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Psych Ch 1 Dr-Pt Relationship

Terms

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Defn of RAPPORT
spontaneous, conscious feeling of harmonious responsiveness that promotes development of constructive therapeutic relationship
Establishing rapport requires physician to understand the individual’s
  • psychosocial and economic influence
  • 6 Strategies for Developing Rapport
    Put patient and interviewer at ease.
    FIVE STAGES OF PATIENT ROLE
    Experience symptoms- “Something is wrong with me.
    FIVE STAGES OF PATIENT ROLE will be influenced by:
    Personality MODELS OF INTERACTION

    Paternalistic

    Paternalistic

     “doctor knows best”
    Informative
    -data given, choices up to pt.
    Interpretive
    -doctor presents and discusses alternatives
    Deliberative
    - “counselor” presents information and actively advocates a particular course of action.
    WHAT BUILDS A STRONG DOCTOR-PATIENT RELATIONSHIP?
    • when patient believes dr. listens to & understands the problem's description,
    3 Functions of the Medical Interview
    1. Determine the nature of the problem.
    2. What is the Objective of Determining the nature of the problem? to enable MD to establish dx

    What Skills are needed to Determine the nature of the problem?

    1. knowledge base of diseases, disorders from multiple conceptual domains
    2. What are the objectives of Developing and maintaining a therapeutic relationship?

      • pt. willingly provides information,
      • What Skills are needed to Develop and maintain a therapeutic relationship?
        1. define nature of relationship
        2. What are the objectives of Communicating information and implementing a treatment plan? 
          • Pt. understanding of illness, procedures, tx possibilities, and
          What skills are needed to Communicate information and implement a treatment plan?
          1) determining nature of problem2) developing therapeutic relationship 3) est. pt./dr. pers
          PSYCHIATRIC VS MED-SURG INTERVIEW
          Stigma What are Specific Techniques of interviewing?
          1. Reflection

          Reflection technique

          repeating to a patient in a supportive manner something that the patient has said Facilitation technique
          Uh-huh syndrome Confrontational technique
          Substance Abuse- must be this way most of time for treatment to work

          Clarification

          Just checking on data Interpretation technique
          Making a connection for the patient that they were not aware of at the time.

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