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Chapter 5. Communication Across the Lifespan Communication with Children. Elements of communication with parents and children. Health care information Interpersonal sensitivity Partnership building. Beale’s 6 E’s. Establishing and agreement regarding open communication
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Chapter 5 Communication Across the Lifespan Communication with Children
Elements of communication with parents and children • Health care information • Interpersonal sensitivity • Partnership building
Beale’s 6 E’s • Establishing and agreement regarding open communication • Engaging the patient • Exploring what the child knows
Explaining medical information-attending to developmental level • Empathize with the child’s responses • Encourage the child and avoid false reassurances
Adolescent issues: • Eating Disorders • Date rape • Depression • Substance abuse • STDs • Pregnancy
Working with adolescents requires: • Sensitivity to issues of confidentiality • Balancing relating to both parents and the adolescent • A nonjudgmental attitude regarding sexual activity and drug while providing information
Elder speak is: • Patronizing • Over-accommodation • Baby talk • Exaggerated annotation • Shorter sentences & higher pitched • Closed-ended questions • “sweetie”, “dearie” “honey”
The Impact of Elder speak is: • Misunderstanding • Client dissatisfaction • Poor information exchange • Patient dependency • Decreased respect for health providers • Lower quality of health care provision
Antidote to Elder speak • Clear concise speech • Use of low deep versus high pitch voice • Direct questions • Respectful • Inclusive • Compassionate
Difficult Conversations include: • Suspected abuse • Advanced Care Planning