Communication Notes Flashcards

1
Q

What is communication?

A

Exchanging messages between sender and receiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

WHen is communication considered successful?

A

when the reciever understand the sender’s message as intended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why is excellence in communication essential in healthcare?

A

increase in size of delivery system (need for intercommunication)
more complex payment systems
decrease in time spent in hospitals (importance of pt education)
shift in cause of death to health disease, cancer, COPD and stroke (Pt need clear info abt wellness and healthy lifestyles)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is important in communication for pt well-being?

A

need for respect, understanding individual pts and their needs, good communication to increase pt recovery, understand stressors for pt (intimidation of healthcare setting + fear & anxiety)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Poor communication can lead to _________

A

fatal errors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Health literacy:

A

ability of pt to obtain and process basic health info

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How can healthcare professionals help ppl become health literate

A

by using good communication skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is therapeutic communication?

A

effective healthcare communication
aimed at meeting needs of pts
requires developing and applying communication skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the steps in communication process?

A
  1. set goals
  2. create message
  3. deliver message
  4. listen to response
  5. offer feedback and seek clarification
  6. evaluate encounter (revise message if needed)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is important in therapeutic communication?

A

must be clear and accurate

decide what is to be accomplished

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Examples of communication goals?

A

Gather info from pt
give instructions to pt
report info to coworker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the needed goals in every pt interaction?

A

show sincere concern for pts welfare
establish trust
enhance pts self-esteem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Factors to consider when setting goals?

A

pt level of understanding
emotional and physical factors
urgency of communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should you do when creating a message?

A

Create message based on info and communication goal
avoid med term with pt (use general and/or simple language)
must be clear and accurate
organize long message (rank based on importance, first overview then details, break info into chunks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Types of question messages?

A

close-ended (answered with 1 word or phrase)
open-ended (more than 1 word answer)
Probing (asking for more info)
Leading (question includes possible answer)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should you do when asking a question?

A

allow time for response
take care with leading questions (pt may just agree with u)
reword questions when needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When is humor appropriate?

A

helps relieve tension

can promote open discussion of sensitive issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pt may joke to _______

A

mask fear - listen carefully bc pt may need help dealing with fear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Examples of nonverbal communication?

A

Tone of voice, touch (can be reassuring but use with care), body language

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Examples of body language

A

gesturing (positive or negative) (smiling, crossing arms, rolling eyes)
facial expressions (avoid showing neg reactions)
Physical appearance of healthcare professionals (can demonstrate competence and regard for pt)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Factors of physical environment to consider

A

light source, sound distractions, privacy, focus on pt, pt comfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the parts of listening?

A

active process - concentration, attention, observation

23
Q

We should listen to ________ rather than to respond

A

understand

24
Q

What is feedback?

A

method for sender to check receivers interpretation of the message

25
What are the types of feedback?
paraphrasing, reflecting, asking questions, requestion examples
26
What is paraphrasing?
rewording of sender's message in receiver's own words
27
what is reflecting?
prompting receiver to complete or add to original message
28
What is asking questions in feedback?
requesting clarfication and additional info
29
What is requesting examples in feedback?
asking for exampels to clarify and fill in meaning
30
What does it mean to evaluate the encounter?
after every encounter determine if communication goal was met if it is not met identify difficulty continually evaluate communication throughout the encounter
31
How to communicate with children?
reduce fear | involve as much as possible in communication and decision making
32
How to communicate with adults?
Do not assume adults understand everything you say | check understanding with feedback
33
How to communicate with older adults
great variation in levels of health and level of understanding strive for respectful tone may need to discuss difficult age-related topics
34
Examples of barriers that block effective communication?
cultural difference, language differences, defense mechanisms, physical distractions or limitations, pain
35
How to deal with terminally ill?
may experience lonliness may want to share fears and concerns health professionals need to come to terms with death as outcome
36
How to deal with ppl in pain, medicated, or disoriented
``` identify yourself and say pt name speak slowly and maintain eye contact use simple short messages repeat as necessary and review content use touch if appropriate try to schedule best time for pt ```
37
How to deal with anxious pt
``` maintain calm monitor anxiety level keep message simple stick to one topic use feedback to check understanding ```
38
How to deal with depressed pt
invite pt to discuss their feelings offer hope but do not tell them to cheer up allow for silence
39
How to deal with hearing impaired
observe behavior and check understanding ensure face and mouth of speaker is visible speak slowly and clearly turn off sources of noise do not shout announce change of subject
40
How to deal with visually impaired
announce presence and identify self explaining procedures, sounds, and what pt can expect give detailed oral instructions abt what pt is to do tell pt when leaving give info abt doorways, obstacles, etc. if pt is leaving area alone
41
How to deal with speech impaired
use pantomine and gestures use drawings and pictures write use communication boards
42
Why are pt angry
emotional response to perceived wrong loss of personal control worries and fears healthcare professional should not take personally
43
How to deal with angry pt
``` remain calm respond with anger do not argue listen carefully and express concern answer pt questions ask for help if necessary ```
44
How to deal with pt who dont speak english
``` empathize with situation smile if appropriate determine if someone can interpret speak slowly and clearly repeat message in different words use pantomime and gestures write message ```
45
Why is telephone communiation important
often first means of contact with healthcare facility - person answering represents facility
46
How to best communicate on the telephone
``` speak clearly speak at a moderate rate project warmth and caring smile in voice if appropriate give caller chance to speak never chew gum or eat ```
47
What is pt education
pt want info more self-care is required today check understanding feedback
48
What is the process for delivering pt education
``` set educational goas create instructional message deliver instruction listen to patient questions check for pt understanding evaluate instruction ```
49
When are group presentaitions needed in healthcare?
pt family, professional meeting, coworkers at staff meeting
50
Strategies for success in group presentations
``` clarify purpose and important points determine the needs of the audience organize materials and prepare notes if needed speak at a moderate rate look at audience ```
51
Why is written communication important?
provides important links between patients, professionals, and facilities
52
WHat are some examples of written communication?
reports, charts, records and letter
53
Gossip in healthcare
unnecessary, negative conversation avoid in workplace strategies for handling (explain unfairness, state believe in inappropriateness, change subject, remove yourself)
54
Pt privacy in healthcare
must be maintained at all times avoid speaking in public abt pt don't discuss pt in social convo do not pt in front of themselves without including them in the convo