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Communicating with patients and Caregivers

Communicating with patients and Caregivers. Prepared by: Maud Mthembu Bernadette Cyrus . Objectives. To highlight the importance of the use of appropriate language in patient management To enhance effective communication

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Communicating with patients and Caregivers

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  1. Communicating with patients and Caregivers Prepared by: Maud Mthembu Bernadette Cyrus

  2. Objectives • To highlight the importance of the use of appropriate language in patient management • To enhance effective communication • To emphasize communication and language as important in creating a caring environment that will improve relationships between the health care worker and patient

  3. Importance of language(UNAIDS;2006) The language we use to conceptualize and talk about HIV/AIDS reflects : • our personal biases and • understanding or • lack of understanding. • It also helps shape our own and other’s attitude about HIV/AIDS.

  4. Importance of Language(contd.) • Appropriate language is constructive, • It does not fuel stereotypes; • It does not cause prejudice. • Language has strong influence on attitudes towards HIV/AIDS and people infected and affected by HIV/Aids.

  5. Communication and ‘Rankism’ • Use and abuse of power by those of higher rank towards those of lower rank. • ‘Rankism’ - when addressing with superiority,arrogance,condescendence-dehumanizing (Fuller, 2002) • Rank itself ,is not negative-however when health professionals view themselves as “somebodies” and others “nobodies”-Hinder professional effort.(B.R Cournery,2005) • ‘Rankism’ sign - Judgmental reference to “us” and “them” or “you” and “them”

  6. Non-verbal communication Congruence between body language and verbal language: • Posture • Facial expression • Eye contact • Body positioning

  7. Non-Verbal Communication (contd) • Body language should communicate attention and interest in the person, as well as caring, concern and respect. • If necessary, you may need to assume an informal body position to increase comfort and decrease the threat experienced by the person i.e. child

  8. Listening for Empathic understanding • Listening involves the use of our sensory capacities to receive and register the messages expressed verbally and non- verbally by others: • Hearing • Observing • Encouraging the person to continue • Remembering

  9. ACTIVE LISTENING • Active listening combines talking and listening in such a way that others feel understood and encouraged towards further self-expression. • It combines talking and listening into 3 steps: • Inviting - open body language • Listening - Hear, observe, encourage and remember • Reflecting - Paraphrasing, clarifying, checking understanding.

  10. CASE STUDY • 32 YR old women, unmarried with 2 children, HIV positive and on TX (Combivir and Stocrin), one child is HIV positive and on TX but he has adherence problems. She comes for consult ,and she tells you that she is 3 months pregnant. • What will be your initial reaction ?

  11. IN CONCLUSION… LET US ALL REMEMBER: DO NOT JUDGE A MAN UNTIL YOU HAVE WALKED A MILE IN HIS SHOES. Thank you

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