Handbook of Communication in Anaesthesia & Critical Care: A Practical Guide to Exploring the Art

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This book provides anesthetists, intensivists and other critical care staff with a comprehensive resource that offers ways of improving communication in everyday clinical practice, and provides practical communication tools that can be used in difficult or unfamiliar circumstances. It demonstrates how communication can be structured to improve patient care and safety with numerous practical examples and vignettes illustrating how the concepts discussed can be integrated into clinical practice, and presents ideas in a way that enhances clinical interactions with patients and colleagues and facilitate the teaching of trainees. Edited by practicing anesthetists with particular expertise in teaching communication, and with contributions from expert clinicians based in North America, Europe and Australasia, this book will stimulate and complement the development of comprehensive resources for communication skills teaching in anesthesia and other related professional groups.

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Editorial Reviews

Doody's Review Service
Reviewer: Gita Rupani, M.D.(University of Chicago Pritzker School of Medicine)
Description: The five sections of this handbook cover principles of communication, routine clinical applications in anesthesiology, communication in specific contexts with patients, communication with colleagues and administrators, and advanced communication techniques.
Purpose: The book suggests strategies for effective communication, such as addressing patients' perceptions, their need for control, and their desire to assist and cooperate with their care. It reinforces behaviors learned during anesthesia training and stresses the use of language to deliver the message more effectively.
Audience: It is intended to offer anesthesiologists a resource to help improve communication. Although it is targeted at improving communication in the operating room, the book would benefit other professional groups as well. Most experienced anesthesiologists are aware of the suggested practices in this book, but they will find it refreshing. The chapter on teaching and research reiterates known facts, but it is valuable to all who teach, publish, supervise, and practice.
Features: The book has a very important message, but it is fun and easy to read. Each chapter starts with a proverb, an interesting sentence, a cartoon illustration, and a description of what the chapter is about, and ends with a summary of key points. The book suggests a few concepts, such as "LAURS" (Listening reflectively, Acceptance, Utilization, Reframing, Suggestion) and "GREAT" (Greeting, Rapport, Explanation, Addressing concerns, Tacit agreement and Thanks) to use to develop and maintain a rapport during interactions as well as to structure interactions, essentially a new way to look at interactions. The main focus is on improving patient perceptions and feeling of participation in their care through effective communication. The repeated mention of the GREAT and LAURS concepts is noticeable but unavoidable due to their application in different clinical contexts.
Assessment: Overall, this is an excellent resource on effective communication in healthcare. It brings up interesting communication concerns with patients interacting with anesthesiologists in different clinical contexts and it reminds one to prioritize patient perceptions that will allow patient autonomy and cooperation and decrease patient anxiety.
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Product Details

  • ISBN-13: 9780199577286
  • Publisher: Oxford University Press
  • Publication date: 12/30/2010
  • Pages: 288
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

Dr Cyna is a Consultant Anaesthetist, Supervisor of Anaesthesia Research at the Women's and Children's Hospital in Adelaide and Clinical Senior Lecturer at the University of Adelaide. He graduated from the University of Leicester Medical School and trained in Anaesthesia in the UK and Baltimore, USA. He worked as a consultant anaesthetist in Hartlepool, UK prior to emigrating to Australia 12 years ago. He has research and teaching interests in obstetrics and paediatric anaesthesia. He is a member of the Australian Society of Hypnosis and is actively involved in teaching anaesthetists, clinicians, nursing, midwifery and other clinical staff, including psychologists, communication and hypnosis techniques as an adjunct to their practice.

Dr Andrew is a Senior Consultant Anaesthetist, and a Supervisor of Training at the Women's and Children's Hospital in Adelaide. She completed her undergraduate medical training in Manchester, UK and her postgraduate anaesthesia training in Australia. Her main work interests include teaching and research. She is a member of the Australian Society of Hypnosis and is a certified trainer in the Process Communication Model.

Dr Tan is a Senior Consultant in Anaesthesia and Pain Management at the Nepean Hospital in Sydney, Australia. She has a subspecialty interest in acute and chronic pain management. She is a graduate of the University of Newcastle-upon-Tyne in the UK and was a consultant anaesthetist at the Glasgow Royal Infirmary prior to emigrating to Australia in 1998. She has a longstanding interest in teaching undergraduate and postgraduate students in anaesthesia and communication.

Dr Smith is consultant anaesthetist and Director of the Patient Safety Research Unit, Royal Lancaster Infirmary. He has a longstanding interest in the quality and safety of anaesthetic care and anaesthesia education.

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Table of Contents

SECTION I Principles of Communication
1. To begin...., Stavros Prineas, Andrew Smith, Suyin Tan
2. Structures, Allan Cyna, Marion Andrew, Suyin Tan
3. How words hurt, Allan Cyna, Elvira Lang
4. Language and the subconscious, Allan Cyna, Marion Andrew, Suyin Tan
5. Narrative and Metaphor, Audrey Shafer
SECTION II Routine Clinical Applications
6. The pre-anaesthetic visit, Vince Kopp
7. Consent, Alan Merry, Sally Merry
8. Perioperative care, Andrew Smith, Allan Cyna, Suyin Tan
SECTION III Specific clinical contexts
9. The obstetric patient, Marion Andrew, Allan Cyna
10. The paediatric patient, David Sainsbury, Allan Cyna
11. Critical care, Daniel Nethercott, Maire Shelly
12. When bad things happen, Diana Strange Khursandi
13. Patients with special needs, Gillian Hood, Suyin Tan
14. Needle phobia, Allan Cyna, Marion Andrew
15. Intra-operative awareness, Christel Bejenke
SECTION IV Communication with colleagues
16. Safety-critical communication, Stavros Prineas
17. The theatre team, Suyin Tan, Andy McWilliam
18. Teaching and research, Susie Richmond, Andrew Smith, Suyin Tan
19. Administrators, Scott Simmons
SECTION V Advanced Communication Techniques
20. Hypnotic techniques, Marie-Elisabeth Faymonville, Christel Bejenke, Ernil Hansen

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