Dpr: Final Wk 10

Front 1

What are the componenets of an information-giving interview?

Back 1

1. Giving Information:
-Establish baseline
-Deliever a jargon-free message
-Check the patient's understanding

2. Building rapport through responding to emotion
-Name and label feelings

Front 2

What are the steps involved in communicating bad news?

Back 2

o Advance Preparation
o Build a Therapeutic Environment/Relationship
o Communicate Well
o Deal with patient and Family Reactions
o Encourage and Validate Emotions

Front 3

How should the clinician deal with a variety of patient reactions by being extremely calm?

Back 3

Suggests that the patient either hasn't really understood the news or hasn't emotionally connected with it.

Front 4

Angry patient, how should dr. deal with it?

Back 4

Recognize it and let patient explain these feelings.

Front 5

Despondent patient, how should dr. deal with it?

Back 5

Tell the patient that we may not be able to cure you, but we will try our best to relieve suffering and we will not abandon you.

Front 6

What are the barrier clinican's encounter when faced with giving a patient bad news?

Back 6

• Denying defeat, delaying the bad news
• Confusion instead of clarity – “medicalese”
• Destroying hope, fear that patients will lose the will to live
• Keeping your distance
• Disappearing

Front 7

Why is evaluating primary data important?

Back 7

1. Avoid all preconceptions & biases

2. Helps identify key clinical features-pattern recognition

3. Allows one to see entire events.

Evaluating primary data means that you are not looking at someone else’s diagnosis. This way one avoids all biases and preconceptions and tries to identify the key clinical features – pattern recognition- and frame the situation him/herself.

Front 8

What are some methods of collecting primary data?

Back 8

o Questionnaires
o Interviews
o Focus group interviews
o Observation
o Case-studies
o Diaries
o Critical incidents
o portfolios

Front 9

When physician switch from a theoretical discussion to a practical application, they do not acknowledge the uncertainty inherent in what they do.

Back 9

The disregard of uncertainty

Front 10

Disregard of uncertainty results from

Back 10

o Incomplete or imperfect mastery of available knowledge
o Limitations in current medical knowledge
o Difficulty in distinguishing between personal ignorance or ineptitude and the limitations of present medical knowledge