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19 Cards in this Set

  • Front
  • Back
Medical Interaction Good traits
trust, communication, and relationship
-physicians with good communication skills, non-verbal sympathy, and empathy have more satisfied patients, adherence, and better outcomes
Poor communication
-non adherence
-antibiotic resistance
-patient dissatisfaction
-confusion
Medical Terminology causes
-confusion
-accentuates power differential
-dissatisfaction
Medspeak
-formal
-frightening
-self aggrandizing
-about 30% of medical jargon used wrong
listening to patients
-accurate diagnosis
-patients dont have a chance to talk because physicians talk so much
-patients may alter responses looking for doctor approval
Educating patients
45% patients are highly dissatisfied with the amount of information
-physicians overestimate
-7% of interaction time asking questions
Improving Recall
-more than half of information is forgotten by patients
-Cofactors
-large amount of information
-health literacy
- anxiety
-no age related differences
Primacy and Recency effect
-Primacy- patients remember what they are told first
-recency effect patients remember what they are told last
Nonverbal Communication
-recognizing patient distress, anxiety
-mind-body connection often manifested nonverbally
- demonstrating pain
Nonverbal Cues
-touch (empathy)
-eye contact (intensifies the emotion present)
-facial expression (emotional state)
-tone of voice ( convey emotional state)
-body language (emotional state)
Metacommunication
communication about communication
-emotion conveyed through a combination of verbal and non-verbal cues
Empathy
- health professionals feelings should only be conveyed in they are somewhat beneficial to the patient
Parts of empathy
-cognitive empathy - Dr. carefully observe and knows the meaning behind what he observes
-affective empathy-being sensitive to the patients feelings being sensitive to what the patient is saying, in words, gestures and actions listening.
-communicative empathy-Dr. conveys to the patient that he or she is understood towards what has been said
Rapport
-"good relationship", characterized by mutual trust, liking
-mutual - low power differential
-definition of rapport varies
Self fulfilling prophecy
Patients outcomes based on expectations
-pygmalion effect
Emotional Regression
Infantilize Patients-Helplessness of Patients
-patients can regress to childhood
Evidence Based Medicine
Shared Decision Medicine
- Doctor looks at data from population studies
- Doctor and patient expertise unite to make health care decision
Steps to making a good diagnosis Barrat
1. Develop focused clinical question
2. Search scientific literature
3. find and appraise the best evidence
4. bring all information together to make a decision
Resource management
communication tasks
evidence task
-geographic factors, financial funding availability and accepting resources
-communication tasks-explaining options eliciting patient preferences facilating decision making
-interpret evidence of benefits and harm on trial data that may be unique to patient