COMMUNICATION SKILLS IN Emergency Department

Publish Year: 1386
نوع سند: مقاله کنفرانسی
زبان: English
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ICEM02_007

تاریخ نمایه سازی: 18 آبان 1386

Abstract:

Patient-physician communication is an integral par1 of clinical practice. When done well, such conmunication produces a therapeutic effect for the patient. To address the area of clinician-patient communication, the 4 Es (Engage, Empathize, educate, and Enlist) are clinician communication tasks that are associated with positive outcomes, including improved clinician and patient ,reduced . reduceice malpractice clain~s,i ncreased patient adherence, and improvement in patient health outcomes. When coinbil~ccl wirh the communication tusks of "opening" and "closing" the encounterand the clinical task? of diagnostic reasoning and treatment planning. the 4 Es contribute to a contribute model of clinical care the opening segment: Introduce self: role, name. Greet the patient by name. Welcome the patient . Maintain eye contact. Engagement: Join. Orient to role Orient to process Elicit the agenda. Elicit the patient's story of illness Reflective listening. Empathy: Acknowledge facial and bodily expressions. Eliminate physical barriers. Reflect feeling, concerns ,values. Normalize and express understandability. Self – disclose ,when appropriate . Avoid judgmental statements of responses. Educate: Aesces baseline knowledge, understanding and self-diagnosis . Tell – Provide information that is matched topatient's neess. Address the following common areas of concern: AJdress the following common orals of Lollcern: Mysteries of health . -What has happened to me (diagnosis)? - Why has it happened to me (etiology)? - What is going to happen to me (prognosis)'? Mysteries of the medical world . - What are you (they) doing for me (to me)? - Why are you (they) doing this rather than that? -Will it hurt me or harm me? How much? How long? - When and how will you know what this all means'? - When and how w111 I know what this means? Assure understanding : Ask about understanding Clarify, correct, and reinforces The closing segment: -Anticipate and forecast discharge . - Summarize diagnosis , treatment, prognosis. Review next steps: -Follow-up: who, when, where ? - Role of family and other caretakers What to do if problems arise? Say goodbye and express hope.

Authors

MORAD ALI AHANGAR

ARTESH UNIVERSITY OF MEDIALSCIENCE BEAST (AIR FORCE) GENERAL OSPITAL