Difficult Conversations in Medicine

Difficult Conversations in Medicine

by Elisabeth Macdonald
     
 

In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have led the public to be more widely informed about common conditions and the treatments available.

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Overview

In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have led the public to be more widely informed about common conditions and the treatments available. Patients therefore attend a medical consultation better informed so the need for improved communication skills is even greater. Skill is communication is a matter of personal ability which varies widely between individuals in the medical profession as in any other. In response, the aim of this book is to dispel the anxieties which contribute to poor communication. This book covers ethical and legal issues, planning difficult conversations, the patient's and doctor's perspectives, issues surrounding special groups such as children and the elderly, and coversations with patients from different cultural backgrounds. Outlines of possible clinical cases posing specific problems are included with guidance on how to handle them.

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Product Details

ISBN-13:
9780198527749
Publisher:
Oxford University Press, USA
Publication date:
11/15/2004
Pages:
254
Product dimensions:
9.10(w) x 6.10(h) x 0.60(d)

Table of Contents

Introduction
1An introduction to basics1
2Fundamentals of good communication5
3The ethics of communication20
4Overall plan of management of difficult conversations32
5The patient's perspective36
6The doctor's perspective46
7Dealing with strong emotions and difficult personalities77
8Difficult conversations with children and parents86
9Special adult groups99
10Difficult practical circumstances109
11Communication in a multiprofessional setting117
12Communication in a multicultural society130
13Apologies in clinical medicine149
14Legal constraints and guidelines to good practice161
15Maintaining a balance173
16Conclusions and future directions178
App. ITranscripts of useful illustrative conversations182
App. IIA curriculum for communication in medical education209

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