Patient Communication Techniques - Healthcare Professionals
Patient Communication Techniques - Healthcare Professionals Patient Communication Techniques - Healthcare Professionals
MISSED EMPATHIC OPPORTUNITY (MEO)Patient: After I had my hysterectomy. I was takingestrogen, right?Physician: Yeah?Patient: You know how your breast get real hard andeverything? You know how you get sortascared?Physician: How long were you on the estrogen? MEOPatient: Oh, maybe about six months.Physician: Yeah, what, how, when were you, when did youhave the, uh, hysterectomy?Suchman, A. L., K. Markakis, et al. (1997). "A model of empathic communication inthe medical interview." Jama 277(8): 678-682.
Are we good at empathy?• Physicians ‘missed’ empathic opportunitiesin 72% patient visits• Visits with ‘missed’ empathic opportunitiesaveraged 3 minutes LONGER than visitsin which empathy had been expressed• In 53% of visits with missed opportunities,the patient brought up the same concernmore than onceLevinson W et al. A study of patient clues and physician responses in primary careand surgical settings. JAMA 2000;284:1021-7
- Page 1 and 2: Enhancing Communication forBetter P
- Page 3 and 4: “The average American physicianco
- Page 5 and 6: How can we improve ourskills?
- Page 7 and 8: What is Motivational Interviewing?
- Page 9 and 10: Motivational Interviewing:Cigarette
- Page 11 and 12: Overarching GoalTake away 1-2 techn
- Page 13 and 14: Exploring Patient Perspectives• W
- Page 15 and 16: Exploring Patient Perspectives• W
- Page 17 and 18: Exploring Patient Perspectives• W
- Page 19 and 20: Voluntary Non-adherence• Not conv
- Page 21 and 22: Failure to Explore• D: What do yo
- Page 23 and 24: “People almost never changewithou
- Page 25 and 26: Express Empathy
- Page 27: EMPATHIC OPPORTUNITYPatient: After
- Page 33: “It is so scary when something li
- Page 36 and 37: The Effect of Empathy onOutcomes of
- Page 38 and 39: The Righting Reflex• D- What are
- Page 40 and 41: Resist the Righting Reflex• The s
- Page 42 and 43: So how do you inform oreducate pati
- Page 44 and 45: So how do you inform oreducate pati
- Page 46 and 47: Empowerment• Allow patient to tak
- Page 48 and 49: Disempowerment• P: You wait and s
- Page 50 and 51: Reflections on this Approach• Tak
MISSED EMPATHIC OPPORTUNITY (MEO)<strong>Patient</strong>: After I had my hysterectomy. I was takingestrogen, right?Physician: Yeah?<strong>Patient</strong>: You know how your breast get real hard andeverything? You know how you get sortascared?Physician: How long were you on the estrogen? MEO<strong>Patient</strong>: Oh, maybe about six months.Physician: Yeah, what, how, when were you, when did youhave the, uh, hysterectomy?Suchman, A. L., K. Markakis, et al. (1997). "A model of empathic communication inthe medical interview." Jama 277(8): 678-682.
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