week 12 Flashcards
provider oriented strategies for difficult conversations
practice and prep
own arousal and wants/needs
available supports
strategies to cover core information
patient oriented strategies to support difficult conversations
consider their preparation for conversation
available support
understanding and memory (remember the trauma and stress impacts on memory)
follow up
what are the steps in the serious illness conversation guide
set up the conversation assess understanding and information preference share prognosis explore key topics close the conversation document your conversation
what are the steps in the SPIKES approach
setting up the interview
assessing the patients perception
obtaining the patients invitation
giving knowledge and information to the patient
addressing the patients emotions with empathetic responses
strategy and summary
how do we ensure support
others to be involved in these conversations
connecting with other support services
being empathetic and taking the time needed
what are some tools to improve communication and memory
handouts with information shared in sessions
opportunities to follow up with questions
questions prompt lists
general strategies for planning ahead
practice
setting: consider the timing and location
tools: use tools to guide conversations
supports: become aware of resources and supports
team: work as part of a team
general communication strategies for having difficult conversations
communicate with honesty and integrity
never give false hope
be present
validate the other persons feelings
do not leave patients alone too soon
do not ask what patient needs in the time of crisis as they may not know
be gentle
use a comforting touch if appropriate
use your micro-skills to ensure your message is being accurately received
ensure the recipient of the news has other support present
leave your client with future information/resources if appropriate
