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19 Cards in this Set
- Front
- Back
Medical Interaction Good traits
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trust, communication, and relationship
-physicians with good communication skills, non-verbal sympathy, and empathy have more satisfied patients, adherence, and better outcomes |
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Poor communication
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-non adherence
-antibiotic resistance -patient dissatisfaction -confusion |
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Medical Terminology causes
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-confusion
-accentuates power differential -dissatisfaction |
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Medspeak
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-formal
-frightening -self aggrandizing -about 30% of medical jargon used wrong |
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listening to patients
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-accurate diagnosis
-patients dont have a chance to talk because physicians talk so much -patients may alter responses looking for doctor approval |
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Educating patients
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45% patients are highly dissatisfied with the amount of information
-physicians overestimate -7% of interaction time asking questions |
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Improving Recall
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-more than half of information is forgotten by patients
-Cofactors -large amount of information -health literacy - anxiety -no age related differences |
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Primacy and Recency effect
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-Primacy- patients remember what they are told first
-recency effect patients remember what they are told last |
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Nonverbal Communication
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-recognizing patient distress, anxiety
-mind-body connection often manifested nonverbally - demonstrating pain |
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Nonverbal Cues
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-touch (empathy)
-eye contact (intensifies the emotion present) -facial expression (emotional state) -tone of voice ( convey emotional state) -body language (emotional state) |
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Metacommunication
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communication about communication
-emotion conveyed through a combination of verbal and non-verbal cues |
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Empathy
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- health professionals feelings should only be conveyed in they are somewhat beneficial to the patient
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Parts of empathy
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-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 |
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Rapport
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-"good relationship", characterized by mutual trust, liking
-mutual - low power differential -definition of rapport varies |
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Self fulfilling prophecy
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Patients outcomes based on expectations
-pygmalion effect |
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Emotional Regression
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Infantilize Patients-Helplessness of Patients
-patients can regress to childhood |
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Evidence Based Medicine
Shared Decision Medicine |
- Doctor looks at data from population studies
- Doctor and patient expertise unite to make health care decision |
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Steps to making a good diagnosis Barrat
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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 |
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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 |