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14 Cards in this Set

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  • Back

Discuss the essential components of


effective patient centered


communication




(key terms! NOT steps!)

Verbal / non-verbal communication (look for cues! & watch your own presentation)




Obtain / Give info




Interpersonal collaboration




Interpersonal sensitivity




Silence > allow time for patient to decode,


summarize & encode info




Open-ended questions




Clinical Competence




Professionalism




Respect




Sincere




Interested / Eager to help / Empathy




Openness & Receptive to Feedback




Avoid jargon

Patient Centered Communication = steps?

a) Introduce yourself, verify patient’s name,


establish rapport with patient, confidentiality, sit an agenda, sit at same height




b) Client Centered Interview phase:


chief complaint, medical/dental history & family history




- ask about dental anxiety / negative dental experiences


- inquire about habits (grinding, clenching, cheek biting, nail biting) & associated symptoms


- oral health habits (diet, frequency of eating, Fl toothpaste, floss, type of toothbrush)




c) Dentist Centered Interview phase: obtain


personal/social history, inquire about acquired risk factors & BELIEFS ABOUT ORAL HEALTH




d) Ask if patient has additional concerns or


questions. Summarize your findings. Include the closing statement (which includes the steps of what you will need to do next)

Name what kind of biomedical information you want to collect

Med / Dent Hx




Work status




Family status




Recent changes in lifestyle




Stressors




Habits (illicit drugs, exercise, drinking)

Explain in detail the appropriate way to open the interview.

Make eye contact




Call the patient (not first name unless permission)




Affirm confidentiality & establish rapport (sit at the same level as the patient)




Ask them what brings them to your office




CC > open-ended q's, silence



Explain in detail the appropriate way to close the interview

Summarize info provided


"I understand that your most important concern....You have expressed your anxiety & concern for the cost of the treatment"




Make sure that you & patient are on the SAME page with apptmt & plan of action




Ask patient if they have any concerns / q's




Discuss next steps & that you'll be there for them

Cultural Safety / Sensitivity = factors you wanna run through (?????)))

FEELINGS related to the illness/symptoms


What are your concerns / specific fears?




IDEAS / explanations for the cause


What do you think is going on?




FUNCTIONING


How has it impacted your day to day life?




EXPECTATIONS of the dental team


Address the patient's request



Define: Communication Climate

Emotional tone of a relationship between 2 or more individuals

Confirming vs Disconfirming Communication?




Provide examples

CONFIRMING = express care / respect for


another person


eg. recognition, acknowledgement, endorsement




DISCONFIRMING = lack of care / respect for


another person


eg. impervious, interrupting, irrelevant,


tangential, impersonal, ambiguous, incongruous

Disagreeing messages? Ex?

Express, "you are wrong"




- aggressiveness


- complaining


- argumentativeness

Name the 6 Gibb's Categories

Defensive > Supportive Behaviour




Evaluation > Description


Control > Problem orientation


Strategy > Spontaneity


Neutrality > Empathy


Superiority > Equality


Certainty > Provisionalism

Examples of Negative & Positive Reciprocal Patterns

Negative:


- complaint > counter-complaint


- disagreement > disagreement


- mutual indifference


- arguments involving punctuation (LOL)




Positive:


- validation of other's perspective


- recognize similarities


- supportiveness

Steps for ELICITING FEEDBACK

Steps for RECEIVING FEEDBACK

Steps in GIVING FEEDBACK


(include the script)

1) Prepare yourself




2) Set the Stage




3) Describe the situation & behaviour > WHEN...




4) Discuss the impact of behaviour (on


coworkers, organization, "I feel concerned about" etc) & your intentions using "I" language


I FEEL.....




5) Ask for change (discuss + & -)


SO I'D LIKE....




6) How is that for you? Plan for change.


HOW....




7) Thank you




8) Follow Up