Talking with patients Flashcards
Describe the three types of communication styles
- Effective - friendly effective communicators, relaxed under pressure and leave an impression on people
- Dominant – argumentative, dramatizing, speak a lot and dominate conversations. May have difficulty moving towards a patient focused style and active listening
- Non-verbal – non verbally expressive using face, eyes and gestures to encourage people and are therefore perceived as empathic and supportive
Sources of non-verbal communication
- Eye behaviour
- Facial expression
- Body movements and positioning
- Proximity (Interpersonal distance)
- Vocal cues
- Touch
Also: Appearance, setting, use of time
What are the recommended units of alcohol for women?
No more than 2-3 units per day
What are the recommended units of alcohol for men?
No more than 3-4 units per day
How do you calculate units of alcohol
_Volume in ml x percentage _
1000
How can you asess alcohol intake?
CAGE and CONTROL questions
Describe the CAGE questionnaire
C Have you felt the need to Cut down on your drinking?
A Have you been Annoyed by criticism of your drinking?
G Have you felt Guilty about your drinking?
E Have you taken an Eye-opener in the morning?
Describe the CONTROL questionnarie
CO Can you always Control your drinking?
N Has alcohol ever led you to Neglect your family or work?
T What Time do you start drinking? Do you sometimes start before this?
R Do friends comment on how much you drink or ask you to Reduce intake?
O Do you ever drink in the mornings to Overcome a hangover?
L Go through an average day’s alcohol, Leave nothing out.
Give three questions you would need to ask if you suspect your patient is abusing alchohol
Nature and quantity of alcohol consumed
Amount of money spent on alcohol per week
Age of onset of drinking
Previous drinking habit
Previous episodes of the shakes
Time of taking first drink in the day
With whom and where drinking occurs
When assessing what drugs/medications a patient is on, what do you need to ask?
Doctor: Any medication prescribed by registered medical or dental practitioner
Recreational: Tobacco, alcohol, illicit drugs, anabolic steroids etc.
User: Over-the-counter purchases, alternative medicines
Gynaecological: Oral or depot contraceptive preparations, HRT
Sensitivities: Including exact nature of response
Why is feedback important?
Provides acknowledgement of acquisition of professional knowledge, attitudes and skills
Provides guidelines for areas that need to be developed
Provides motivation to undertake the development
Provides insight into personal style
Can lead to improve clinical practice
List 5 components of constructive feedback
Feedback should be given:
On what has been done well and areas that need developing, and work with colleague to develop improvements
As soon after event as possible
Be descriptive not evaluative
Talk about specific behaviours and give examples
Use “I” and give your experience of the behaviour
Confine feedback to things that can be changed
Be honest and accurate
How do receive constructive feedback?
Listen carefully
Ask for it to be repeated if you did not hear it clearly
Ask for clarification and examples if statements are unclear
Assume it is constructive
Consider and use those elements that are helpful
What information do you need to know about smoking (history)?
Smoker?
Ever smoked?
How many? Cut down?
How long?
