efficient patient interview

1. efficient patient interview EMTENAN ALHARBI,Mcs

2. To conduct a more efficient patient interview

3. Efficient Patient Interview • Avoid making recommendations during the information-gathering phases of the interview • Do not jump to conclusions or rapid solutions without hearing all of the facts. • Do not shift from one subject to another until each subject has been followed through. • Guide the interview using a combination of open ended and closed ended questions. • keep your goals clearly in mind, but do not let them dominate how you go about the interview.

4. Efficient Patient Interview • Determine the patient’s ability to learn specific information in order to guide you in your presentation of the material. • Maintain objectivity by not allowing the patient’s attitudes, beliefs, or prejudices to influence your thinking. • Be aware of the patient’s nonverbal messages. • Depending on your relationship with patient, move on from less personal to more personal topics. This may remove some of the patient’s initial defensiveness. • Note taking should be as brief as possible.

5. Communication Skills With Health Care Professionals

6. Interacting with Physicians • Often have trouble communicating • Both are busy professionals • Some RPh intimidated by MD • Build Rapport

7. Interacting with Physicians Before calling the physician Have the necessary facts ready Have a literature citation ready Be succinct and to the point in your communication Identify yourself, the patient involved, the problem and your recommendation Be prepared to use the SOAP approach have an alternative recommendation

8. Interacting with Physicians Stay within the pharmacist’s expertise : Choose the right time and place for conversation Follow the chain of command Don’t interrupt physician-patient, physician-teaching unless needed

9. Pharmacist-Nurse Communication Often have trouble communicating : Most communications occur because of errors in dispensing, distribution or administration. Telephone is the primary communicating media Show mutual respect Communicate clearly, timely

10. Pharmacist-Pharmacist Communication • Clear communication of patient information during shift switch. • Direct communication between consulting pharmacist and the pharmacist on the patient care team. • Community and institutionalized pharmacists rarely communicate • Unified health care delivery system

11. Types of Response • Aggressiveness • Passiveness • Assertiveness

12. Assertiveness • Is a style of response that focuses on resolving conflicts in relationships in an atmosphere of mutual respect. • To be assertive, each person must be able to directly and honestly convey their opinions. • This type of communication allows people to stand up for their rights without infringing on the rights of others.

13. Assertiveness • Assertion involves respect, but not deference • Takes practice and commitment from you to know your rights • The hallmark of practicing being assertive is making “I” statements

14. Your Assertiveness Rights The right to judge your own behavior  The right to offer no reasons or excuses to justify your behavior. The right to judge whether you are responsible for finding solutions to other people’s problems. The right to change your mind The right to make mistakes—and be responsible for them. The right to say, “I don’t know.” The right to be independent of the goodwill of others before coping with them. The right to be illogical in making decisions. The right to say, “I don’t understand.” The right to say no without feeling guilty.

15. Antagonistic patients • Refuse pharmacist-patient interaction of any sort. • Be as professional as possible • Be direct and assertive • Limit the time of the interaction • Help the patient to regain trust in the health system by being available when the patient come back asking for information • Show respect

16. Non or Over communicative Patients • Non-communicative Patients: • Don’t volunteer information or interest • Yes/No answer type • Ask open ended questions • Overly communicative patients: • Control over conversation • Redirect when they wander off