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communication in healthcare IHS ch.7 lecture 1 (interviewing patient (used…
communication in healthcare IHS ch.7 lecture 1
passive
shy, easy going, go with what group decides, avoids conflict. Sending message that your thoughts and feeling aren't as important. Feeling resentful. Increases stress level.
aggressive
bully, disregarding, the feelings and opinions of others. Humiliate and intimidate others. Destroys trust, oppose ideas because they don't trust you.
passive aggressive
saying yes when you want to say no. Sarcastic or complain about others behind their backs.
Assertive
state feelings and opinions clearly. Stick up for your rights and needs but respect the rights of others in the process. Tell people your needs are important. Important because it's effective, diplomatic and helps you manage stress.
SBAR
helps healthcare workers communicate with each other more clearly.
Situation Background Assessment Recommendation
interviewing patient
used to collect medical history
goal is to make patient comfortable
done in private
knock before entering room
use first names when requested
limit interruptions
make eye contact
be nonjudgmental
ask open-ended questions an rephrase what the patient has said
patient interview process
gather tools
introduce yourself and state your role at the facility
verify patients name and DOB, update medical history.
record medications patient is taking
measure and record for the patients visit and record responses. Ask open-ended questions.
review patients information and reason for seeing doctor before excusing yourself.
communication barriers
environmental barriers
anything in the surrounding area that can cause our intention to wander. (people talking in the hallway, radio, TV, phone)
sensory impairments
hearing loss, vision loss, speech impaired (use gestures for hearing impaired patients, face them, check for understanding)
Cognitive impairments
ability to think is effective by medication, pain, confused disoriented or dementia.
cultural differences
speaking different language (request help from medical interpreter)
culture incompetence
become sensitive when you develop awareness about how your thoughts of a pt and coworkers may differ from your own
E-prescribing
replaces handwritten prescription, faxed notes, prescription called in by phone.