doctor patient relationship and methods to improve

This presentation tells about the ways and methods to improve the doctor patient relations by improving communication, behaviour, competence by young doctors

1. Dr. Ashutosh Gupta GMC Jammu Doctor patient relationship in todays scenario

2. M edicine is a Science 2

3. But… P r acticing Medicine is A n Art

4. Understanding the Perspectives … ……The overlap Patient Society

5. Sickness Illness Understanding the Perspectives… ……The overlap

6. Personal Social Understanding the Perspectives… ……The overlap

7. Doctor patient Communication 7 Why What How

8. 1.WHY Do we need to talk about it? Doctor patient Communication

9. Every one wants to be well informed about his health status/illness

10. W h y … 10

11. W h y 11

12. Engage your patient Educate him Empower him 12 Health Literacy means…… ……..Patient centered care

13. What makes a “good” doctor ? Listening capabilities. C oncern for the patient Respect for the patient Flexibility in ideas. Knowledge about subject matter Please note knowledge comes at last

14. Doctor patient Communication 2.WHAT Is it all about

15. What is Communication 15 Now Then

16. Lis t en Lis t en Make him feel you listen Understand M a k e su r e y ou un derst a nd Respond M a k e su r e he i s lis t e n i n g M a k e su r e he un derst a n d s His Response 16

17. SHOCKING FINDINGS from RESEARCH 60% of taped interviews showed interruption in first 20 seconds In 50 % of the cases: doctors and patients did not agree on the key problem 80% o f the cases , the doctors could not adequately repeat the prescription

18. Listening ….. 18

19. Listening … .. Importance of eye contact

20. So…….

21. T ouch ….. …..Has to be reassuring 21

22. Doctor patient relationship 3. HOW TO ACHIEVE

23. H o w to achieve…… 23 Building a Relationship ; Some important Tips Be Punctual . Greet the patient Make Eye Contact Have a suitable Seating Arrangement

24. How to achieve…. 24 Opening the Discussion Gathering information Skill of history taking and eliciting Knowledge about patient’s life and his Support system

25. How to achieve… Body Language Sharing Information Giving options of Treatment 25

26. H o w to achieve… 26 Reaching agreement on Treatment Providing Closing Actual Action

27. Important Issues 27 Language Barrier Culture Impaired Faculties Avoid Sudden Touch Use Patient’s name frequently Explain Before Examining

28. Emp a t h y 28

29. Emp a t h y 29

30. E mpathy… Understanding the other’s condition Feeling in other’s shoes Seeing the situation through their eyes Do not judge – just try to understand Recognize their motives Ask – communicate – discover

31. P sycho -Social role. Facilitator/ Listener Behavior Change Expert Patient- Centered Communicat or Changing Role of Doctors….

32. DO’S AND DON’TS FOR MY DOCTORS

33. Greetings ; E stablish a rapport . Listen patiently . Favorable body language : D ressing up, sitting posture, eye contact, hand movements Show empathy ; B e in patient position Avoid unnecessary medical jargon . Don’t be judgmental . Be clear in your talk . Be brief and specific .

34. Have a positive attitude with a smile Be calm but assertive Adapt to audience Understand body language and non verbal clues Be open minded

35. Answer queries Give respect Establish and respect boundaries Be ethical : A void unnecessary diagnosis and treatment

36. A D octor can do a lot more with HIS WORDS T han with his medicines Finally: