Revision Flashcards

1
Q

Health communication

A

symbolicprocessesbywhichpeople,
individuallyandcollectively,understand,shape,andaccommodate
healthandillness

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2
Q

Communication with patients

A

Understandingapatientandtheirproblem,fromhisorher
perspective
 Allowingthepatienttonarratetheirownstoryintheirown
words
 Demonstratinginterest,empathy,andrespect
 Explainingprocedures,discussingtreatmentoptionsandtheir
effectstopatients

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3
Q

communication with colleagues

A

Respectfulcommunication
 Assertivecommunication
 Beinglistenedtoandlisteningtoothers
 Sharingimportantpatient‐centredinformation
 Checkingunderstandingofimportantinformation

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4
Q

emotional aspects of communication

A

Beawareoffeelings:yourown,andtheotherperson’s;expressemotionsina
constructivemanner.
 Ownyourfeelingsandopinions:beawareofwhenyouareexpressingyourownopinions,
feelingsorideas.Whenyouexpressanopinion,feelingoridea,sayso– use‘I’language.
 Describingfeelings:Itisreallyimportanttoappropriatelycommunicatefeelingsinyour
relationships.Communicatingfeelingsisusefulforself‐disclosureandtoteachpeople
howtotreatyou.

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5
Q

eliciting and clarifying information

A

Questioning:Questionshelpyoutoincreaseyourunderstandingofamessagethathas
beenconveyedtoyou,ortogainmoreinformation.
 Paraphrasing:Paraphrasinginvolvesconveyingyourunderstandingofanotherperson’s
messagethroughreflectingbacktheunderlyingmeaningofthemessageasyou
understoodit.

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6
Q

clear communication

A

Makesurethemessageyouaretryingtoconveyisdeliveredtoyourlistenerbyproviding
clearinformation.
 Adaptthelanguageyouusetoyouraudience,avoidjargon,slangorotherwordsor
informationyouraudiencewillnotunderstand.
 Useconcreteexamples

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7
Q

sender/first person

A

sends information

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8
Q

reciever/second person

A

receives information

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9
Q

observer/third person

A

watches over the conversation as an objective outsider

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10
Q

Barriers to effective communication

A
  • language barriers
  • filters
  • stereotyping
  • inappropriate advice giving
  • hearing but not listening
  • jumping to conclusiosn
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11
Q

perception

A

Howweorganiseandinterprettheinformationinour
environmentdetermineshowwecommunicateabout
thatinformationandtheenvironment.

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12
Q

self awareness

A

understanding of who we are

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13
Q

self esteem

A

evaluation of who we percieve oursleves to be

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14
Q

self concept

A

self awareness + self esteem

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15
Q

perspective taking is associated with

A

bettersocialfunctioning;self‐esteem
isenhancedbysatisfyingsocialrelationships,therefore
expecttoseethesetworelated

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16
Q

relationship between self esteem and empathy

A

largely non existent

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17
Q

how does emotion effect communication

A

influenceshowwetalktoothersandhowothershearwhat

wesay

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18
Q

emotional intelligence

A

competenceinexpressing
emotionandinlisteningandrespondingtothe
emotionalcommunicationofothers

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19
Q

self regulation

A

yourcapacitytomonitoryour
behaviour,identifyifanychangesarenecessaryto
reachyourgoals,andsetaboutmakingthosechanges

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20
Q

keys to effective communication

A
ask questions 
think twice 
distinguish perspectives 
avoid stereotyping 
be honest 
active listening 
be flexible
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21
Q

kleinman’s 8 questions for health professionals

A
  1. What do you call your illness?
  2. What do you think caused the illness?
  3. When did it start?
  4. What do you think the illness does? How does it
    work?
  5. How severe is it? Will it have a short or long course?
  6. What kind of treatment do you think the patient
    should receive? What are the most important
    results you hope s/he receives from this treatment?
  7. What are the chief problems the illness has caused?
  8. What do you fear most about the illness?
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22
Q

culture

A

the characteristics and knowledge of a particular society
refers to the cumulative deposit of knowledge, experience,
beliefs, values, roles and customs acquired by a group of people in the
course of generations;

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23
Q

bronfrenner’s ecological model of communication

A

family culture, company culture, national culture.

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24
Q

culture and communication

A

Each culture has set rules that its members take for granted -
taught or absorbed subconsciously
 a culture’s norms are based on local knowledge, life rules, religious
beliefs, group values,
 Taboos are based on rules phobias and anxieties`

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25
issues minority groups face
``` -stereotypes myths discrimination kinship traditional laws gender issues disadvantage (no access to education, employment etc.) ```
26
cultural similarities and differences
``` uncertainty avoidance high/low context formal v informal individualist v collectivist context ambuiguity masculine v feminine direct v indirect sequential v synchronic ```
27
sequential
time is linear and can be spent, wasteed etc.
28
synchronic
time is a constant flow to be experienced
29
context
high context cultures= meaning is verbal and explicit | low context= meaning is conveyed by situation and context
30
power distance
the extent to which a culture values status and power and expect that these are distributed unequally. Low power distance cultures are more consultation or democracy  High power distance cultures are structured and hierarchical approach to communication with those in power
31
gender and culture
Masculine cultures value assertiveness and dominance |  Feminine cultures value nurturing/caring and cooperation
32
affective language
cultures with high affect show their feelings plainly by | laughing, smiling, grimacing, scowling, shouting, etc
33
neutral language
neutral cultures do not telegraph their feelings, but keep | them carefully controlled and subdued
34
cultural competence
knowledge skills awareness
35
3 R's of cultural communication
respect, reciprocity, recognition
36
6 models to cultural training
``` cultural awareness  cultural competence  cultural safety  cultural security  transcultural care  cultural respect ```
37
transcultural care
formal areas of study and practice in the cultural beliefs, values and life ways of diverse cultures and in the use of knowledge to provide culture-specific or culture-universal care to individuals, families and groups of particular cultures
38
cultural security model
model emphasizes that the responsibility for culturally secure health services lies with the system as a whole, rather than individual health workers.
39
cultural respect
‘uphold the rights … people to maintain, protect and develop their culture and achieve equitable health outcomes
40
cultural awareness
aims to increase participants’ awareness of ‘cultural, social and historical factors, promoting participants’ selfreflection on their own culture and ‘tendency to stereotype
41
cultural humility
a commitment and active engagement in a lifelong process that individuals enter into on an ongoing basis with patients, communities, colleagues, and with themselves
42
Deaf
someone with some degree of hearing loss (usually profound and from early life) uses sign language as their preferred mode of communication
43
Hearing loss
some difficulty hearing sounds | uses spoken language as their preferred language
44
Deaf culture behaviours
- getting attention - deaf nod - long goodbye - expressive language
45
exclusive language
harmful because it can inhibit or | prevents people from reaching their full potential
46
dementia
a brain related disorder caused by diseases and other conditions. charaterised by issues with memory, focusing attention, visual perception, reasoning, judgement and comprehension.
47
common communication problems for those with dementia
``` difficulty finding words using speech that doesnt make sense deteriorated writing and reading skills loss of normal social conventions difficulty expressing emotions some people can still read or sing songs ```
48
barriers to communication with people with dementia
1. patient 2. institutional 3. environmental
49
how not to communicate with people with dementia
``` argue order the person around tell them what they cant do be condescending asking questions that rely on memory dont talk in front of them as though theyre not there ```
50
MESSAGE
``` Maximise attention  Expression and body language  Keep it simple  Support the conversation  Assist with visual aids  Get their message  Encourage and engage in communication ```
51
EMC
electronically mediated communication
52
asynchronous
takes place outside of real time
53
synchronous
real time
54
dangers of EMC
- messages get lost without nonverbals - exposure and over exposure - exclusion (elderly cant communicate etc.) - harrassment and cyber bullying
55
media richness
the amount of feedback the communicator receives. ▪ the number and nature of the cues that the channel can convey ▪ the number and nature of the cues that can translate ▪ the variety of language used for conveying emotion
56
group development
``` dependency and inclusion counter dependency trust and structure work termination ```
57
task/instrumental roles
(E.g. Information seeker, coordinator,  | recorder, initiator, critic)
58
maintenence roles
 (E.g. Encourager, observer, harmoniser)
59
negative roles
 (E.g. Dominator, blocker, special‐interest  | pleader, joker)
60
professional boundaries
a ‘psychological space’ or distance between individuals, one that  is often used to emphasize the clinician’s stance of anonymity, neutrality and objectivity”
61
dual relationships
“A professional enters into a dual relationship whenever he or  she assumes a second role with a client, becoming [health  professional] and friend, employer, teacher, business associate,  family member, or sex partner” 
62
stress
The psychological and physical response you experience when you perceive a discrepancy between the demands of a situation and your capacity to cope.
63
main causes of stress
``` self generated work money relationships irritants life changes ```
64
transactional process model
primary and secondary apraisal
65
eustress
perfect balance of stress and resources
66
communicating with stressed people
``` empathy active listening self disclosure questioning for understanding reframing ```
67
pathogenic
This traditional model is victim-based ▪ Focus on negative outcomes and how to alleviate these outcomes ▪ Outcomes inc: Depression, Withdrawal, PTSD, Anxiety /distress, Poor communication
68
salutogenic
This model is survivor-based ▪ Focus on the strengths a person has to survive extraordinary challenges ▪ Still feelings of distress, but also positive outcomes
69
vicarious trauma
emergency centres
70
secondary trauma
intergenerational
71
grief and loss
1. Denial & Isolation 2. Anger 3. Bargaining 4. Depression 5. Acceptance
72
maladaptive coping
Ways of coping that are immature and defensive • Avoid dealing with a problem ▪ An emotional response that doesn’t help reduce stress in the long-term • Can lead to you taking frustrations out on someone who is likely not the cause of your stress ▪ Self-indulgence
73
adaptive coping
▪ Thoughts, feelings and actions that help deal with the cause of the stress ▪ Need to consider if this is a problem that can be changed or not ▪ Problem –focussed coping ▪ Emotion-focussed coping
74
hope
not only a recovery element but also a protective | factor in post traumatic growth
75
power
not only a recovery element but also a protective | factor in post traumatic growth
76
principles of power
 Power is part of all interpersonal messages  aggressive –assertive -passive  Power varies from person to person  Power is rarely static  Power is frequently used unfairly  failure to assert may be due to lack of perceived power  Power follows principle of less interest  greater interest = least power  Power has an age, gender and cultural dimension  High vs Low power distance
77
Communication skills to prevent another person from dominating
``` Coalitions  temporary alliances increase relative power  Defiance  purposeful noncompliance  Resistance  ambiguous noncompliance ```
78
conflict
occurs when one person’s ideas, beliefs, goals and/or behaviour are at odds with ideas, beliefs, goals and/or behaviour of another person
79
interpresonal conflict
is a disagreement between connected individuals who each want something that is incompatible with what the other wants.
80
types of interpersonal conflict
``` pseudo fact value policy ego Metaconflict = conflict about communication & how you speak to someone during a conflict. ```
81
conflict resoluton styles
``` Forcing/competing  Withdrawing  Accommodating  Compromising  Collaborating ```
82
types of group conflict
1. task 2. personal 3. process
83
mediation
collaborative approach involving a 3rd party or mediator to assist the disputing parties to reach a mutually satisfying solution to their conflict.
84
evaluative mediation
focused on providing the parties with an evaluation of their case and directing them toward settlement, i.e. the mediator will express a view on what might be a fair or reasonable settlement.
85
facilitative mediation
Facilitative mediator facilitates the conversation
86
biased mediation
Biased mediators enter into a conflict with specific biases in favour of one party or another.
87
arbitration
begins as mediation, but if mediation fails, the mediator becomes an arbiter.
88
transformative mediation
conflict as a crisis in the way parties communicate