COMMUNICATION WITH EMPATHY AND ETHICS.pptx

communication with patients

1. COMMUNICATE WITH THE PATIENT WITH EMPATHY AND ETHICS ON ALL ASPECTS OF DRUG USE

2. Process of exchanging information, ideas, thoughts, feelings and emotions through speech signals, writing or behavior between two or more persons

3. HOW TO DO GOOD COMMUNICATION WITH PATIENT

4. For Good Doctor-Patient Communication- Start with introducing yourself and asking for patient’s introduction Facial expressions showing care, respect for patient Attitude showing attentiveness and interest in patient

5. Decreasing patient anxiety, maintaining a comfortable, stress free environment Ask for permission to gather specific information that could improve their care Be transparent & explain why such information is useful

6. Inform patients of their rights Try to gain patient’s confidence in you Identify patient's preferred language for discussion Use appropriate words and language when talking to patient

7. Collect patient race , ethnicity data , religious & spiritual beliefs and practices that may influence patient care and treatment Do not interrupt patient

8. Pay attention , be a good listener Be practical and seek realistic goals

9. Patients are more likely to be satisfied if their treatment choice is accepted and dissatisfied when their choice is rejected Less use of medical language and technical terms

10. Not rush patients Patients are more suitable to adapt with treatment, and appropriate follow up if they have a better understanding of their prognosis

11. Physician can use appropriate body language to show empathy and care If one chooses to touch a patient, shoulders are most appropriate locations

12. PROBLEMS IN COMMUNICATION [WITH PHYSICIAN AND PATIENT]

13. Physician factors - Inadequate communication skills Using medical terminology

14. Disrespectful attitude of care provider Lacking in sensitivity or empathy Hesitate to ask questions

15. Differences in language Not having adequate time to hear out patient properly

16. Patient factors- Needing too much privacy, failure at getting adequate privacy Not comfortable in discussing condition, illness or medication Anxious, embarrassed or in denial

17. Not having confidence and trust in medical care that leads to- Discourage patient from revealing important information Causes significant patient distress

18. Leads to patient not seeking further care Leads to misunderstandings/misinterpretation

19. HOW TO IMPROVE COMMUNICATION

20. Be trained on- Improving communication skills including proper etiquette how to behave with emotional patients

21. Attend continuing medical educations (CMEs) on proper patient handling Create an environment that decreases potential anxiety Understanding patient's expectations, listening to their preferences

22. PRACTICAL COMMUNICATION TIPS WITH EXAMPLES

23. Active Listening: Example: A patient expresses concern about a new symptom. The provider listens attentively, asks clarifying questions, and summarizes what the patient said to ensure understanding. Empathy: Example: A patient shares feelings of fear about a recent diagnosis. The provider acknowledges these feelings, saying, "I understand this is a difficult time for you. Let’s discuss how we can manage this together." Non-Verbal Communication: Example: A provider maintains eye contact and nods while a patient speaks, and attentiveness.

24. Cultural Sensitivity: Example: A patient from a different cultural background prefers traditional remedies. The provider respects this preference and discusses how these remedies can be integrated with conventional treatment. Feedback and Clarification: Example: After explaining a complex treatment plan, the provider asks the patient to repeat back the main points to ensure understanding. Follow-Up: Example: After diagnosing a chronic condition, the provider schedules regular check-ins to monitor the patient’s progress and address any new concerns.

25. BENEFITS OF COMMUNICATION

26. High-empathy counsellors appear to have higher success rates regardless of theoretical orientation Low-empathy & confrontational counselling, in contrast, has been associated with- higher drop-out and relapse rates and less clients Produces more effective practice Reduces misunderstanding

27. Reduces risk of errors Diagnostic accuracy Favourably affects clinical outcomes Adherence to prescribed treatment- better patient compliance

28. Positive patient interactions correlate with better emotional recovery and decreasing follow up imaging and referrals Effective communication reassures patients and also lowers rate of malpractice claims and complaints

29. Maintaining a positive attitude and believing that patients can recover is an important motivator for patient Explaining diagnosis transparently gives patients sense that disease is treatable and offers peace of mind

30. Ability to understand and share feelings of another persons how they are feeling about a situation or imagine what it would be like to be in that person’s situation

31. Ability to put yourself in another person’s shoes or to understand their emotional state

32. Empathy is seeing with the eyes of another person , listening with the ears of another and feeling with the heart of another person

33. Sympathy – feeling sorry or concern for another person Empathy – feeling the same emotions as another person is feeling

34. Medical ethics - M oral principles for registered medical practitioners in their dealings with each other, patients and patient’s state Patient related Medical Ethics- Mandatory to be followed by every medical practitioner

35. The four principles of biomedical ethics— Beneficence, Non-maleficence, Autonomy, Justice and Confidentiality— are foundational guidelines for ethical decision-making in healthcare and medical practice. 1. Beneficence Definition: actions that promote the well-being of others (providing care that benefits the patient). Example: A doctor prescribing a medication that effectively treats a patient’s illness, improving their health and quality of life. For instance, administering insulin to a diabetic patient to regulate their blood sugar levels.

36. 2. Non-Maleficence Definition: means " do no harm ." Healthcare professionals must avoid treatments or interventions that could cause harm to the patient. Example: A surgeon deciding not to perform a risky surgery that has a high probability of causing more harm than benefit to the patient. For example, avoiding an unnecessary procedure that could lead to significant complications or side effects.

37. 3. Autonomy Definition: Autonomy emphasizes the patient's right to make informed decisions about their own healthcare. It respects individuals' capacity to act on their own values and preferences. Example: A patient deciding to refuse chemotherapy treatment after being fully informed of the benefits and risks by their oncologist. Respecting the patient’s choice even if it differs from the doctor’s recommendation.

38. 4. Justice Definition: Justice in healthcare refers to fairness in the distribution of resources and treatments. It ensures that patients are treated equitably and without discrimination. Example: A hospital ensuring that all patients have equal access to COVID-19 vaccinations, regardless of their socioeconomic status or background. This includes prioritizing high-risk groups appropriately based on medical guidelines, rather than other factors like wealth or social standing

39. 5. Confidentiality- Privacy of patient Example: A patient discusses their medical history, including sensitive information, during a consultation. Action: The healthcare provider ensures that the conversation happens in a private setting and does not share this information with anyone not involved in the patient's care without consent. Ethics: This maintains the patient's trust and privacy.

40. Benefits are maximized (beneficence) and risks are minimized (nonmaleficence) The way physicians communicate with their patients elicit genuine effects on patient outcomes

41. Physician's empathy is of utmost importance for patients and must be considered as necessary and of therapeutic value Studies have shown physician's words can have same effects on pain as drugs

42. THANK YOU