role as an interviewer

A 
Select appropriate questions
Use open and closed ended questions
Clarify
Do not assume two patients with the same diagnosis are alike 
Provide culturally responsive care
30
Q

Pre interview Tasks

A

Review pertinent information

Patient Observation- informal observation

31
Q

The interview

A

non-linear

may overlap with examination

32
Q

Initial Introduction

A 
Name
How you prefer to be addressed
Status as PT student or intern
Confirm patient's identity 
Identify how they prefer to be addressed
33
Q

Clarify Reason for visit

A

Include why the patient believes he or she is attending PT

Confirm presence or absence of referral

34
Q

Patient understanding of PT

A

Has patient experienced PT

Does patient feel comfortable elaborating on prior PT

35
Q

Vital Information

A 
DOB
Medications
Allergies
Diagnostic Tests
PMH
Family History
36
Q

Chief Complaint

A

Primary complaint
Onset/mechanism of injury: how, what, when, where
Description of signs and symptoms: location, quality, quantity, exacerbating/relieving factors
Status of complaint

37
Q

Work and Social History

A

Use of tobacco, alcohol, recreational drugs
Occupation
Leisure pursuits
Impact of condition on work and leisure

38
Q

Home Environment

A

are there other individuals living at home
patient responsibilities at home
Description of home: entrance/exit, layout, accessibility
Impact of condition on home life

39
Q

Activity level

A

Prior to onset of condition

Currently

40
Q

Patient Goals

A

What does patient hope to achieve with PT

Are the goals appropriate/realistic

41
Q

Verbal Review of Systems

A

Muscular
Cardio/Pulm
Integumentary
Neuro

42
Q

Closure of interview

A

Summarize what you gained from interview
Give patient opportunity to provide additional info
Provide opportunity to ask questions
Explain what will occur next

43
Q

Effective questioning

A

Open ended
Closed ended
Graded response
Multiple option

PID Exam 4 (3 decks)

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