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Learn essential strategies for successful patient consultations, from setting agendas to active listening. Improve communication skills and patient rapport to address all concerns effectively.
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Initiation B Davies
Common Problems • Preparation before the patient comes in. • Listening attentively without interrupting at the beginning of the interview. • Discovering all the issues or problems the patient wishes to discuss. • Setting the agenda for the rest of the session. B Davies
First Task • How can you do worse? • Positive alternatives B Davies
Preparation • Records and computers before the consultation? • Focussed attention and preparation. B Davies
Initial Rapport • Effect of looking at records on non-verbal communication. • Non-verbal messages override verbal cues. B Davies
Identifying the Issues – the Patient Wants to Discuss • Most doctors and nurses end up discussing not quite knowing or having an incomplete understanding of why the patient has really come. B Davies
Opening Question • Brainstorm favourite openers. • Main aim: • Do I know why this patient wants to see me? B Davies
Listening • Not “doing nothing” • Components of listening? • Effect of interruptions. B Davies
Screening • Order of presentation not related to either medical importance or importance to patient. • Doctors like doing things – mustn’t leap into screening before listening. • Remember its importance when you think you know what they are here for! B Davies
Agenda Setting • How will we structure this time. • Explicit and hidden ways of chunking. • Aide memoires. B Davies