Medical Communications Lecture Flashcards
6/3/19
***Common interview skills
- ***Open ended questions
- Direct interrogatory questions (yes/no) as you hone in
- Silence at specific moments
- Facilitative terms (pushing them along)
- Understand verbal and nonverbal cues
- assurance
***Medical interview
Communication, the key to successful clinician patient relationships, allows provider to relay information to patient so they may be clearly understood, not unduly frightening, and inspiring trust and confidence in the provider, allows patients to be involved in their care
Objectives of a medical history
-Understand the root of the patient’s problem, get an accurate perception of the patient’s reality, understand patient expectations, provides orderly means of obtaining medical information and recording it
Autonomy
Patient’s need for self determination and ability to make their own decisions
Beneficence
Provider’s inherent need to do good
Non-maleficence
Provider’s responsibility to first do no harm
Utilitarianism
Appropriate use of resources
Duty
Responsibility/obligation of provider to the patient
Fairness and Justice
Balance between autonomy and competing interest of family and community
Deontological imperatives
Duty of the providers established by tradition and cultural imperatives
What to know/be able to do in order to successfully interview
- Facillitate the interview
- Be open and compassionate
- Have basic curiosity
- Be able to transcend cultural and social barriers
- Must know pathophysiologic relationships in order to establish relevance
Useful precision
A chief complaint will dictate how deep the information that is needed must be to proceed
Factors influencing patients’ response to illness
- Cultural, economic, and social factors
- Work, family, finances and social activities
- Demeanor of examiner
Cultural variation
Differences among groups of people in religion, values, attitudes, ritual practices, family structure, language and mode of social organization
What percent of illnesses are handled outside of the formal healthcare setting
80-90%
