Basic Communication SKILLS

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Basic Communication SKILLS
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If we cant communicate it doesnt matter what you
know
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We discuss about

• What is communication
• Method
• Barrier
• Patient doctor relationship
• Partner
• Technical
• Kalamazoo
• Cambridge

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Important Considerations

• Different audiences and situations require
  different communication strategies
• People are aware of this to varying degrees
• Effective communicators are highly valued in the
  world

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The Goals of Training Communications
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Communication

• Communication is the process by which we relate
  and interact with other people.
• It is a mutual process between 2 sides
  (Dialogue) not a one sided monologue.
• It includes listening understanding with
  passion respect as well as expressing views
  ideas and passing information to others in a
  clear manner.

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Different cultural groups

• National
• Ethnic group
• Religious group
• Gender
• Economic
• Profession

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WHAT MAKES A GOOD COMMUNICATOR?

• An Active Listener
• An Effective Presenter
• A Quick Thinker

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TOTAL COMMUNICATION PROCESS
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LEVELS OF COMMUNICATION

• VERBAL
• Intra verbal intonation of word and sound
• Extra verbal verbal implication of words and
  phrases, semantics
• NON-VERBAL
• Gestures
• Postures
• Movements

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TYPES OF BODY LANGUAGERemember that you are
dealing with PEOPLE

• (P)OSTURES GESTURES
• (E)YE CONTACT
• (O)RIENTATION
• (P)RESENTATION
• (L)OOKS
• (E)XPRESSIONS OF EMOTION

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Effective communication

• Ensures good working relationship
• Increases patients satisfaction
• Increases patients understanding of illness
  management
• Improves patients compliance with treatment

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WHAT ARE THE BARRIERS TO COMMUNICATION?

• 1. Differences in perception and language
• 2. Poor listening
• 3. Emotional interference
• 4. Cultural differences
• 5. Physical distraction

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Seven barriers to effective listening

• Knowing the answer
• Trying to be helpful
• Treating discussion as competition
• Reacting to red flag words
• Believing in language
• Mixing up the forest and the trees
• Over- splitting or over- lumping

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SPECIAL ABOUT MEDICAL

• Compassion, competence and autonomy are not
  exclusive to medicine

autonomy
competence
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Communication With whom?

• Patients care-givers
• Nurses auxiliary staff
• Colleagues
• Administrators
• Evidence in court
• Reporting research findings
• Talking to the media
• Public

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Paternalistic

• To treat someone paternalistically is to treat
  the person in a way that ignores his /her wishes
  but aims at promoting the persons best interest
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• Focus is on care , rather than autonomy

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Problems with Paternalistic

• How do we know what is the patients best
  interest?
• Lack of patient autonomy

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Technical (consumerism)

• Doctor presents options and patient decides
  without any value judgments .
• Maximum autonomy for patient , minimum for doctor

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Problems with Technical Model

• Patients arent experts
• Unrealistic
• Lack of physicians autonomy

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Partnership (shared model)

• Views patient and partner as equal participants
  in treating patient

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Problems with Partnership Model

• Unrealistic - are doctor and patient really
  equal?
• Still not enough autonomy ?

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Communication How?

• The medical interview is the usual communication
  encounter between the doctor and the patient.
• It can be classified according to the purpose of
  the interview into 4 types
• History taking
• Consultations
• Obtaining informed consent
• Breaking bad news

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Calgary Cambridge guide

• Initiating the session
• Gathering information
• Physical examination
• Explanation and planning
• Closing the session
• Building the relationship
• Providing structure to the consultation

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Kalamazoo guide

• physician and patient relationship
• Opens Discussion
• Gathers Information
• Understands patients Perspective of illness
• Shares Information
• Reaches Agreement on problems and plans
• Provides Closure

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Integrated model

• Good Patient physician relationship and open
  discussion
• Information Gathering and physical examination
• Understanding understands patients perspective
  of illness an planning
• Building the relationship and provides closure

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Declaration of Geneva

• The health of my patient will be my first
  consideration

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