Notes in 12PatientDoctorCommunication

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Published	07/30/2024	A doctor's {{c2::communication}} and {{c2::interpersonal skills}} encompass the ability to: {{c1::gather information in order to facilitate accur…
Published	07/30/2024	{{c1::COMMUNICATION}} is the heart and art of medicine; a central component in the delivery of healthcare.
Published	07/30/2024	ENUMERATE: 12 Benefits of Effective Communication {{c1::Facilitate comprehension of medical information Allow for better identification o…
Published	07/30/2024	BENEFITS OF EFFECTIVE COMMUNICATION{{c1::better adherance to prescribed treatment and follow up}} -> strongly associated with recovery
Published	07/30/2024	BENEFITS OF EFFECTIVE COMMUNICATION{{c1::Decreased length of hospital stay}} -> leads to less cost of individual medical visits and fewer refe…
Published	07/30/2024	BENEFITS OF EFFECTIVE COMMUNICATION{{c1::Enhanced psychological adjustments}} -> lead to better mental health
Published	07/30/2024	ENUMERATE: Purposes of Doctor-Patient Communication{{c1::Creating a good interpersonal relationshipExchange of informationMedical decision-making&nbsp…
Published	07/30/2024	{{c1::talk}} is the main ingredient in medical care and it is the fundamental instrument by which the doctor-patient relationship is crafted a…
Published	07/30/2024	A social relationship is created through {{c1::good manners}}
Published	07/30/2024	8 Ingredients of Good Manners:{{c1::Making patients at easeGiving compliments or perosnal remarksConveying interestFriendlinessHonestyDesire to helpNo…
Published	07/30/2024	{{c1::THERAPEUTIC}} RELATIONSHIP involves the aim to establish or sustain an effective working relationship in which mutual trust exists
Published	07/30/2024	3 Approaches to Therapeutic Relationship- {{c1::Client-centered Therapy }}- {{c1::Patient-centered Method}}- {{c1::Patient-centered and Physician…
Published	07/30/2024	THERAPEUTIC RELATIONSHIP APPROACHES: {{c3::CLIENT-CENTERED THERAPY}}promoted by {{c1::Carl Rogers}}distinguishes patient vs client{{c2::self-direction…
Published	07/30/2024	TRUE OR FALSE: In Carl Rogers' Client-centered Therapy, the client is seen as an individual that is sick and seeking cure, while the patient is an ind…
Published	07/30/2024	THERAPEUTIC RELATIONSHIP APPROACHES: {{c1::PATIENT-CENTERED METHOD}}is {{c2::egalitarian}} or other-centereddefined in terms of doctors' responses ena…
Published	07/30/2024	TRUE OR FALSE: The client-centered therapy approach aims to follow the patient's lead and to understand the patient's experience from their point of v…
Published	07/30/2024	THERAPEUTIC RELATIONSHIP APPROACHES: {{c1::PATIENT-CENTERED & PHYSICIAN-CENTERED APPROACH}}patient leads in areas where he is the expert, while th…
Published	07/30/2024	THERAPEUTIC RELATIONSHIP APPROACHES: {{c1::patient-centered and physician-centered approach}}involves mutuality, reconciling the two agendas, mutualit…
Published	07/30/2024	ENUMERATE: Components of Empathetic MD-Px Relationship{{c1::Eliciting feelingsParaphrasingReflectingUsing silenceListening to what the patient is sayi…
Published	07/30/2024	{{c1::INFORMATION}} is a resource brought to the verbal interactions by both parties
Published	07/30/2024	TRUE OR FALSE: Information exchange is important since the patient needs information to establish right diagnosis and treatment plan, while the doctor…
Published	07/30/2024	TRUE OR FALSE: In the exchange of information, doctors define medical information subjectively, while patients define it in terms of personal relevanc…
Published	07/30/2024	TRUE OR FALSE: Physicians should encourage patients to (1) discuss their main concerns with regular interruption, and to (2) ellicit patient's percept…
Published	07/30/2024	2 Approaches to Medical Decision-making:- {{c1::traditionally paternalistic}}- {{c2::ideally shared decision-making}}
Published	07/30/2024	MEDICAL DECISION MAKING Desire for information about diagnosis, prognosis, and treatment is great among {{c1::patients with life-threatening diseas…
Published	07/30/2024	ENUMERATE: Specific Communicative Behaviors{{c1::Instrumental (task focused) vs Affective (socioemotional) BehaviorVerbal vs. Non-verbal BehaviorPriva…
Published	07/30/2024	TRUE OR FALSE: Patient judge competence mainly by their doctor’s technical behavior, and patients base their evaluation of the doctor’s performance on…
Published	07/30/2024	TRUE OR FALSE: Both instrumental (socioemotional) or affective (task-focused) behaviors are integrated into the role of the provider.{{c1::FALSE - ins…
Published	07/30/2024	INSTRUMENTAL OR AFFECTIVE BEHAVIORCure-oriented - {{c1::INSTRUMENTAL}}Care-oriented - {{c1::AFFECTIVE}}Cognitive expression - {{c2::INSTRUMENTAL}}Emot…
Published	07/30/2024	INSTRUMENTAL OR AFFECTIVE BEHAVIORBehaviors directed to the paitnet as a person, rahter than a case - {{c1::AFFECTIVE}}Behaviors to maintain positive …
Published	07/30/2024	VERBAL VS NON-VERBAL BEHAVIORLeaks messages that are not meant to be transmitted - {{c2::NON-VERBAL}}To which patients are sensitive and observant - {…
Published	07/30/2024	TRUE OR FALSE: Patients detect inconsistencies between a physicians' verbal and nonverbal communication, and these inconsistencies can be seen as a la…
Published	07/30/2024	In emotional communication:{{c1::7}}% - conveyed {{c2::verbally}}{{c1::22}}% - transferred by {{c2::voice tone}}{{c1::55}}% - transferred by {{c2::vis…
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::PSYCHOLOGICAL PRIVACY}}Represent the patient’s ability to control affective and cognitive inputs and outputs, to think and fo…
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::PSYCHOLOGICAL PRIVACY}}Demonstrated by the right to determine with whom and under what circumstances [the patient] will …
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::PSYCHOLOGICAL BEHAVIORS}}violated by aggressive, high-control style of MD
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::SOCIAL PRIVACY}} Represents the patient’s ability and effort to control social contacts in order to manage interactions …
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::SOCIAL PRIVACY}}Involves degree of formality in a situation; how perosnal conservational topics and languages are; adherence …
Published	07/30/2024	PRIVACY BEHAVIORS: {{c1::PHYSICAL PRIVACY}}extento to which a patient is physically accessible to others; often limited in medical examinations
Published	07/30/2024	TRUE OR FALSE: Intimate touch is often absolutely avoidable and unnecessary in most cases.{{c1::FALSE - it is mostly UNavoidable, and NECESSARY}}
Published	07/30/2024	TRUE OR FALSE: Watching a patient while getting ready for an examination and overhearing an intimate conversation or activity is a violation of social…
Published	07/30/2024	TRUE OR FALSE: Most common forms of the doctor-patient relationship exist on a spectrum of high and low control {{c1::TRUE}}
Published	07/30/2024	DOCTOR-DOMINATED vs PATIENT-CENTERED RELATIONSHIPPaternalism and traditional - {{c1::DOCTOR-DOMINATED}}Most common in medical practice - {{c1::DOCTOR-…
Published	07/30/2024	The difference in control in medical communication (doctor vs patient-centered) is due to:1. {{c1::Patient's limited understanding of problems and tre…
Published	07/30/2024	{{c1::Everyday Language (EL)}} refers to the typical language used when communicating with laypersons, while {{c1::Medical Language (ML)}} refers to t…
Published	07/30/2024	TRUE OR FALSE: Doctors are bilingual with ML and EL, while patients are typically unfamiliar with ML and only conversant in EL.{{c1::TRUE}}
Published	07/30/2024	TRUE OR FALSE: MD should use strategies to help patients understand, such that the 'clinical' vs 'lay' meaning should always be clarified.{{c1::TRUE}}
Published	07/30/2024	ENUMERATE: Influence of Communicative Behavior on Patient Outcomes{{c1::Patient Satisfaction}}{{c1::Patient compliance and adherence to treatment}}{{c…
Published	07/30/2024	{{c1::Outcomes}} refers to observable consequences of talk occurring after an encounter or a portion of an encounter is completed
Published	07/30/2024	Studies have shown that in {{c1::65}}% of encounters, doctors have underestimated a patient's {{c2::desire for information}}.
Published	07/30/2024	ASSOCIATED WITH HIGH or LOW PATIENT SATISFACTIONInstrumental or task-focused behaviors - {{c1::HIGH}}Information giving and discussion of pr…
Published	07/30/2024	TRUE OR FALSE: Immediacy or degree of closeness in interaction is associated with a lower non-verbal score.{{c1::FALSE - associated with a H…
Published	07/30/2024	TRUE OR FALSE: Low patient satisfaction associated with physican's touch may be due to the fact as it could be perceived by patients as vilation of ph…
Published	07/30/2024	Studies have shown that the average percentage of patients likely to be {{c2::non-compliant}} is about {{c1::40 to 50}} %
Published	07/30/2024	HIGH OR LOW COMPLIANCEMore information-giving and positive talk - {{c1::HIGH}}'Sharing opinion' and 'patient knowledge about illness' - {{c1::HIGH}}Hi…
Published	07/30/2024	Studies have shown that: Patients often do not recall or understand what the doctor has told them{{c1::7 and 47}}% of general practice patients do…
Published	07/30/2024	{{c1::CLOSE PHYSICAL PROXIMITY}}describes how physician immediacy or degree of closeness in interaction, such as leaning forward, is associated with h…
Published	07/30/2024	{{c1::PRIMACY AND RECENCY EFFECT}}refers to how either the first or last communications are the most salient and remembered best; thus disclosure of b…
Published	07/30/2024	TRUE OR FALSE: When information is upsetting, such as a diagnosis of cancer, most patients tend to be too stunned to register any further information …
Published	07/30/2024	TRUE OR FALSE: Doctor-patient relationship seen as a sense of social support, such that physician behaviors that reinforce patients’ self-confidence, …
Published	07/30/2024	ENUMERATE: Variables in Doctor-Patient Communication- {{c1::Background variables}}- {{c1::Process variables}}- {{c1::Outcome variables}}
Published	07/30/2024	WHAT TYPE OF VARIABLE IN DOCTOR PATIENT COMMUNICATION?Cultural variations - {{c1::BACKGROUND}}Content of communication - {{c1::PROCESS}}Compliance and…
Published	07/30/2024	TRUE OR FALSE: Mutality refers to patient-physician partnership, whereas paternalism is physician-controlled in nature.{{c1::TRUE}}
Published	07/30/2024	ENUMERATE: Background VariablesFactors Affecting Patient Characteristics: {{c1::socio-demographic, psychological, psychosocial, physical appearance, h…
Published	07/30/2024	SHORT-TERM/INTERMEDIATE vs LONG-TERM OUTCOME VARIABLESSatisfaction and compliance - {{c1::SHORT/INTERMED}}Quality of life - {{c1::LONG}}Health status …
Published	07/30/2024	ENUMERATE: Problems Encountered in MD-Px Communication{{c1::Deterioration in doctors’ communication skillsNon-disclosure of informationDoctors’ avoida…
Published	07/30/2024	TRUE OR FALSE: Communication skills tend to decline as medical students progress throughout medical education, and over time, doctors in training tend…
Published	07/30/2024	TRUE OR FALSE: The problem of non-disclosure of information may be attributed to the increasing number of patients to attend to, or decreasing doctor-…
Published	07/30/2024	{{c1::Non-disclosure of information}}Problem in which patients’ understanding of their prognosis, purpose of care, expectancy, and involvement in trea…
Published	07/30/2024	TRUE OR FALSE: The problem of discouragement of collaboration notably affects the choices that patients make regarding treatment and end-of-life care,…
Published	07/30/2024	{{c1::DOCTOR'S AVOIDANCE BEHAVIOR}}refers to the problem of the doctor avoiding the discussion of emotional and social impact of a patient's problem, …
Published	07/30/2024	TRUE OR FALSE: A doctor's avoidance behavior can negatively affect the doctor emotionally, increase patient's distress, and may result in patients bei…
Published	07/30/2024	TRUE OR FALSE: In the problem of avoidance behavior, the MD discourages patients from vocing concenrs and expectations, leading to the disempowerment …
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Published	07/30/2024	TRUE OR FALSE: In the problem of resistance by patients, patients recognize that they are not passive recipients, such that they actively reconstruct …
Published	07/30/2024	TRUE OR FALSE: Patents resist monologue of information transferred from doctors, thus there is a need to take into account social factors in the produ…
Published	07/30/2024	ENUMERATE: Strategies for Improvement of MD-Px Communication{{c1::Communication skillsCommunication trainingCollaborative communicationConflict manage…
Published	07/30/2024	In {{c2::communication skills}} as a stragey for improvement, doctors need to be mindful of the style and content of what they're saying.Examples…
Published	07/30/2024	ENUMERATE: 5 Things also Improved by MD-Px Communication{{c1::- Patient involvement- Adherence to recommended therapy- Patient satisfaction- Healthcar…
Published	07/30/2024	STRATEGIES FOR IMPROVEMENT: {{c1::Communication Training}}inovles understanding the theory of good MD-Px communication and modifying communicaton styl…
Published	07/30/2024	STRATEGIES FOR IMPROVEMENT: {{c1::Communication Training}}involves the practice of new skills with regular feedback on the acquired behavior
Published	07/30/2024	STRATEGIES FOR IMPROVEMENT: {{c1::Collaborative Communication}}involves a reciprocval and dynamic relationship, involving the two-way exchange of…
Published	07/30/2024	STRATEGIES FOR IMPROVMENT: {{c1::Conflict Management}}involves a more exploratory approach that strives to understand the situation from another persp…
Published	07/30/2024	STRATEGIES FOR IMPROVEMENT: {{c1::Understanding Patient's Health Beliefs}}important to identify and address perceived barriers and benefits of treatme…
Published	07/30/2024	TRUE OR FALSE: A perception gap between the MD and Px negatively affects treatment decisions, leading to negative patient outcomes despite appropriate…
Published	07/30/2024	Divergent beliefs can affect healthcare through:- {{c1::fear of healthcare system}}- {{c1::distrust of prescribed therapies}}- {{c1::competing therapi…
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