Person Centred Communication 1 Flashcards
what are content skills during communication ?
the information they give and gather
being able to construct questions appropriately
what are perceptual skills during communication ?
being able to interpret what the patient is thinking and feeling
what are process skills during communication ?
the use of verbal and non verbal skills to build rapport
also being able to structure and organise communication
state the two main categories of factors which could influence a consolation ?
physical factors
personal factors
state some physical factors which may influence communication during a consultation
- site and environment
- knowing the PMH form medical records
- time restraints
- patient status (new/old patient/problem)
state some personal factors which may influence communication during a consultation
age sex gender ethnicity knowledge beliefs
what are the three main types of doctor patient relationships ?
- Authoritarian
- Guidance/co-operation
- Mutual participation relationship
describe authoritarian relationship
patients feels no autonomy
doctor decides treatment with no input from patient
describe guidance/co-operation relationship
doctor still has much authority and patient is obedient but patient feels more autonomy and participates more
describe mutual participation relationship
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
give some examples of question types that can be used in communication ?
open ended listening facilitation direct closed leading reflected
what is facilitation in communication ?
Change of facial expression or posture displaying greater interest or attention is a facilitation.
what is the definition of health from WHO?
state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
what is disease?
medical view of a medical condition by looking at the symptoms and signs
what is an illness?
ideas, concerns and expectations the patient has about the disease
what percentage of patients from GPs are referred to hospitals ?
3%
what are the differences between the GP and hospital care?
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
what are the similarities between the GP and hospital care?
both diagnosis conditions
both educate patients
both prescribe medication
both have a MDT
what factors make a positive consultation?
active listening good rapport compliance effective reassurance satisfy patient expectations construct achievable plan
what factors make a negative consultation?
language barrier non-cooperation lack of rapport time factors lack of empathy not fulfilling patient agenda
