Therapeutic alliance Flashcards
biases
we all have them, so we must self-reflect to check in on them, evaluate them, and not let them affect our interactions with patients
common biases
race, immigrants, gender, sexual orientation, age, HIV/AIDS, mental health, obesity, substance abuse, etc.
person first language
describe people as having a conditon/circumstance (ie. person who has had a stroke instead of a stroke patient)
acute stage of injury/disability
Anxiety, stage of crisis
Sudden shift in needs toward safety/survival
Denial
Decreased social pleasantries/obligations
Info seeking
subacute/posttraumatic stage of injury/disability
Stabilization of medical condition
Emergence of psychosocial issues
Emphasis on rehab efforts
patient has a right to:
Engage in treatment decisions
- Why and what you are doing
Full info disclosure
Confidentiality of healthcare info
Be respected and not discriminated against
effective patient communication
- check presence of communication aids
- speak clearly and concisely
- use preferred name and pronouns
- use terminology appropriate for patients
- use gestures and body language consistent with your words
- verify important concepts are understood
- avoid judgemental statements
- avoid labeling patients in any way
- let patients set level of familiarity in your communication
- avoid demeaning, vulgar language
facilitating positive patient encounters
Collaborate
Communicate
Empathetic
Listen without judgement
Reframe neg views
Involve family when beneficial
how to build TA
Be confident!
Watch technical jargon
Check in often
ICF (Model International Classification of Functioning, Disability, and Health)
- integrates the major models of disability
- recognizes the role of environmental factors
- creates one way to talk about what patients are going through
