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Flashcards in Clinical Communication Deck (12):
1

Dysphasia/aphasia

Language processing disorder but intellectual competency not affected, usually from strokes

2

Broca's aphasia

Can understand but can't speak words or sentences

3

Wernicke's aphasia

Can't understand but can speak clear words which may not make sense together

4

Dementia

Deterioration of all cognitive functions, some particularly affect language

5

Dysarthria

Neuromuscular disorder of speech at tongue/mouth muscle level so no problems writing

6

Dyspraxia

Disorder of speech motor programming so coordination issues

7

Things aiding lip reading

Don't exaggerate/over-emphasise words
Repeat same words once or twice, write it down

8

Language barrier affects

Patient's feeling/perceptions
Effectiveness of communication

9

Alternatives to overcome language barriers

Verbal cues e.g. hmm, ah
non-verbal - body language
NOT gestures as may mean something else in other culture
Drawings/pictures
Acting
More time e.g. double appointment in GP surgery

10

Tips for sharing info with patient

Logical structure - headlines then detail
Signpost, chance info and check understanding
Start with what is known, then new stuff without jargon but do give names of condition, treatment, tests
Give info to help remember e.g. website/leaflet

11

Calgary-Cambridge guide

Initiate consultation
Gather info
Physical examination
Explanation and planning
Close consultation

12

How to present risk

Natural frequencies e.g. 3 in 10 not 30% and small numbers so 3 in 10 not 30 in 100
Avoid relative risk e.g. twice as likely
pos/neg framing e.g. treatment is effective, 80% recover
Use graphics