Clinical Communication Skills for Medicine
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Clinical Communication Skills for Medicine is an essential guide to the core skills for effective patient-centered communication. In the twenty years since this book was first published the teaching of these skills has developed and evolved. Today’s doctors fully appreciate the importance of communicating successfully and sensitively with people receiving health care and those close to them. This practical guide to developing communication skills will be of value to students throughout their careers.
The order of the chapters reflects this development, from core skills to those required to respond effectively and compassionately in challenging situations. The text includes case examples, guidelines and opportunities to encourage the reader to stop and think. The contents of the book cover: The fundamental elements of clinical communication, including skills for effectively gathering and sharing information, discussing sensitive topics and breaking bad news.
Shared decision making, reflecting the rapid changes in expectations of medical care and skills for supporting patients in making decisions which are right for them. Communicating with a patient’s family, children and young people, patients from different cultural backgrounds, communicating via an interpreter and communicating with patients who have a hearing impairment. Diversity in communication, including examples of communicating with patients who have a learning disability, transgender patients, and older adult patients.
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- Elsevier Limited (UK)
- 9780702072154
- 9780702072130
- ePub
- 4
- Margaret Lloyd; Robert Bor; Lorraine M Noble
- English
- 2018-01-10
- 10
Kaflar
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface to the fourth edition
- List of Tables
- Chapter 1: Introduction
- What is clinical communication?
- What is ‘good’ communication?
- Why is communication important?
- Developing clinical communication skills
- What is the evidence for the effectiveness of clinical communication training?
- Your learning
- How to use this book
- Key points
- Chapter 2: Core skills in clinical communication
- The doctor–patient relationship
- Factors that affect communication in medical settings
- The setting of the consultation
- Beginning a consultation
- The main part of the consultation
- Asking questions
- Listening
- Facilitation
- Clarification
- Reflection
- Silence
- Empathy
- Touch
- Communication during the physical examination
- Signposting
- Summarising
- Ending a consultation
- Key points
- Chapter 3: Gathering information
- An overview of the doctor–patient consultation
- The medical history
- Beginning a consultation: establishing rapport
- Gathering information for a medical history
- The structure of a medical history
- Writing up the medical history
- Variations of the medical history
- Some practical hints
- Presenting a patient's medical history
- Common concerns about meeting patients as a student
- Key points
- Chapter 4: Discussing sensitive topics
- Which topics are difficult to discuss?
- Broaching a sensitive topic
- Discussing a sensitive topic
- Being aware of what the situation means for the patient
- Talking about sex
- When to talk about sex
- Key points
- Chapter 5: Sharing information
- Preparing to share information
- Sharing information during the consultation
- Discussing uncertainty and risk
- Written information
- Key points
- Chapter 6: Shared decision making
- Patient autonomy in decision making
- What is shared decision making?
- When is shared decision making used?
- Preparing for a decision-making consultation
- Supporting decision making during the consultation
- The importance of support
- Key points
- Chapter 7: Breaking bad news
- What is bad news?
- What is difficult about sharing bad news?
- Preparing to break bad news
- Sharing bad news
- ‘What to do if…’
- Key points
- Chapter 8: Communication with a patient's family
- Initial observations
- Identifying family members
- The family's influence on care and treatment
- Working with couples
- Confidentiality
- Secrets
- Responding to concerns and fears
- Key points for communicating with a patient's family
- Key points
- Chapter 9: Communicating with children and young people
- What to consider when communicating with children and young people
- Communication with young patients at different ages
- The physical environment
- Introductions
- Gathering information
- Examining a young patient
- Responding to a young patient's feelings
- Involving young patients in decisions
- Reluctance to take treatment
- Separation, isolation and chronic illness
- Breaking bad news to young patients
- Key points
- Chapter 10: Communicating with people from different cultural backgrounds
- When do we notice cultural differences?
- The role of culture in the doctor–patient relationship
- Exploring a person's preferences
- Perceptions of illness, care and treatment
- Language
- Communication strategies for discussing cross-cultural issues
- Key points
- Chapter 11: Diversity in communication
- Communicating with people who have a learning disability
- Communicating with transgender patients
- Communicating with older patients
- Key points
- Chapter 12: Communicating about medical error
- Making mistakes in everyday life
- Mistakes in medical practice
- Causes of medical mistakes
- What should you do when you have made a mistake?
- Complaints
- Litigation
- Key points
- Index