Six integrated components of the patient-centred process:. 1.
1. Helmans Folk model of consultation. Krishna Reddy Guduru
2. Six integrated components of the patient-centred process:
1. Exploring both the disease and the illness experience
2. Understanding the whole person
3 Finding common ground regarding management
4. Incorporating prevention and health promotion
5. Enhancing the patient-doctor relationship
6. Being realistic
3. Professor Cecil Helman, a Professor of Medical Anthropology
4. Patients form a theory of their disease based on their
Peer group views.
Is used to highlight to doctors the kinds of questions patient’s are likely to be thinking about when attending their doctor.
How people put their illness experience into a coherent thread. ...
5. “A patient is the most important person in our Hospital. He is not an interruption to our work, he is the purpose of it. He is not an outsider in our Hospital, he is part of it. We are not doing a favour by serving him, he is doing us a favour by giving us an opportunity of serving him.” Mahatma Gandhi
6. 1.What has happened?
2. Why has it happened?
4. Why now?
5. What would happen if nothing was done about it?
6. What are the likely effects on other people?
7. What should I do about it? Or: to whom should I turn for help?
7. BRAKE THE ICE IDEA`S.
8. 1.What do you think has happened?
2.Why do you think has happened?
3.Why do you think it has happened to you?
5.Do you have any other concerns about this?prognosis?work?family?
6.How would you like me to help? Or – have you thought how you would like me to help?
Learn more about the disease process and patient reaction.
Hard to apply to certain situations e.g. severe mental health, elderly, emergencies.
Worry the patient more?
10. 1. The naked consultation : a practical guide to primary care consultation skills: Liz Moulton.
2. Helman, C.G. (2001) Culture, Health and Illness (4th edition) (London: Arnold)