Introduction To Clinical Practice

Question 1

Body language

Answer 1

Get on same level
Face them
Eye contact

Question 2

Consultation introduction

Answer 2

• Hello, introduction (name and role) with handshakes learning patient name
  
  • Recap what has happened and explain the aim of the consultation to patient

Question 3

Pendellton’s rules - feedback

Answer 3

Clarify matters of fact
The student consulting says what went well and how
The observers identify other things that went well and how
The student consulting says what could be done differently and how
The observers add to this, what could be done differently
The group agree areas for development

Question 4

Ice

Answer 4

Ideas
Concerns
Expectations

Question 5

Question types

Answer 5

Open - Encourage the patient to tell their story

Probing - Stimulating follow up questions…

Closed - Yes/No answers. Useful when looking for particular items of information to confirm or refute a diagnosis

Leading - Encourage patients to give answers they think you might like to hear

Double-barrelled - Asking patients two overlapping questions or asking questions in quick succession should be avoided. For example: “Have you noticed a cough or shortness of breath with the pain?”

Difficult - Those that need a forewarning

Question 6

Sqitars

Answer 6

This acronym can help you take a more detailed/comprehensive history of pain.
S – Site 
Q – Quality 
I – Intensity
T – Timing
A – Aggravating factors
R – Relieving factors
S – Secondary symptoms

Question 7

Compassion

Answer 7

“A deep awareness of the suffering of another coupled with the desire to relieve it” (Chochinov, ABC of Dignity, BMJ 2007)

→ Compassion is about connecting with your feeling of empathy for the other person and demonstrating that through your words and actions

Question 8

Empathy

Answer 8

Empathy - the ability to share someone else’s feelings or experiences by imagining what it would be like to be in that person’s situation

Question 9

Sympathy

Answer 9

Sympathy - feelings of pity and sorrow for someone else’s misfortune

Question 10

NHS values

Answer 10

The NHS constitution was updated in light of the Francis Report:

NHS Values 
– Working together for patients 
– Respect and dignity 
– Commitment to quality of care 
– Compassion 
– Improving lives 
– Everyone counts

Question 11

Compassionate communication

Answer 11

Focus attention
Active listening
Comfort skills