Communications Skills -2023-.ppt
- 1. COMMUNICATION SKILLS ( التوفيق هللا نسأل للجميع هدية المحاضرات هذه ) Dr EZIZ ALFAHD afkaabba@gmail.com
- 2. الرحيم الرحمن هللا بسم تعالى هللا قال : { يشفين فهو مرضت وإذا } وسلم عليه هللا صلى المصطفى ويقول : ( أخ تلقى أن ولو ًاشيئ المعروف من تحقرن ال اك طلق بوجه ) أحمد رواه .
- 3. The aims By the end of this session our future physicians will be able to: Know the basic of Management skills . Know the basic of communication skills . Know the different types of communications . Recognize the barriers of effective communications. Communications in special situation.
- 4. Communication Skills Communication skills, which are fundamental to consulting skills, are the key to the effectiveness of the doctor as a professional & expertise with these skills is fundamental to the doctor-patient relationship. Communication skill is essential in obtaining a good history & constitutes 1 of the cornerstones of therapy.
- 5. DEFINITION Communication can be defined as “the successful passing of a message from 1 person to another”. Basic elements in the communication process: The communicator The message The method of communicating The recipient The response
- 7. COMMUNICATION IN THE CONSULTATION The doctor requires appropriate communication skills for complete diagnosis (physical, emotional & social) & competent management). The majority of interactions between doctor & patient occurs in the traditional consultation.
- 8. DIFFICULTIES IN COMMUNICATION Poor communication is the most important factor causing complaints from patients & relatives against doctors. Effective communication depends on 4 interrelated factors: 1. The message 2. The doctor (the sender) 3. The patient (the recipient) 4. The environment in which the message is sent
- 10. The Message The nature & content of the message may be uncomfortable for the doctor or the patient or both. This applies to emotionally charged, complex or subtle content such as sexual problems, malignant disease, drug abuse, bereavement, malingering & psychiatric disorders.
- 11. The Environment The Doctor The Patient The Message
- 12. The Patient Do we recognize, with significant emotion, these patients in our practice? Smith speaking: “I insist on speaking to you directly & not to the “iron curtain” out front. “Doctor, I’ve lost my script again – be a good fellow and …” “Those pills you prescribed for me yesterday are doing nothing for me.” “Doctor, you’re the only one who can help me.”
- 13. Patient Characteristics That Can Influence Communication: Age Adolescent Elderly Sex Opposite Senses Deaf Blind Speech Impairment Handicapped Speech disorders Visual impairment Illness Acutely ill Injured Psychological Attitudes: Aggressive, hostile, demanding Aggrieved (fees, mistakes) Perception of doctor’s authority
- 14. Environment The physical environment is important. The appearance, size & layout of consulting rooms, waiting rooms & patients’ rooms will affect communication, sometimes adversely, especially if privacy is threatened by, say, leaving the consulting room door open. The doctor can create an obstacle simply by a physical “barrier”, eg a large desk distancing the doctor from the patient.
- 15. Summary of Environmental Factors That Can Adversely Influence Communication Waiting Room: Poor physical layout Length of waiting time Time Pressure: “Traffic” level ? Busy ? Noisy ? Sense of urgency Physical Factors: Desk – barriers Layout inappropriate Poor record system Substandard exam couch Privacy: Dressing/undressing Sound Interruptions - phone
- 16. NON-VERBAL COMMUNICATION Non-verbal communication or body language is a most important feature of the communication process. Birdwhistle has shown that more human communication takes place by the use of gestures, postures, position & distances (non- verbal communication or body language) than by any other method. Albert Mehrabian showed that non-verbal cues comprise the majority of the impact of any communicated message.
- 17. Impact of the Message Words alone 7% Tone of voice 38% Non-verbal communication 55%
- 18. Interpreting Body Language The interpretation of body language, which differs between cultures, is a special study in its own right but there are certain cues & gestures that can be readily interpreted. The depressed patient and other patients
- 20. THANK YOU