By Md Platt;Geoffrey H. Gordon Frederic W.
Written via physicians expert at training colleagues in physician-patient communique, this pocket advisor offers sensible options for dealing with a wide selection of inauspicious sufferer interviews. every one bankruptcy offers a hypothetical situation, describes potent verbal exchange strategies for every section of the interplay, and identifies pitfalls to prevent. The presentation comprises examples of physician-patient discussion, illustrations exhibiting physique language, and key references.
This variation comprises new chapters on taking care of physician-patients, speaking with colleagues, disclosing unforeseen results and scientific blunders, shared selection making and educated consent, and instructing verbal exchange abilities. different new chapters describe scientific attitudes comparable to endurance, interest, and hope.
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Extra resources for Field guide to the difficult patient interview
It might even help if you yourself respond to patient’s nonverbal communication with similar posture and expression, a sort of matching or mirroring, and then later move toward a posture and tone of safety and relaxation. PITFALLS TO AVOID 1. Not bothering to sit down, since you won’t be there long. 2. Staring at the chart or computer instead of attending to the patient. 3. Popping in and out of the room to take pages or phone calls during the interview. 4. Ignoring the patient’s facial expressions and body postures.
A biological perspective on empathy. Am J Psychiatry 1989;146:10–19. Bylund CL, Makoul G. Empathic communication and gender in the physician-patient encounter. Patient Educ Couns 2002;48:207–216. ” Words that help build empathy. Ann Intern Med 2001;135: 221–227. Levinson W, Gorawara-Bhat R, Lamb J. A study of patient clues and physician responses in primary care and surgical settings. JAMA 2000;284:1021–1027. Levinson W, Roter D. Physicians’ psychosocial beliefs correlate with their patient communication skills.
I want to stop for a moment to think about what you have been telling me. : No, Mr. , really. Stop for a moment so I can consider. Then, it may help to begin your attempt to summarize your understanding with a signpost or framing phrase. qxd 2/23/04 12:42 PM Page 23 BUILDING RAPPORT Chapter 3 tells the patient that it is his turn to listen and yours to talk, that you are going to try to say what you have gleaned in your listening and that you want your patient’s help to make sure you got it right.