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Assessment of Vision 1 > Week 1: Good Communication > Flashcards

Week 1: Good Communication Flashcards

1
Q

What are the importance of communication in health care?

A
  • Better understanding of the patient’s problem
  • Promotes awareness of physical, social and emotional impact of specific problems on patient’s quality of life to enable holistic care
  • Effective communication between health care provider and patient
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2
Q

What are the barriers to communication?

A
  • Perception
  • Culture
  • Language
  • Communication-channel
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3
Q

List noise barriers in communication and give one example

A
  1. Sender: language barrier
  2. Receiver: misinterpretation of question
  3. External: phone ringing
  4. Unavoidable: urgent phone calls
  5. Avoidable: mobile phones
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3
Q

What are the attending behaviour vs non-attending behaviour?

A
  1. Facial expression
  2. Body language
  3. Vocal tone
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4
Q

What are the elements contributing to successful or failure in communication?

A
  1. Surroundings
  2. Continuity
  3. S.O.L.E.R
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5
Q

What does S.O.L.E.R stand for?

A

S = squarely faced
O = open body posture
L = leaning forward
E = eye contact
R = relax

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6
Q

List 6 factors for developing rapport

A
  1. Posture
  2. Eye Contact
  3. Body Language
  4. Vocal Qualities
  5. Verbal tracking
  6. Silence
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7
Q

Explain non-verbal communication

A

All communication apart from words

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8
Q

Lists 6 non-verbal communication

A
  1. Body contact
  2. Body movements
  3. Gestures
  4. Posture
  5. Facial expressions
  6. Paralanguage
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9
Q

What are the three basic listening modes and define them

A
  1. Competitive listening
    - More interested in promoting their own point of view
  2. Attentive listening
    - Genuinely interested in hearing & understanding the other’s point of view
  3. Active listening
    - The listener fully concentrates, understands, responds & remembers what is being said
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10
Q

List 5 factors that can help improve active listening and define them.

A
  1. Paraphrasing
    - Using different words to clarify meaning
  2. Reflecting feelings
    - Expressing the essence of the feelings you are hearing
  3. Reflecting meaning
  4. Give feedback
    - Providing advice without any judgement
  5. Listen more than talking
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11
Q

What are the benefits of active listening?

A
  • If a misunderstanding has occurred, it will be identified immediately and communication can be clarified
  • Helps people to spot flaws in their reasoning
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12
Q

What should be in the identifying data?

A
  1. Name
  2. Gender
  3. Age
  4. Date of birth
  5. Name of GP
  6. Contact details
  7. Occupation
  8. Family/social situation
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13
Q

How should you begin each optometry consultation with a patient-centred approach? Briefly explain each section.

A
  1. Set the Stage
    - Welcome the px while directing them to the examination chair and use the px’s name
    - Introduce & identify yourself
  2. Set the Agenda
    - Use open-ended questions and understand their chief complaints
    - Clarify the patient’s expectations for this visit
  3. Elicit the Patient’s Story
    - Return to open-ended questions directed at major problems
  4. Make the Transition
    - Summarise interview and verbalise intention
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14
Q

How to deal with chief complaints?

A
  • Brief description of the reason for px’s visit
  • Usually stated in the px’s own words
  • Begin with the ‘W’ questions: when, what, where & how frequently
  • Record accurately
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15
Q

What mnemonic could you use for documenting a chief complaint?

A

FOLDARQ or LOFTSEA

16
Q

What does FOLDARQ stand for and explain briefly.

A
  • Frequency: how often is it happening?
  • Onset: when did it happen?
  • Location: which area? Is it affecting both your vision?
  • Duration: has long has it lasted? Have you noticed any improvements?
  • Associated signs and symptoms
  • Relieving Factors: environment/medication
  • Quality: how severe on a scale of 1 to 10
17
Q

What does LOFTSEA stand for?

A
  • Location
  • Onset
  • Frequency
  • Type
  • Self-treatment
  • Effect on px
  • Associated signs & symptoms
18
Q

What are three parts which are important in taking patient case history? Explain what each sections consist of.

A
  1. Past personal
    - current medication, allergies, past medical history/injuries/surgeries
  2. Family
    - present or past ocular conditions
    - immediate and close relatives history are important
  3. Social
    - employment, hobbies, visual needs
19
Q

What are some clinical pearls?

A
  • Clinician should explain the scope & purpose of the interview
  • Provide patient confidentiality
  • Accurate communication required
  • Use open-ended questions
  • Listen effectively: sensitive topics
  • Examine children with adult guardian present
  • Examine elderly with a family member present

Assessment of Vision 1 (10 decks)

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