Patient Communication Flashcards

1
Q

Communication skills needed for

patient-centered care include (3)

A
eliciting the patient’s agenda with 
open-ended questions, especially 
early on; not interrupting the 
patient, and engaging in focused 
active listening.
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2
Q

Learning how to improve
communication skills will make
you a better dentist by enabling
you to

A

better understand your

patient’s needs

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3
Q

Need to try and minimize the

— to mutual understanding

A

barriers

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4
Q

You treat patients - not —

A

teeth

Teeth do not walk into your
office - patients do.

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5
Q

— is the most important

tool in dentistry

A

Communication

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6
Q

(2) is

not always taught in dental school.

A

Interpersonal skills and communication

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7
Q

Takes (2)

A

patience and practice

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8
Q

Often taught that simply providing
info is enough to change patient’s
behavior…. (3)

A
Not true
Need to motivate 
patient
Need to 
teach/show a 
patient the value of 
dentistry.
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9
Q
Benefits of 
a good 
relationship
B. Ingersoll, 
Behavioral 
Aspects in 
Dentistry (5)
A
More likely to follow our 
recommendations
More likely to pay bills on time
More likely to refer others to your 
practice
Reduces anxiety-both the 
patient’s and yours
Less likely to sue
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10
Q

68-70% of medical
litigation cases cited
— as the
primary cause

A

communication
 Patient’s feel like they
are not being heard

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11
Q

Outcomes of Good Communication (6)

A
 Build trust
 Reduce anxiety
 There is no....Well I thought you were 
going to do......and you do something 
different.   
 Inform before you perform
 Pave your way with words.....dentures
 Increase patient satisfaction
 = Increase your satisfaction
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12
Q
  1. Assess your body language-
A

have your body at the same
level as theirs. If necessary, sit in a chair so that you can be
face to face and making eye contact. Always face them
while speaking.

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13
Q
  1. Make your interactions easier for them-
A

Keep your sentences and questions short,
stay on one topic at a time,
and explain difficult concepts in clear terms

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14
Q
  1. Show them the proper respect-
A

Accommodate their
requests as much as is safe and prudent. Rather than
speaking in commands, offer them choices. Strive to help
them maintain their dignity.

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15
Q
  1. Have patience-
A

Due to their age, physical or cognitive
difficulties, they may move and speak more slowly than you
do. Give them time to move at their own pace. Positive
patient communication is not rushed.

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16
Q
  1. Monitor your mechanics-
A

Speak clearly and slowly,
louder than you usually do, but without yelling.
Enunciate complex words carefully but use simple
language as much as possible.

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17
Q
  1. Provide simple written instructions when necessary-
A

(post-op instructions/ treatment plans) an easy-to-

follow list of the basic concepts.

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18
Q
  1. Give your patients ample time to respond or ask

questions-

A

This will help them feel like a valued partner

in the management of their care.

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19
Q

Perception (3)

A

 What’s perceived, not necessarily what
transpired.
 Talk at the patient’s level…..infections vs
periodontal abscess.
 Organization is Key…remember how it looks to
the patient

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20
Q

Delivery (3)

A

how words are spoken
emotion
body language

21
Q

How words are spoken (3)

A

Vocal quality, tone, and pitch
Emphasis, volume, pause
Inflection

22
Q

Emotion (1)

A

Perception of compassion and empathy

23
Q

Body language (2)

A

Stance, posture, gesture

Use of space

24
Q

Facial / emotional (2)

A

 Eye contact

 Smile

25
Q

Fake (“social”) smile vs. genuine (“Duchenne”)
Genuine involves the — muscles
— not as good distinguishing the two

A

eye

Men

26
Q

Unconscious Personal Habits

Vocal / hearing: (5)

A
Uh
You know
Right? OK?
Clearing throat
Monotone
27
Q

Unconscious Personal Habits

Facial / emotional (2)

A

Eyebrows

Fiddling w/ (Glasses, Hair, Beard, Earrings)

28
Q

Unconscious Personal Habits (5)

A
Spinning the pen / pencil
Foot tapping 
Fingernails-tapping
Rocking 
Hand gestures
29
Q

What do I do w/ my hands

while speaking? (4)

A

 Folded
 Behind back
 Akimbo-hands on hips and elbows turned out
 Fig leaf-place hands in front of your midsection

30
Q

Nonverbal (4)

A

 appropriate space (Arm’s length, Remember-dentist get close and invade personal space)
 eye contact
 eye level
 Smile!

31
Q

Roadblocks to Good Listening (4)

A

Office distractions
Multi-tasking
Reviewing chart in front of the patient.
Staff interruptions

32
Q

Verbal’s that Promote

Conversation (4)

A

 Open-ended questions
 Use Mr. Mrs. or Ms. unless they ask you to do otherwise
 Don’t rush
 Give the patient a chance to talk

33
Q

Verbal’s That Inhibit

Conversation (2)

A
 Rushing to diagnose-let 
the patient be a part in 
the decision making. 
 Asking closed-ended 
questions
34
Q

Negative
Dentist
Attitudes (4)

A
 Arrogance
 Sarcasm
 High pressure marketing-
most patients can tell 
when this is happening.
 These attitudes will get 
you nowhere
35
Q

Be

accommodating (2)

A

 Make sure the patient is
comfortable
 Be flexible to ensure
patient acceptance

36
Q

Know patient’s
feelings toward
dental care (4)

A
 Always ask about previous 
dental experiences
 What they liked, what 
they didn’t
 How can you make this 
visit comfortable for 
them?
 Never criticize another 
dentist work...might be a 
friend or relative of the 
patient
37
Q

Sometimes you need to

communicate with faculty (3)

A

Usually away from the patient
Remember, they are a person NOT a time unit
Think about how you say/present things….just
last week a D4 told me the patient was a
mess….no…..it is a complicated treatment

38
Q

Why do people avoid

the dentist? (5)

A
 Fear
 High cost (Lack insurance)
 Lack of providers in some areas
 Injection and feeling numb
 Afraid that they won’t get numb, 
and it will hurt.
39
Q

Fear (3)

A

 #1 reason
 Unknown-what you might find
 Known-patient already knows the
dental work they need.

40
Q

Reasons for Dental

Anxiety (3)

A

sights

sounds smells

41
Q

Choking (3)

A
Afraid of swallowing 
instruments or other 
harmful substance
Gagging
Suction
42
Q

Embarrassment (3)

A
My teeth can’t be 
saved
Scared of the 
“lecture”
Being judged
43
Q

Parents (3)

A
Bad experience in 
younger years 
Influence kids- I 
have heard parents 
tell their children, 
“Don’t worry, it 
won’t hurt”
Kids will follow by 
example
44
Q

Initial Contact Questions (3)

A

How long since your last dental visit
What kind of past treatment? How was it?
Do you have any concerns about receiving dental treatment?
• Opens the door for patient to talk freely

45
Q

Physiological Signs

Perspiration (5)

A
Forehead, 
hands, 
palms, 
upper-lip, 
under-arms
46
Q

Physiological Signs

Cardiovascular (2)

A

Blood pressure

heart rate

47
Q

Physiological Signs

Respirations (1)

A

Rate and depth

48
Q

skipped

Good ideas to reduce anxiety (8)

A
 Explain procedures before starting
 Give specific info during procedures
 Give reassurance
 Give the pt some control-raise hand  
 Provide distraction
 Build trust
 Show personal warmth
 Stress-Reduction Protocol