Communicating during the appointment

1. Communication During the
Appointment

2. Initiatingand
Interviewing

3. HealthHistory
Communication
Strategies
 8 Steps of the initial patient interview(Page 1 of handout)
 Greet the patient
 Establish rapport
 Structure the appointment
 Provide rationale and review
 Ask key health history update questions
 Check patient understanding
 Summarize health history findings
 Structure the next step of the appointment

4. Stepsofrationale
andreviewforthe
Health History
 Page 2 of handout
 State what you are going to do
 State why it is important
 Ask for questions or concerns
 Allow the patient to review the health history
 Clarify positive response on the health history form

5. Questions about
complaints, pain,
andsoreness
 If the appointment is anything other than a routine
cleaning and exam, the chief complain was likely state
in the purpose for the appointment (step 3)
 If not, the provider should first confirm the patients
chief complaint
 The provide should determine answers to questions on
complaints, pain, and soreness if those answers are not
already known
 Page 3 of handout

6. EightKey
Questions inthe
Health History
Update
 Page 4 in handout

7. InteractingDuringandAfterProcedures

8. Communication
functions and
strategies during
procedures
 Page 5 in handout
 Coordinating
 Instructing
 Calming
 Monitoring
 Narrating
 Educating

9. Diagnosesand
Prognosis
 Steps in discussing examination findings
 Page 6 in handout

10. Understanding
Patient
Motivation
 Page 7 in handout
 Common motivations for seeking oral health care
 Pain and pain relief
 Esthetics
 Function
 Cost

11. Presenting
TreatmentPlans

12. Strategiesfor
Categorizing
Treatment
 Page 8 in handout
 Prescribed and discretionary treatment
 Restorative and preventative treatment

13. Discussing
TreatmentPlan
 Page 9 in handout
 Present treatment options and recommendations
 Outline details of treatment options
 Elicit input and questions
 Respond to questions or concerns
 Secure commitment to treatment or schedule follow-up

14. Motivational
Interviewing
 Page 10 in handout
 Express empathy
 Support self-efficacy
 Rolls with resistance
 Develop discrepancy

15. Endingthe
Appointment
 Review and preview
 Ask and listen
 Provide giveaways and takeaways
 Document and follow up