Contemporary Nurse 31(2):142-152, 2009. In some cases, it is important to ask the patient if it is okay for you to inspect the area. A patient may speak in a tone that sounds encouraged, dejected, sad, excited, angered, or confused. Care managers can use motivational interviewing to empower patients in their own care, rather than projecting outside goals onto an individual’s situation. A variety of excellent in-depth resources describe communication skills. The patient interview is the primary way of obtaining comprehensive information about the patient in order to provide effective patient-centered care, and the medication history component is the pharmacist’s expertise. Combining already highly skilled emergency care with better empathetic communication can make for even better outcomes and more satisfied patients. Identify effective strategies for interviewing the talkative patient and the quiet patient. Closed-ended questions do play a role in communicating with a patient; however, the use of close-ended questions should be specific to the information you want to collect. Do you notice a difference in the morning versus when you have been on your feet during the day? We are asking patients to reveal parts of their life they may only have shared with extremely close friends, a spouse, clergy, or family, if anyone. He presents with vague complaints, somewhat disorganized, and has hearing loss. Counselling Psychology Quarterly 19(4):343-356, 2006. The patient’s views of his or her illness are a primary focus of patient-centered care. !DOCTYPE html PUBLIC “-//W3C//DTD XHTML 1.1//EN” “http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd”>. External distractions include ringing telephones, flickering computer screens, and other infringing personal and/or other duties. Communication skills are the fundamental link between the pharmacist’s expertise about drugs and his or her contribution to providing excellent patient-centered care. Matthew Putts, BA, EMT-B, is first lieutenant of EMS for the Cedar Knolls (NJ) Fire Department and an associate EMT with the Morristown (NJ) Ambulance Squad. When it does come time for those more difficult questions, patient privacy must be considered. When possible, approach a patient from a direction where he will be able to easily see you. Therefore, you should be sensitive to cultural differences prior to making inferences about the patient based on nonverbal communication. Ask questions to find out what makes the symptom worse. The use of open-ended questions enables you to gather more information from the patient and to be more complete and accurate in your assessment; this, in turn, leads to appropriate patient-specific care. Griffith CH, Wilson JF, Langer S, Haist SA. A comprehe… Many of you will find the above suggestions easy to incorporate. Determine what makes the symptom better or worse. As you are interviewing your patient, avoiding “why” questions may prevent the patient from feeling as though he needs to defend his choices and actions. For example, the symptom may be worsened by certain environmental conditions, exertion, or stress. If you live in an area where a culture different from your own is prevalent, make it your business to learn about it. 4. Traditionally, clinical governance has been described using 7 key pillars. The history of present illness (HPI) is the story of the illness.7 The pharmacist will further explore the chief complaint as well as any other potential problems by asking questions about any recent or remote history that may be related to the current illness. Although the words that are spoken are important, the tone in which they are spoken may influence the patient’s interpretation of what is being said.
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