Patient Centered Communication: Followings
Patient Centered Communication: Followings
Patient Centered Communication: Followings
1.Initiating session
• Preparation
• Establish initial rapport:
greet patient by name,
Introduce self and clarifies the role
Demonstrate interest and respect attends to patients physical
comfort.
• Identifying the reasons for visit/consultation
Identify the patients problems or the issues that the patient wishes to
address with an appropriate opening question
e.g. what problem brought you to the hospital?
What would like to discuss today?
What questions did you hope to get answered today?
Listen attentively to the patients opening statement, without
interrupting or directing patients response
Confirms list and screens for further problem e.g. so that’s
headaches and tiredness; anything else?
2. Gathering information's
• Make observation to the patients facial expressions or other non verbal
clues related to patients sharing.
• Encourages patient to express feelings.
• Nurse should look at the patient while listening ;notes should be
written during pauses in the conversations.
• After finishing the conversation, gather more information by reviewing
information from patients chart , investigation reports, and by
interviewing family/ guardian if necessary.
3.Providing structure
4.Building relationship
• Forward planning
contracts with patient in next steps for patient and physician
Safety nets, explaining possible unexpected outcome, what to do if the plan is
not working, when and how to seek help.
• Ensuring appropriate point of closure
Summarizes session briefly and clarifies plan of care
The final check that patient agree and is comfortable, questions or other items
to discuss
Summary
Patients center communication is defined as process that invites and encourages
patients and their families to actively participate and negotiate in decision making
about their care needs. Patients centered skills are initiating the session, gathering
information, providing structure, building the relationships, explanation and planning,
closing the session etc.
References