Initiation
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Initiation. 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. First Task.

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Presentation Transcript
Initiation l.jpg

Initiation

B Davies


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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


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First Task

  • How can you do worse?

  • Positive alternatives

B Davies


Preparation l.jpg
Preparation

  • Records and computers before the consultation?

  • Focussed attention and preparation.

B Davies


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Initial Rapport

  • Effect of looking at records on non-verbal communication.

  • Non-verbal messages override verbal cues.

B Davies


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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


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Opening Question

  • Brainstorm favourite openers.

  • Main aim:

    • Do I know why this patient wants to see me?

B Davies


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Listening

  • Not “doing nothing”

  • Components of listening?

  • Effect of interruptions.

B Davies


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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


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Agenda Setting

  • How will we structure this time.

  • Explicit and hidden ways of chunking.

  • Aide memoires.

B Davies


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