Consultation skills Flashcards
Initiating the session
Preparation, establishing initial rapport and identifying the reasons for consultation
Establishing initial rapport
Greet client and obtain names, introduce self and demonstrate respect
Identifying reason for consultation
identify problem list, listen attentively, confirm list and screens for further problems
Gathering information
Exploration of problems and understanding the clients perspective
Exploration of problems
encourage client to talk, open and closed questions use cues, clarify clients statements, periodically summarise, establish dates and sequence
Providing structure to the consultation
Making organisation overt and attending to flow
Making organisation overt
summarising at the end of a specific line of enquiry to confirm understanding and ensure no data is missed, attend to timing and keep on task
Building relationship
Using appropriate non-verbal behaviour, develop rapport and involving the client
Non-Verbal behaviour
Eye contact, facial expressions, vocal cues and appropriate confidence
Developing rapport
accept legitimacy of clients views and feelings, use empathy, provide support/ express concern- deal sensitively with embarrassing or disturbing topics
Involving the client
Share thinking with client, explain rationale
Closing the session
Forward planning and ensuring appropriate point of closure
What is relationship-centred care
A joint venture between veterinary paternalism and patient autonomy, negotiation and shared decision making and asking for a clients opinion
What can you do during ‘Explanation and planning’
Chunking/Checking and Ask,Tell,Ask
What are some examples of signposting?
Give warning shots before negative information
‘park’ topics
tell them you’’ interrupt
set an agenda for the conversation