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Initiation - PowerPoint PPT Presentation

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Initiation
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  1. Initiation B Davies

  2. 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

  3. First Task • How can you do worse? • Positive alternatives B Davies

  4. Preparation • Records and computers before the consultation? • Focussed attention and preparation. B Davies

  5. Initial Rapport • Effect of looking at records on non-verbal communication. • Non-verbal messages override verbal cues. B Davies

  6. 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

  7. Opening Question • Brainstorm favourite openers. • Main aim: • Do I know why this patient wants to see me? B Davies

  8. Listening • Not “doing nothing” • Components of listening? • Effect of interruptions. B Davies

  9. 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

  10. Agenda Setting • How will we structure this time. • Explicit and hidden ways of chunking. • Aide memoires. B Davies