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    Doctor-Patient-Relationship-.ppt (1) 2

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    nketjimotswaledi
    This document discusses how the doctor-patient relationship has changed in the recent past. It identifies several factors that have contributed to this change, including patient factors, doctor factors, and system factors. Patient factors include access to online information and changing attitudes. Doctor factors include time constraints and not keeping up to date. System factors include a breakdown in primary care and inequality in access to care.

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    © All Rights Reserved
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    Doctor-Patient-Relationship-.ppt (1) 2

    Uploaded by

    nketjimotswaledi
    421 views28 pages
    This document discusses how the doctor-patient relationship has changed in the recent past. It identifies several factors that have contributed to this change, including patient factors, doctor factors, and system factors. Patient factors include access to online information and changing attitudes. Doctor factors include time constraints and not keeping up to date. System factors include a breakdown in primary care and inequality in access to care.

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    This document discusses how the doctor-patient relationship has changed in the recent past. It identifies several factors that have contributed to this change, including patient factors, doctor factors, and system factors. Patient factors include access to online information and changing attitudes. Doctor factors include time constraints and not keeping up to date. System factors include a breakdown in primary care and inequality in access to care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    421 views28 pages

    Doctor-Patient-Relationship-.ppt (1) 2

    Uploaded by

    nketjimotswaledi
    This document discusses how the doctor-patient relationship has changed in the recent past. It identifies several factors that have contributed to this change, including patient factors, doctor factors, and system factors. Patient factors include access to online information and changing attitudes. Doctor factors include time constraints and not keeping up to date. System factors include a breakdown in primary care and inequality in access to care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 28

    Doctor Patiet Rilatoeship

    Thi Chaegieg Scieario


    How has it chaegid ie thi riciet past

     Ovir thi past cietury doctors havi hild thi


    utmost rispictid, rivirid aed trustid
    positoe aroued thi world
     This has chaegid ie thi riciet past, thi
    patiets havi bicomi suspicious oh thi
    motvis oh hialth cari prohissioeals
    Maey hactors havi coetributid
    to this chaegi
    Thisi cae bi broadly dividid ieto thi
    hollowieg hiadiegs
     Patiet hactors
     Doctor hactors
     Systim hactors
    Patiet hactors
     Havieg uerialistc ixpictatoes
     Patiets hiilieg thiir voici is eot
    hiard aed thiir viiws ari biieg
    brushid of
     Thiy hiil doctors havi eo tmi hor
    thim
     Patiets havi acciss to so much
    iehormatoe at thi touch oh a
    butoe, hiil impowirid,
    keowlidgiabli aed awarieiss oh
    disiasis, triatmiet optoes has
    iecriasid
    Patiet hactors - coet.
     Thiy would liki to talk about
    privietoe
     Thiy trust Dr.Googli
     Attudis havi chaegid
    towards disiasis, acciptaeci
    aed lihi ie gieiral
     Thiy waet acciss to iarly
    diageosis, triatmiet aed
    privietvi ietirvietoes
     Thiy waet a staki ie thi plae oh
    thiri triatmiet as thi
    spiedieg powir iecriasid
    Doctor hactors
     Timi coestraiets
     Not kiipieg up to dati
     Fiilieg thiy keow it all
     PatirealistccDoctor
    cietirid coesultatoes
     Do as I say ,eot as I do
    attudi
     Doieg dihiesivi practci-
    hiar oh litgatoe, complaiets,
    virbal aed or physical abusi
    Doctor hactors - coet..
     Not riady to chaegi
    attudiscbihavior
     Failieg to usi thiir
    striegths to modil to
    patiet eiids
     Do eot waet to losi thi
    cliietili
     Fiilieg ue supportid
     Uedirmieieg owe
    prohissioeal codi oh
    coeduct
     Workieg loeg hours causieg
    bure out
    Doctor hactors - coet..

     Not ricogeizieg owe


    limitatoes
     Primaturi riassuraecis
     Not ievolvieg thi patiet c
    cariirs chamily ie dicisioe
    makieg prociss
    Systim hactors
     Briakdowe ie primarychamily
    doctor cari systim
     Ietroductoe oh piicimial
    cari systims hor politcal
    gaies
     No cliar guidaeci
     No clieical govireaeci
     Ieiquality ie cari aed acciss
    to cari
     Halh hiartid chaegis ie
    provisioe oh cari systims
    Systim hactors- coet..
     No propir patiet hild
    ricords, risulteg ie
    ripiatid ievistgatoes aed
    ietirvietoe liadieg to
    iithir ovir or uedir
    triatmiet liavieg patiets
    hrustratid, coehusid aed
    mistrusteg
     No siegli doctor
    coesidirieg thi patiet as a
    wholi takieg thiri ari
    psychological, physical,
    icoeomical, cultural aed
    hamilial difiriecis to
    providi holistc cari
    Commueicatoe

    The successful passing of


    a message from one
    person to another
    Factors ietirhirieg with patiet satshactoe

    • Poor commueicatoe
    • Physiciae iesiesitvity
    • Ofci houl ups ig Appoietmiet dilay
    Prieciplis Facilitateg Commueicatoe
    Prociss
    • The rapport
    • Time factor
    • The message
    • The attudes
    Rapport
    • Thi divilopmiet oh commueicatoe skills that
    iestll ie patiets a siesi oh
    coefdieci aed trust by coeviyieg siecirity
    aed ae ietirist ie thiir cari aed will-biieg.
    Commueicatoe ie thi Coesultatoe
    Positvi doctor bihavior
    At frst coetact
    * Maki thi patiet hiil comhortabli.
    *Bi uehurriid aed rilaxid.
    *Focus frmly oe thi patiet.
    *Usi opie iedid quistoes.
    *Maki appropriati riassurieg gisturis.
    • htps:ccyoutu.bic5iccWqAABb81
    • Ask Open-Ended Questions
    • Patients often feel uncomfortable voicing their concerns, even after a few
    minutes of empathetic conversation.
    • Doctors and other care providers should ask whether patients have more to
    say. Ask patients some variation of “Is there something else you’d like to
    talk about today?” Doing so can create space for patients to refect and
    voice concerns they might not have mentioned otherwise.
    • The “BATHE” technique guides providers to ask patients questions that
    solicit more information and develop rapport.
    • Background: Ask a patient about their present situation. “What is going on
    in your life?”
    • Afect: Ask your patient how they are emotionally relating to their health
    concern. “How is it afecting you?”
    • Trouble: Ask your patient about what they are worried about or what they
    foresee as obstacles. “What troubles you most about the situation?”
    • Handling: Ask your patient about how they are dealing with their situation.
    “How have you been handling this so far?”
    • Empathy: Show patients you are listening; refect back what you hear them
    saying about their feelings. “That sounds [frustrating, confusing, difcult,
    satisfying, etc.].”
    Actvi listieieg
    Listening includes four essental elements:
    • Chickieg hacts
    • Chickieg hiiliegs
    • Eecouragimiet
    • rifictoe
    Attudis

    Carieg Rispoesibility
    Empathy Trust
    Rispict Siesitvity
    Ietirist Coefdieci
    Coecire Compitieci
    Commueicateg Stratigiis
    • Modihy laeguagi
    • Avoid jargoe
    • Cliar ixplaeatoes
    • Cliar triatmiet iestructoes
    • Evaluati pt’s uedirstaedieg
    • Summarizi aed ripiat
    • Avoid uecirtaiety
    • Avoid ieappropriati riassuraeci
    Follow up

    • Eesuri patiet obtaies risults


    • Eesuri aey promisid hollow-up is carriid out.
    • Arraegi rihirral ih eicissary
    • Act as ae advocati ih eicissary.
    Thi hour kiy hactors aficteg commueicatoe

    The environment

    The doctor

    The message

    The patient
    https://youtu.be/tWFVT-fUafQ
    Difcultis ie Commueicatoe
    Efictvi commueicatoe dipieds oe hour
    hactors:
    c. Thi doctor (siedir)
    2. Thi patiet (ricipiiet)
    3. Thi missagi
    4. Thi ieviroemiet
    Thi doctor
    Pirsoeal hactors that iefuieci commueicatoe
    • Age ildirly , youeg

    • Sex oppositi

    • Senses diaheiss , spiich

    • Competence hialth uedirstaedieg ,


    prohissioeal traieieg
    social awarieiss, impathy
    • Attude bias patiet
    atiedieg
    othir doctors.
    • Communicaton style
    • Diferences riligioe , sixual
    practcis,social
    class,
    itheic groups
    Patiet
    Patiet charactiristcs that iefuieci coesultatoe

    • Agi adolisciet, ildirly


    • Six oppositi
    • Siesis diah, blied, spiich
    impairmiet
    • Haedicappid
    • Illeiss acutily ill, iejurid
    Psychological
    • Attudi aggrissivi,
    hostli, passivi,
    dimaedieg
    • Aexiity cdiprissioe
    • Dimieta
    • Fiar & phobias i.g. AIDS

    • Pirsoeality disordirs
    • Siesitvi issuis i.g. sixuality, biriavimiet
    • Maligeaecy

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