Participatory communication Flashcards
What is participatory communication
-based on a dialogue involving people
-allows for direct sharing of info and an exchange of perceptions and feedback
-this empowers people and involve them to make decisions
Autonomy-
the right of adults with capacity to make informed decisions about their own medical care
Beneficence-
a medical care provider’s moral duty to do good unto others and centre the welfare of others as their end goal
Non-maleficence-
the obligation of a physician not to harm the patient. This simply stated principle supports several moral rules − do not kill, do not cause pain or suffering, do not incapacitate, do not cause offense, and do not deprive others of the goods of life.
Justice-
equal treatment of equal cases
7 barriers to communication
-physical
-emotional
-gender
-perceptual
-cultural
-language
-interpersonal
Mental capacity act
-empower individuals who may lack capacity to make their own decisions
-starting assumption must always be the person has capacity unless established they lack capacity
How to test if people have capacity
CURE
Communicate- can they communicate their decision
Understand- does the patient understand what we are saying
Retain- does the patient retain the info long enough to make decision
Employ- can the patient use info to make a decision
If any of these are a no, move on to diagnostic test then causative nexus
3 models of communication
-Linear model
-Interactive model
-Transactional model
Linear model
Interactive model
Transactional model
Types of noise that can influence communication
Psychological
Environmental
Semantic
Demographic
Disability
Active listening- 3 parts
Connect with patients
Take practice, don’t loose concentration
Remember body language
Empathy-
the ability to understand and share the feelings of another
6 Techniques of guided questions
Moving from open to focused questions
Using questions that give a graded response
Asking a series of questions one at a time
Offering multiple answers
Clarifying what the patient means
Echoing what they are saying
Karpman power triangle
3 aspects
Victim- powerless
Rescuer- pain reliever
Persecutor- blames victims
How to empower patient
-convey interest in patient not just problem
-follow patients lead
-validate emotional content
-share information
-make clinical reasoning transparent to the patient
-reveal limits of your knowledge
Order of patient assessment
History taking
Physical assessment
Problem list
Differential diagnosis
Investigations
Diagnosis confirmed
Treatment
2 types of data we can get through history taking
Subjective- patients own descriptions
Objective- observations
