Midterm content 1 Flashcards
What is communication
Fundamental clinical skill that establishes a trusting relationship with the patient
Why is effective communication so important
- To establish a good patient doctor rapport
-To develop a respectful understanding - To recieve less patient complations
Name the components involved in the communication process
- Sender
-Encoding
-Message
-Decoding
-Reciever
-Feedback
What are they types of communication
- Verbal amd non verbal
What is non-verbal communication
- Non linguistic information through visual cues and body language
Name the types of non verbal communication and explain them
-Proxemics- Involves a physical distance between the individual and the person they are talking to
-Kynesics-Movement in communication
-Touch-Shows empathy
What is verbal communication
- Use of spoken words and sounds to transfer a message from the sender to the reciever
What is the effectivenss if verbal communicstion based on?
- Word choice
-Emphasis
-Tone
What are the three types of tones
- Expressive
-Directive
-Problem solving
What is noise
-Anything that inhibits effective communication
Give the differnt forms of noise
- Language or cultural barriers
- Reciever may be visually or hearing impaired
- Reciever may be distracted from anxiety or pain
Name some attributes of a docotor
- Empathy
- Compassion
-Honesty
-Good communication skills
What is the role of a doctor in a consultation
- To gain an picture of the possible problems and diagnosis.
- To create an environment in which a patient feels safe
What is the patients role in a consultation
- Give an accurate picture of their symptoms and present their problems
- Not hiding anything
How does a doctor build an effective working environment with a patient during consulatation
- Investing in building rapport with the patients from the 1st meeting
- gathering info to form their medical history
-Using info from the consultation,physical examinations and lab results to identify potential diagnosis
Name the breif steps in building a work relationship( in a consulation meeting)
- GATHERING INFORMATION
- ESTABLISHING A DIAGNOSIS
-DISCUSSING THE PROBLEM AND DECIDING A TREATMENT PLAN WITH THE PATIENT
-ARRANGING A FOLLOW UP
Name the components that form the medical history structure
- Initial information: Name,age,language
-The complaint: The problem the patient has
3.History of the present ilness: when it started etc
4. Past medical history : previous ilness,surgeries, medications,vaccinations
5.Family history
6.Social history: occupation,hobbies,marital status, where they live
7. Systems Review: reviewing the body systems:e.g cardivascular,endocrine,respuratory
What is an illness?
They are experiences of discontinued states of well being and performance
What is a disease
Abnormalities in the function/structure of body organs and systems
Name factors ilnesses cand be affected by
-Age
-Gender
How can diseases be discovered
- Using scientific measures such as blood tests,xrays,ultrasound
What is LAY
non specialist conecpt
Where is LAY people knowledge of medicine drawn frim
- Immediate culture(families and communties)
- Social media and social views
What is health
- Health is a state of complete:phsyical,mental and social wellbeing
What are the 3 main definitions of health
- Health as Absence of disease
-Health as Functionalityl
being able to cope
-Health as positive fitness and well being
What is patient autonomy
- Focuses on respecting the patients right to to make informed decisions about their health care
What are the 4 models that characterise how doctor patient relationships operate
- Paternalistic Model
-Informative model
-Interpretive model
-Deliberative model
What happens in the paternalistic model
+ doctors role
- Where the doctor makes all the decisions for the patient
doctor: Acts as a parent or guardian
What happens in the informative model
+ the doctors role
- The doctor provides all the relevant information for the patient and then the patient makes their own decison
- Technical expert
articulate
What happens in the interpretive model
+doctors role
The doctor helps the patient to articulate their values through interpretatin
-Doctos role is an advisor or counsellor
What happens in the deliberative model + the role of the doctor
- The doctor should help the patient deliberate a well through decision
- The role of the doctor is acting like a friend or teacher
What does the ICE concept
Ideals , concerns expectations