This document discusses the importance of patient-centered communication in managing lifestyle diseases. It notes that lifestyle diseases like diabetes and heart disease have increased due to changes in living patterns and are difficult to treat as they require changes to lifestyle and mindset. Effective communication between doctors and patients is important for compliance, improved health outcomes, and reducing malpractice. Barriers to communication include patients not providing full medical histories and doctors interrupting patients. The ideal relationship is one of mutuality where doctors and patients collaborate as equal partners.
Patient-Centered Communication: A Useful Clinical ReviewZackary Berger
Patient-centered communication is important because of the 5 E's: ethics, emotions, efficiency, effectiveness, and equity. This talk was originally given October 1, 2014, at the Baltimore City Medical Society.
The lecture is about the ethical guidelines in the doctor-patient relationship. this is the lecture for the beginners that is for first-year medical students.
From disease-centered to patient-centered communication in breast cancerKathi Apostolidis
Breast cancer patient perspectives and experiences in patient-doctor communication
Are physicians educated and skilled to communicate difficult diagnoses to cancer patients?
What is patient centered communication?
How doctors think
Patient-Centered Communication: A Useful Clinical ReviewZackary Berger
Patient-centered communication is important because of the 5 E's: ethics, emotions, efficiency, effectiveness, and equity. This talk was originally given October 1, 2014, at the Baltimore City Medical Society.
The lecture is about the ethical guidelines in the doctor-patient relationship. this is the lecture for the beginners that is for first-year medical students.
From disease-centered to patient-centered communication in breast cancerKathi Apostolidis
Breast cancer patient perspectives and experiences in patient-doctor communication
Are physicians educated and skilled to communicate difficult diagnoses to cancer patients?
What is patient centered communication?
How doctors think
A short sharing on doctor-patient communication to First year medical students in Universiti Malaysia Sarawak, to be supplemented with anecdotal accounts.
Definition of DPR
Why does DPR matter?
Parson's Ideal Doctor & Patient
Types of DPR
Importance of DPR
Elements of DPR
Key components of DPR
Communication between Doctor & Patient
Barriers in communication
Factors influencing DPR
How to improve DPR
Patient Education
IN THIS PRESENTATION I HAVE DESCRIBED ABOUT DOCTORS AND PATIENTS RELATIONSHIP . History of doctor-patient relationship. Models of doctor-patient relationship. Psychological types of doctors. Basic characters and skills of physician. Communication of doctors. Problems of contemporary healthcare system
A short sharing on doctor-patient communication to First year medical students in Universiti Malaysia Sarawak, to be supplemented with anecdotal accounts.
Definition of DPR
Why does DPR matter?
Parson's Ideal Doctor & Patient
Types of DPR
Importance of DPR
Elements of DPR
Key components of DPR
Communication between Doctor & Patient
Barriers in communication
Factors influencing DPR
How to improve DPR
Patient Education
IN THIS PRESENTATION I HAVE DESCRIBED ABOUT DOCTORS AND PATIENTS RELATIONSHIP . History of doctor-patient relationship. Models of doctor-patient relationship. Psychological types of doctors. Basic characters and skills of physician. Communication of doctors. Problems of contemporary healthcare system
OUTLINE:
Introduction: Doctor’s relationship and roles
Professionalism and Professional Attributes
Doctor’s duties towards himself/herself
Doctor’s duties towards his/her colleagues
Doctor’s duties towards his/her profession
Doctor’s duties towards his/her community
Ten Distinguishing Ideas for Health Communication in the 21st Century renataschiavo
This presentation draws upon my book, Health Communication: From Theory to Practice, Second Edition, San Francisco: Jossey-Bass, an imprint of Wiley, 2013. It was given as part of a Sept. 10, 2014 Author's Night at the New York Academy of Medicine.
The keynote address was delivered at the NYSAVSA Annual Conference on June 7, 2012 in Geneva, NY. The purpose of the address was 3-fold: (1) Outline what patient- and family-centered care is, its core components, and benefits; (2)Highlight some best practice volunteer programs aligned with the PFCC philosophy; (3) Provide conference participants with an assessment grid to evaluate their volunteer programming based on two PFCC standards and walk away from the presentation with concrete strategic next steps to enhance and strengthen their volunteer programming based on the PFCC model and philosophy.
Top 7 Insights from Years of Observing Real-world Healthcare Communication Ogilvy Health
Over the past 15 years, the Ogilvy CommonHealth Behavioral Insights team has used sociolinguistic techniques to study and improve healthcare communication. We spearheaded this research by studying dialogues between patients and healthcare providers using our proprietary methodology. Continue reading to better understand how to incite behavior change and improve healthcare communications.
Is respecting patient autonomy enough or must we promote patient autonomy as ...Mark Sullivan
In this presentation, I examine the duty to respect patient autonomy through the requirement for informed consent. I argue that this is inadequate for outpatients with chronic disease. In these patients, we must also promote patient autonomy, understood broadly as the capacity to do and be things of value, for this is the core of the health that is the goal of care.
This PPT is all about Something that we want to lear an discover new things in life which might be very useful and essential to do something so you can figure out and work on it so you will be able to do it simply great and awesome in life. After downlading the ppt please do not forget to reshare it with your friends families and morel
Considerations when deciding about withholding or withdrawing life-sustaining...Dr. Liza Manalo, MSc.
Towards the end of life, physicians face dilemmas of discontinuing life-sustaining treatments or interventions. In some circumstances, these treatments are no longer of benefit, while in others the patient or family no longer want them. The physician plays an essential role in clarifying the goals of medical treatment, defining the care plan, initiating discussions about life-sustaining therapy, educating patients and families, helping them deliberate, making recommendations, and implementing the treatment plan. Communication is key. It should be clarified that when inevitable death is imminent, it is legitimate to refuse or limit forms of treatment that would only secure a precarious and burdensome prolongation of life, for as long as basic humane, compassionate care is not interrupted. Agreement to DNR status does not preclude supportive measures that keep patients free from pain and suffering as possible. Acceptable clinical practice on withdrawing or withholding treatment is based on an understanding of the medical, ethical, cultural, and religious issues. There is a need to individualize care option discussions to illness status, and patient and family preferences, beliefs, values, and cultures. The process of shared decision making between the patient, the family, and the clinicians should continue as goals evolve and change over time.
2. Disease Transition
Communicable Non Communicable
Diseases Diseases (Lifestyle
Diseases)
3. Communicable Diseases
Tuberculosis, Malaria, Cholera, Influenza,
Measles, Polio etc
Transmitted from one person to another
through a causative agent directly or
indirectly
Prevalent among lower stratum of the
society
Line of treatment and management is
simple and easy to follow
Acute diseases
4. Non Communicable Diseases
Lifestyle Diseases
Changes to the way people live have
created new environmental and
behavioral risk factors, leading to a rise
in lifestyle diseases
start slowly and often asymptomatically
but last longer
Type 2 diabetes, Cardiovascular
Diseases, Hypertension, Stroke
Management of lifestyle disease requires
change in living pattern, attitude and
mindset
5. Improved quality of living and
awareness are the only prerequisite of
overcoming these diseases
“The diabetic who knows the most, lives the
longest”- Elliott P. Joslin, 1929
6. What Doctors say about patient…..
People are not ready to listen and
change so it‟s difficult to bring about
positive changes
Patient hide useful information on the
first visit
It is easier to change the mindset of
the people when somebody has
suffered in the family.
7. What Patients want from Doctors
Make the patient aware that majority of the
diseases are preventable and this prevention
costs only a minimum of expenditure, if
compared to the cost incurred on the
treatment.
Awareness of right treatment options for the
patient.
In addition to prescribing medicines to the
patients, Doctors should also give some time
to educate the patients and attendants about
the causes of various diseases and what
measures should be taken to prevent the
common ailments which can be serious at
times if neglected
8. A study published in JAMA found that
72% of the doctors interrupted the
patient‟s opening statement after an
average of 23 seconds
Patients who were allowed to state
their concerns without interruption
spoke for only an average of 6 more
seconds
9. Patients are at fault too…..
Patients described as “frustrating” by
doctors do not trust or agree with the
doctor
present too many problems for one
visit
do not follow instructions
are demanding or controlling
10. Traditional Model
Linear/ Unidirectional
Communication
Biomedical approach
to addressing medical
problems
”Prescription followed”
”weight loss”
“Healthy Diet”
Symptomatic
Treatment
“Patient as diseases/
organ”
11. Why is it important?
Compliance with the medical
treatment
Improves Patient‟s satisfaction
Improved health and emotional status
of the patient
Improves Doctor‟s satisfaction
Reduces Malpractices
(Stewart and Roter)
12. Barriers to effective
communication
There may be many barriers to effective
physician-patient communication.
Patients may feel that they are wasting the
physician's valuable time;
omit details of their history which they deem
unimportant;
be embarrassed to mention things they think
will place them in an unfavorable light;
not understand medical terminology;
believe the physician has not really listened
and, therefore, does not have the information
needed to make good treatment decisions
13. Culture and D-P Communication
How illness is discussed and treated
in a culture
Myths and misconceptions already
prevalent in the society
Poor Language skills
14. Types of doctor–patient
relationship*
Patient Control Doctor’s Control
Low High
Low Default Paternalism
High Consumerist Mutuality
*Stewert and Roter
15. Default relationship
Patients adopt a passive role even
when the doctor reduces some of his
or her control, with the consultation
therefore lacking sufficient direction
16. Paternalistic Relationship
Doctor is dominant and acts as a
„parent‟ figure who decides what he or
she believes to be in the patient‟s best
interest
Patient Submissive
17. Consumerist Relationship
the patient taking the active role and
the doctor adopting a fairly passive
role,
acceding to the patient‟s requests for
a second opinion, referral to hospital,
a sick note, and so on
18. Relationship of mutuality
active involvement of patients as equal
partners in the consultation
meeting between experts‟, in which both
parties participate and engage in an
exchange of ideas and sharing of belief
system
The doctor brings his or her clinical skills and
knowledge
Patients bring their expertise in terms of their
experiences and explanations of their illness,
and knowledge of their particular social
circumstances, attitudes to risk, values and
preferences
19. Changing Role of Doctor
Patient-Centered
Communication
Biopsychosocial
approach
Facilitator/ Listener
Behavior Change Expert
Negotiating small
changes
“Patient as person”
20. Collective Role of Doctor and
Patient
Shared decision making
Patient preferences should be sought
out and validated
Doctor and Patient engage in a
reciprocal relationship
21.
22. “While the doctor focuses on illness,
the patient may be more interested
in wellness.” Athena du Pre