Field Guide to the Difficult Patient Interview / Edition 2

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Overview

Written by physicians skilled at coaching colleagues in physician-patient communication, this pocket guide presents practical strategies for handling a wide variety of difficult patient interviews. Each chapter presents a hypothetical scenario, describes effective communication techniques for each phase of the interaction, and identifies pitfalls to avoid. The presentation includes examples of physician-patient dialogue, illustrations showing body language, and key references.

This edition includes new chapters on caring for physician-patients, communicating with colleagues, disclosing unexpected outcomes and medical errors, shared decision making and informed consent, and teaching communication skills. Other new chapters describe clinical attitudes such as patience, curiosity, and hope.

Written by physicians skilled at coaching colleagues in physician-patient communication, this pocket guide presents practical strategies for handling a wide variety of difficult patient interviews. Each chapter presents a hypothetical scenario, describes effective communication techniques for each phase of the interaction, and identifies pitfalls to avoid. The presentation includes examples of physician-patient dialogue, illustrations showing body language, and key references. This edition includes new chapters on caring for physician-patients, communicating with colleagues, disclosing unexpected outcomes and medical errors, shared decision making and informed consent, and teaching communication skills. Other new chapters describe clinical attitudes such as patience, curiosity, and hope.

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Editorial Reviews

Doody's Review Service
Reviewer: Sally Ling, M.D.;FACP(University of Missouri-Kansas City School of Medicine)
Description: This is the second edition of a book that aims to enhance effective patient care by fostering good interpersonal and communication skills in all physicians. Skills for managing the difficult patient interview can be learned and used productively. This book was originally published in 1999.
Purpose: There is increased recognition that effective patient-physician communication is fundamental to the practice of medicine. The teaching of communication skills and assessment of acquired competency is now part of the curriculum at both medical school and residency levels. This book provides specific strategies for handling difficult situations.
Audience: The book is ideal for all physicians in training as well as practicing physicians wanting to improve their skills in dealing with more difficult situations.
Features: The strategies used to manage different issues are illustrated by realistic conversations. This method highlights the intended teaching points in a tangible way. The format enables quick reading and the summary points at the end of each chapter listed under "Pitfalls to Avoid" are quite helpful.
Assessment: This should be an instrumental resource in teaching medical students and physicians in training the important art of communication that is paramount to effective patient care.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780781747745
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 3/22/2004
  • Series: Field Guide Series
  • Edition description: Second
  • Edition number: 2
  • Pages: 320
  • Product dimensions: 4.44 (w) x 7.66 (h) x 0.58 (d)

Table of Contents

Preface to the first edition
Preface
Foreword
Acknowledgments
Pt. I The efficient interview
1 Basic interviewing technique 3
2 Listening 14
3 Building rapport : empathy, the universal tool 21
4 Understanding nonverbal communication 30
5 The primacy of symptoms 37
6 The data base 43
7 Culture and language 48
Pt. II The efficient interview : dealing with patient emotions
8 Sadness and fear 57
9 Anger 64
10 Ambivalence 74
Pt. III Explaining
11 Patient education 85
12 Giving bad news 91
13 Comforting the grieving family : survivors of a patient death 100
14 Shared decision-making and informed consent 106
Pt. IV The clinical attitude
15 Patience 115
16 Curiosity 118
17 "OK" and "wow" : the short words 122
18 Self-awareness : what are you thinking now? 127
19 Hope 131
Pt. V Dealing with a difficult relationship
20 Those dreaded phrases 137
21 Acknowledging difficult relationships and interactions 141
22 Understanding the meaning of illness 146
23 Addressing disagreements about diagnosis or therapy 150
24 Trust and distrust 157
25 Establishing boundaries 161
26 Avoiding seduction 166
27 Asking for help 170
28 Clinician-to-clinician communication : talking to colleagues 173
29 Doctors firing patients - patients firing doctors 178
Pt. VI Illness and loss
30 Chronic pain and suffering 185
31 Somatization 190
32 The transition from disease-based care to palliative care 198
33 End-of-life discussions : advances care plans and DNR orders 203
34 Being with a dying patient 210
35 Talking with families of seriously ill patients 215
Pt. VII Who's in charge here? behavioral health risks
36 Assessing risk behaviors 221
37 Nonadherence 226
38 Violence 233
39 Alcohol use 237
40 Sex 241
Pt. VIII Puzzling problems
41 The list-maker 247
42 The patient's companion 249
43 Confusion : communicating with the cognitively impaired patient 255
44 The patient bearing literature 259
45 Distant medicine 263
46 When your patient is a doctor 267
47 Disclosing unexpected outcomes and errors 271
48 Coaching communication skills 277
App Selected readings for the entire text 283
Subject index 285
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