Lecture 4: ICS Foundations and Nonverbal Communication Flashcards

1
Q

What are the skills of a good communicator?

A

Effectively listens to others
Nonverbal communication
Manages stress well
Emotionally aware
Verbal expression is effective

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2
Q

What happens if you do not give a patient enough time to give their full history?

A

Incomplete data to make a decision.

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3
Q

How much of adverse healthcare events are due to human error?

A

1/3!

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4
Q

What is the root cause of malpractice?

A

A breakdown in communication between physician and patient.

71% of cases claimed relationship issue.

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5
Q

What is the biopsychosocial model?

A

Proposed by George Engel, it describes the etiology of disease due to biological, psychological, and social factors.

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6
Q

What is the big overlap between all 3 of the factors in the biopsychosocial model?

A

Mental Health

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7
Q

What are the 5 core concepts of the provider-patient relationship?

A

Attentiveness
Support
Partnership
Respect
Empathy

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8
Q

What falls under kinesics?

A

Facial expression
Eye gaze
Body language and posture
Fidgeting
Gestures
Haptics

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9
Q

What is proxemics and what falls under it?

A

Space around individual:
Differences in vertical height
Interpersonal distance
Angles of facing other people/objects
Physical barriers (computers, charts, desks)

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10
Q

What is paralanguage and what falls under it?

A

Nonverbal speech:
pitch
tone
volume
speed
rhythm
emphasis

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11
Q

What is autonomics and what falls under it?

A

Physiologic changes caused by autonomic nervous system:
Getting pale or blushing
Sweating
RR, HR
Pupil size

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12
Q

What falls under appearance?

A

Other’s first impressions and opinions of the way we look:
Clothing
Hairstyle
Grooming
Color of clothing

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13
Q

How does good nonverbal communication improve outcomes?

A

Increased:
Satisfaction
Adherence
Clinical response

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14
Q

What are the 4 common patterns of patient behavior in the clinic?

A

Safe pattern
Fight pattern
Flight pattern
Withdrawal pattern

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15
Q

What is a safe pattern?

A

Patient’s body is engaged, relaxed, and in an open posture.

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16
Q

What is a fight pattern?

A

Patient’s body is engaged but has increased tension - response of attack or retaliation due to feeling unsafe.

17
Q

What is a flight pattern?

A

Patient’s body is NOT engaged and has INCREASED tension, as in preparing for flight:

Keywords: Guarding/pulling away

18
Q

What is a withdrawal pattern?

A

Patient’s body is NOT engaged, overwhelmed. UNABLE to mount a response.

AKA

Conservation-withdrawal pattern