Patient Communication Techniques - Healthcare Professionals
Patient Communication Techniques - Healthcare Professionals Patient Communication Techniques - Healthcare Professionals
The Righting Reflex• D- What are we going to do with you? You keep onmissing appointments• P-I came that day but I thought it was earlier in the day.• D- Well, you missed in August and July. My concern isthat back when I saw you in June, we knew then that wepretty urgently needed to make some changes.… What’sup?• P-I’ve been busy with the kids…looking for work becauseI’m unemployed now.• D- So what happens if you get sick and aren’t there toeven look for work or be busy with the kids if you don’tcare for yourself.• P- I promise I am going to be better.
• D: Well, these have the time, you have pretty much chronology that you’re taking them around the same time.They’re a couple here that you took in the late, uh later. Uh, in May, the times are off. But this is the big, this is thebig, you hafta be, you hafta do better and I don’t want to make this the focus of your life, when to take yourmedications and when not to take your medications, it should be routine. It should be part of the day, taking yourmedications because there’s gonna be a time, when you’re gonna, when these medications are gonna fail, when thishappens and if they fail then there’s nothing, you know there’s nothing we can do.• P: Mmhmm• D: All of us who practice have patients that have so much drug resistance and that there’s no drugs. You hafta takeshots, you have to take T20 and that doesn’t give you a very good lifetime. You know, my goal with you is to keepyou healthy for as long as possible.• P: Mmhmm.• D: But you have to, you gotta, really hafta help me.• P: Mmhmm.• D: And I worry, I truly, truly, truly worry because I think that you’re 90% is good, I think there is a way that you could,you could do better. Total percent taken 91%. Percent taken on time 88%. Days with correct doses taken 82%.Total days with all doses taken on time 78%. If it’s not a hundred percent or ninety-five percent it’s just gonna getworse because you’re not dealing with me, you’re not dealing with anybody else, you’re dealing with nature. Mothernature. And Mother Nature is, is, is something you can’t, you cannot deal with, you cannot change. The virus is nota living thing, you know it’s a pathogen. It’s constantly making mutations, looking at ways to fool the body so it cangrow and kill you and what you’re doing is you’re battling, that, that, that machine, that nonliving machine and that’swhat Nature’s doing to you and what you can, this is very, very good, we’re checking this. You can get anything youwant from me, you can get anything you want from a lot of people. You can deal with people, you can deal with, um,bad situations, you know the electric company and uh, you know, the insurance company this that and the otherthing. You can’t deal with Nature.• P: Mmhmm.• D: You can’t deal with Nature. The only way to deal with nature is to take these medications and uh, I really truly amconcerned. If you think you can go to bed and forget to take the medications. You think you can do all these thingsand still stay alive, it’s a mistake because at some point, you’re gonna come back and you’re gonna tell me, whydidn’t you tell me doctor, when I had the chance to take the medications. Why didn’t you let me know the severity ofthe problem. Why didn’t you make me take the meds one hundred percent. Well I’m doing that now. I’m just tellingyou can’t do this.• P: Mmhmm.
- 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 and 28: EMPATHIC OPPORTUNITYPatient: After
- Page 29 and 30: Are we good at empathy?• Physicia
- Page 33: “It is so scary when something li
- Page 36 and 37: The Effect of Empathy onOutcomes of
- 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
The Righting Reflex• D- What are we going to do with you? You keep onmissing appointments• P-I came that day but I thought it was earlier in the day.• D- Well, you missed in August and July. My concern isthat back when I saw you in June, we knew then that wepretty urgently needed to make some changes.… What’sup?• P-I’ve been busy with the kids…looking for work becauseI’m unemployed now.• D- So what happens if you get sick and aren’t there toeven look for work or be busy with the kids if you don’tcare for yourself.• P- I promise I am going to be better.