Talking with patients: a basic clinical skill
Oxford University Press, Aug 6, 1992 - Language Arts & Disciplines - 216 pages
The ability to communicate well is crucial for a doctor's effectiveness in clinical work. From the patient's perspective, effective interpersonal communication is regarded as the hallmark of an excellent physician. Learning to communicate well can be a difficult challenge for medical students. The skills involved rest on a framework of knowledge which is often not presented in a succinct and coherent form in the medical curriculum. This revised, accessible work provides a compact, practical introduction to the skills of talking with and listening to patients. The book analyzes the interchange of information, and focuses on the affective dimensions of the medical interview - the feelings of the patient, and of the doctor. The factors which can inhibit or facilitate communication are discussed in detail. The contributed chapters broaden the scope of the book to include communication with particular categories of patients such as the child, the adolescent, the elderly, and the dying. Communication with patients from other cultures is also reviewed. In this new edition, chapters have been added on talking to relatives, discussing pregnancy and reproduction, and making decisions.
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Doctors and patients roles
Conducting an interview
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adolescent's adolescents adult anorexia nervosa anxiety appropriate attitudes avoid become behaviour child clinical examination comfort communication skills complaint concerns consider consultation contraceptive convey cultures death decisions dementia described develop diagnosis diagnostic reasoning difficult disability discussed disease disorders distress doctor and patient doctor feels dying dyspareunia dysphasia elderly patient embarrassment emotional empathy enquiry example expected experience express fear FRCGP hospital illness impairment important infertility influence informed consent inhibit interview intimacy involved learning less listening medicine mother Muslim non-verbal normal nurse pain parasuicidal parents particular pattern perhaps physical possible practice pregnancy present pruritus vulvae questions reactions reassurance recognize relationship relatives response sense sensitive sexual function sexual intercourse sick role situation social sometimes sort stoma student symptoms talk tion topic traditional understanding University of Edinburgh usually vaginal vaginal examination woman women words