Rev

Question 1

Enumarate Comunication Skills and explain each one ?

Answer 1

1-Doctor-Patient interpersonal skills:
Empathy is the ability to understand the feelings, needs & reactions of others
(patients). I t depends on doctor’s personality but can b e learnt:
1. Good eye contact
2. Appropriate posture & tone of voice
3. Attentive listening
4. Picking up & responding to verbal & non-verbal cues from patient
5. Indicate that you understand him
6. Showing respect & concern,
7. Showing support & warms,
8. Developing a collaborative & cooperative relation

Question 2

Enumarate Comunication Skills and explain each one ?

Answer 2

II- Information-gathering skills
Listening t o patient: concentrate on what he says, try to understand his feeling
a. Verbal: active listening by asking questions; don’t interrupt him; silences are
allowed to give time to patient to reflect on what has been said & to the
doctor to observe the patient & plan for the next stage Non-verbal: appropriate posture → lean forward, nod your head, eye contact
2. Facilitation: help the patient to talk through
Verbal
: a .
وﺑﻌﺪﯾﻦ؟”
…..ﻓﺎھﻢ
اﻧﺎ
“ “ ده
اﻟﻮﺟﻊ
ﻋﻦ
اﻛﺘﺮ ﺗﻘﻮﻟﻠﻲ
ﻣﻤﻜﻦ
b. Non-verbal: appropriate posture: lean forward, nod your head, eye contact
ﺑﺎﻟﻀﺒﻂ ﻣﻤﻜﻦ Clarification of vague informatاﻟﻮﺟﻊ”'”ﻣﻤﻜﻦ
اﺑﺘﺪى اﻟﻮﺟﻊ
اﻣﺘﻰ
ﺑﺪوﺧﮫ” اﯾﮫ
ﻗﺼﺪ “ ﺑﺎﻟﺘﻔﺼﯿﻞ
4. Reflection: mirroring back what they have just said help them to proceed their
story
5. Helping the patient to be relevant: interrupt at a certain point & try to redirect
ﻋﻠﯿﮫ؟
ﻟﻲ
ﻗﻠﺖ اﻟﻠﻲ اﻟﺼﺪاع ﻋﻦ
اﻛﺘﺮ اﺳﻤﻊ
ﻣﻤﻜﻦ طﯿﺐ ﺗﻤﺎم
ﺑﯿﺠﻲ
ﻛﺎن
و…. اﻟﺸﺮﻛﺔ اﺷﺘﻐﻠﺖ
interview
t h e
ﻟﻚ
6. Signposting: indicate to the patient what you want to discuss next” (signposts
اﺳﺌﻠﺔ ﺷﻮﯾﺔ ﺣﺴﺎﻟﻚ دﻟﻮﻗﺘﻲ …. )on a road direct us to our

Question 3

Enumarate Comunication Skills and explain each one ?

Answer 3

Information giving skills
1. Clear and simple information (no technical terms)
2. Categorizing information
3. Using repetition & summarizing.
4. Using specific advice and concrete examples.
5. Using explanatory tools e.g. diagrams & written information.
6. Checking patient’s understanding
Failure to give information is the most common of dissatisfaction
Giving information has major effect on:
1. Decrease anxiety and stress before investigations & surgery
2. Decrease time spent in hospital; decrease the dose of pain-relieving drugs
3. Satisfaction with care
4. Increase the compliance with treatment
How to improve your way of giving information?
1. Begin the interview by summary of patient’s problem
2. Describe & clarify given information:
a. Results of physical examination
b. Results of tests
c. Diagnosis or provisional diagnosis
d. Cause of problem
e. Necessary further investigations
f. Treatment planned

9. Prognosis
   h. Advice about life stile
   3 . Describe & explain each p a r t o f information with appropriate language:
   a. Give the most important first
   b. Short words; short sentences
   c. Avoid medical jargon
   d. Be specific; vague information → increases anxiety
   4 . If relevant, use drawing to supplement the information
   5 . Outline the plan of the rest of the interview: discuss diagnosis; treatment;
   future investigation -» improve patient’s recall
   6 . Assess the patient’s understanding o f the condition
   7 . Most Important first; particularly when giving advice
10. Explore his view & encourage him t o ask questions
    9 . Negotiate management with him; help him to decide which treatment
11. Check the patient’s understanding