Person Centred Communication 1

Question 1

what are content skills during communication ?

Answer 1

the information they give and gather

being able to construct questions appropriately

Question 2

what are perceptual skills during communication ?

Answer 2

being able to interpret what the patient is thinking and feeling

Question 3

what are process skills during communication ?

Answer 3

the use of verbal and non verbal skills to build rapport

also being able to structure and organise communication

Question 4

state the two main categories of factors which could influence a consolation ?

Answer 4

physical factors

personal factors

Question 5

state some physical factors which may influence communication during a consultation

Answer 5

• site and environment
• knowing the PMH form medical records
• time restraints
• patient status (new/old patient/problem)

Question 6

state some personal factors which may influence communication during a consultation

Answer 6

age
sex
gender
ethnicity 
knowledge 
beliefs

Question 7

what are the three main types of doctor patient relationships ?

Answer 7

1. Authoritarian
2. Guidance/co-operation
3. Mutual participation relationship

Question 8

describe authoritarian relationship

Answer 8

patients feels no autonomy

doctor decides treatment with no input from patient

Question 9

describe guidance/co-operation relationship

Answer 9

doctor still has much authority and patient is obedient but patient feels more autonomy and participates more

Question 10

describe mutual participation relationship

Answer 10

The patient feels some responsibility for a successful outcome which involves both active participation and a feeling of autonomy
doctor and patient are more like equals

Question 11

give some examples of question types that can be used in communication ?

Answer 11

open ended 
listening 
facilitation 
direct 
closed 
leading 
reflected

Question 12

what is facilitation in communication ?

Answer 12

Change of facial expression or posture displaying greater interest or attention is a facilitation.

Question 13

what is the definition of health from WHO?

Answer 13

state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

Question 14

what is disease?

Answer 14

medical view of a medical condition by looking at the symptoms and signs

Question 15

what is an illness?

Answer 15

ideas, concerns and expectations the patient has about the disease

Question 16

what percentage of patients from GPs are referred to hospitals ?

Answer 16

3%

Question 17

what are the differences between the GP and hospital care?

Answer 17

hospitals are more specialised
GP has a greater focus on prevention 
GP are able to build more rapport 
GP have regular hours 
GP is an employer whereas a hospital doctor is an employee

Question 18

what are the similarities between the GP and hospital care?

Answer 18

both diagnosis conditions
both educate patients
both prescribe medication
both have a MDT

Question 19

what factors make a positive consultation?

Answer 19

active listening 
good rapport 
compliance 
effective reassurance 
satisfy patient expectations 
construct achievable plan

Question 20

what factors make a negative consultation?

Answer 20

language barrier 
non-cooperation 
lack of rapport 
time factors 
lack of empathy 
not fulfilling patient agenda