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Effective Patient Interviews: Building Rapport and Understanding Issues

This guide explores essential techniques for conducting meaningful patient interviews. It emphasizes the importance of thorough preparation before the consultation and highlights strategies for establishing rapport. Attentive listening without interruptions is crucial to uncovering all the issues a patient wishes to discuss. Setting a clear agenda helps structure the session, ensuring both the patient's and clinician's needs are addressed. By avoiding premature screening and fostering open dialogue, healthcare professionals can better understand the true concerns of their patients.

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Effective Patient Interviews: Building Rapport and Understanding Issues

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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

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