Field Guide to the Difficult Patient Interview / Edition 2

Field Guide to the Difficult Patient Interview / Edition 2

Pub. Date:
Lippincott Williams & Wilkins

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Field Guide to the Difficult Patient Interview / Edition 2

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.

Product Details

ISBN-13: 9780781747745
Publisher: Lippincott Williams & Wilkins
Publication date: 03/22/2004
Series: Field Guide Series
Edition description: Second
Pages: 320
Product dimensions: 4.44(w) x 7.66(h) x 0.58(d)

Table of Contents

Preface to the First Editionix
Part IThe Efficient Interview
1Basic Interviewing Technique3
3Building Rapport: EMPATHY, the Universal Tool21
4Understanding Nonverbal Communication30
5The Primacy of Symptoms37
6The Data Base43
7Culture and Language48
Part IIThe Efficient Interview: Dealing with Patient Emotions
8Sadness and Fear57
Part IIIExplaining
11Patient Education85
12Giving Bad News91
13Comforting the Grieving Family: Survivors of a Patient Death100
14Shared Decision-Making and Informed Consent106
Part IVThe Clinical Attitude
17"OK" and "Wow": The Short Words122
18Self-awareness: What Are You Thinking Now?127
Part VDealing with a Difficult Relationship
20Those Dreaded Phrases137
21Acknowledging Difficult Relationships and Interactions141
22Understanding the Meaning of Illness146
23Addressing Disagreements About Diagnosis or Therapy150
24Trust and Distrust157
25Establishing Boundaries161
26Avoiding Seduction166
27Asking for Help170
28Clinician-to-Clinician Communication: Talking to Colleagues173
29Doctors Firing Patients--Patients Firing Doctors178
Part VIIllness and Loss
30Chronic Pain and Suffering185
32The Transition from Disease-Based Care to Palliative Care198
33End-of-Life Discussions: Advance Care Plans and DNR Orders203
34Being with a Dying Patient210
35Talking with Families of Seriously Ill Patients215
Part VIIWho's in Charge Here? Behavioral Health Risks
36Assessing Risk Behaviors221
39Alcohol Use237
Part VIIIPuzzling Problems
41The List-Maker247
42The Patient's Companion249
43Confusion: Communicating with the Cognitively Impaired Patient255
44The Patient Bearing Literature259
45Distant Medicine263
46When Your Patient Is a Doctor267
47Disclosing Unexpected Outcomes and Errors271
48Coaching Communication Skills277
AppendixSelected Readings for the Entire Text283
Subject Index285

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