Communication Flashcards
4 components of clinical competence
knowledge, communication skills, physical examination, problem solving
Setting the state
- Review the chart
- The environment
- Respect (punctuality, terms of address, knock on the door, personal appearance, distance/personal space, nonverbals, unconditional positive regard, listen)
opening the medical interview
introduce your self - role and goal
put patient at east
appropriate use of open ended and close ended questions
open ended questions
those which cannot be answered with a yes or no or one word answer. Use to begin each line of inquiry
why open ended questions
encourage the patients story, actually save time, good for eliciting psychosocial aspects, allow the patient to choose the most important symptoms
close ended questions
those that can be answered by yes or no or a few words. Those for which the desired answer is clear. Used as follow up questions. Provide detail. Clarify meaning.
active listening
communication that is non-evaluative, attentive and encouraging
verbal examples of active listening
uh huh, i see, go one, repetition of last words, brief sumamry
non verbal examples of active listening
nod, lean forward, facial expression, attentive silence
empathic response
communication that reflects caring
verbal ex of empathic response
that must have been difficult for you, i understand, i think you coped very well under those circumstances
non verbal examples of empathic responses
nodding, appropriate touching, mirror expression of feeling
closing the medical interview
summary of data, effective closure
throughout the interview always
be a good listener, show respect, be patient, be honest, be objective; nonjudgemental, exhibit caring behavior, reinforce confidentiality, avoid medical jargon, explain
