PDCI Flashcards
(13 cards)
Barriers to Patient Physician relationship
1) limited time
2) business ($)
3) medicalization
4) technology
McWhitney’s Taxonomy of Medical Seeking Behavior
1) can’t tolerate symptom
2) can’t tolerate anxiety about symptoms
3) life issues present as symptoms
4) preventative (not sick)
5) administrative (job, school)
Functions of the medical interview
1) gather data and understand
2) develop rapport and respond to emotions
3) educate and motivate
4) begin diagnosis and healing
Communication factors that increase patient compliance
1) information exchange / patient education
2) negotiating mutual expectation
Communication behaviors of doctors who were sued less
1) longer visits
2) more orienting statements
3) more humor/laughter
4) more facilitating comments “go on”
Nonverbal and verbal behavior
BEFITS
1) body posture & movement
2) eye contact
3) facial expression
4) inflection / tone
5) touch
6) space
Verbal techniques that help information gathering
FOCUS
1) facilitations
2) open ended questions
3) clarification and direction
4) understand by checking
5) surveying problems
Skills that convey empathetic understanding
REALLY PREPARE (RLPPR)
1) reflection
2) legitimation
3) personal support
4) partnership
5) respect
Fundamentals of service
AIDET
1) acknowledge
2) introduce
3) duration
4) explanation
5) thank
Kleinman Questions
Elicit a patient’s cultural perspective
- what do you think has caused this problem?
- what do you fear most about this sickness?
Eliciting psychosocial context
BATHE
1) background
2) affect
3) trouble
4) handling
5) empathy
To enable change, ask…
1) how important is it for you to change?
2) how confident are you that you can change?
Is there something/anything else?
Ask “is there something else”
