week 6

Question 1

Types of communication

Answer 1

Vocalizations
* Sounds, grunts, unintelligible speech, shouts
* Understandable appropriate speech or repetition
* Behavioural
* Pacing, self injurious behaviour, picking at sores, stripping off
clothes, aggression
* Body language
* Facial expression, going limp or rigid
* Gestures
* Yes/no headshake, point, push away, or made-up gestures
* sign language etc

Question 2

Goals of communication

Answer 2

• optimise quality and efficiency of care
• to deliver safe and ethical health care
• fulfil duty of care
• enhance therapeutic relationships

Question 3

Imporntance of communication

Answer 3

Build trust
Facilitates teamwork
Enables patients to be fully involved in making decisions about their health car

Question 4

Open questioning

Types of questioning

Answer 4

More information with no specific reply
* Allow patient to provide their own answer
* Can ascertain views and experiences in a patient’s own words
* Often start with - “How/why/when/where

Question 5

Closed questions

Types of questioning

Answer 5

Questions with a predefined list of responses
* Impose a structure for patient’s response
* Often answered with “yes or no”
* Examples (do you, have you, would you

Question 6

Probing/prompting questions

Types of questioning

Answer 6

Acquire additional information
* Clarifying information
* Responder supplies more information
* Constructive and sensible questions based on previous answers
WHat made you think that? can you be more specific?

Question 7

Leading questions

types of questioning

Answer 7

Implies things
* The question influences the reply
* Very common for 1st year physiotherapy students as it helps you
control the situation

You look like you’re feeling
better today, right?
You did your exercises, right?

Question 8

Loaded questioning?

Answer 8

Judgement of patient within questions

I hope you haven’t forgotten to do your exercises?

Question 9

Positive messeges

Answer 9

1. Promote resilience
   “Your back is one of the strongest structures in your body”
2. Scans (what can you say to a frightened patient) “your scan changes are not unexpected as we get older and we
   know changes on medical imaging is poorly correlated with pain intensity”

Question 10

Non-verbal comm

Answer 10

smile, eye contact, shake hand, appear interested

Question 11

Empathy

Answer 11

The ability to understand a patient’s situation, behaviour and feelings and communicate that
understanding to a patient
- provide empathy
- reflective listening