Evidence shows that many patients consider empathy the number-one quality of a good doctor.
Physicians’ ability to understand problems from a patient’s perspective is key to an effective doctor-patient communication.
The doctor needs to be able to put himself in the shoes of his patient and understand the situation from patient’s point of view.
The patient will almost always tell the doctor how he is feeling, even when he is trying not to. Thus, the doctor must be an effective listener and observer.
Doctor patient communication @Mustafa Kemal UniversityDainius Jakučionis
Lecture I gave at Mustafa Kemal University in Turkey, Antakya. Main topic is about doctor patient communication, which could help to increase health outcomes. Important subject about patient-centered communication and approach.
Professionalism is the basis of medicine’s social contract with society
Professionalism demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health
Empathy is the capacity to recognize and experience feelings that are being experienced by another.
“It is the intrapersonal realization of another’s plight that illuminates the potential consequences of one’s own actions on the lives of others.” (Hollingsworth, 2003)
A short sharing on doctor-patient communication to First year medical students in Universiti Malaysia Sarawak, to be supplemented with anecdotal accounts.
Doctor patient communication @Mustafa Kemal UniversityDainius Jakučionis
Lecture I gave at Mustafa Kemal University in Turkey, Antakya. Main topic is about doctor patient communication, which could help to increase health outcomes. Important subject about patient-centered communication and approach.
Professionalism is the basis of medicine’s social contract with society
Professionalism demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health
Empathy is the capacity to recognize and experience feelings that are being experienced by another.
“It is the intrapersonal realization of another’s plight that illuminates the potential consequences of one’s own actions on the lives of others.” (Hollingsworth, 2003)
A short sharing on doctor-patient communication to First year medical students in Universiti Malaysia Sarawak, to be supplemented with anecdotal accounts.
BBN - Breaking Bad News is difficult task for Junior doctors in India as it was not in the Curriculum unlike Western countries. So this slide will give you the Facts / Methods with Description of one method & Key points.
Communication: Empathy and How To Give Bad News -Journal Article and Discussionflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Bioethics- Case study on Autonomy and Decision making in medicineavi sehgal
Bioethics- A case study on Autonomy and Decision making in medicine. Forensic Medicine PowerPoint for medical (MBBS/MD) students trying to understand AETCOM.
This presentation deals with principles of basic communication skills, importance of it for Doctors and medical students. It also addresses the basic elements Doctor patient communication skills, kalmazoo Consensus working model for Clinical interview, 5 A model guidelines for the behaviour changes.
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.
There is an evident deficiency on how best to break bad news in medicine. This is an essential communication skill that our patients expect of us. It is an essential requisite of Good Medical Practice. This presentation is part of a course held at Al Hammadi Hospital, Suwaidi, Riyadh, KSA on Breaking Bad News. 2017
"Mastering Empathic Communication: The Power of Slide Listening Techniques"AiveerKhan
Empathic communication, enriched by active listening and understanding, forms the cornerstone of meaningful interactions. Discover how employing slide listening techniques cultivates empathy, fosters deeper connections, and enhances communication effectiveness across personal and professional realms.
BBN - Breaking Bad News is difficult task for Junior doctors in India as it was not in the Curriculum unlike Western countries. So this slide will give you the Facts / Methods with Description of one method & Key points.
Communication: Empathy and How To Give Bad News -Journal Article and Discussionflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Bioethics- Case study on Autonomy and Decision making in medicineavi sehgal
Bioethics- A case study on Autonomy and Decision making in medicine. Forensic Medicine PowerPoint for medical (MBBS/MD) students trying to understand AETCOM.
This presentation deals with principles of basic communication skills, importance of it for Doctors and medical students. It also addresses the basic elements Doctor patient communication skills, kalmazoo Consensus working model for Clinical interview, 5 A model guidelines for the behaviour changes.
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.
There is an evident deficiency on how best to break bad news in medicine. This is an essential communication skill that our patients expect of us. It is an essential requisite of Good Medical Practice. This presentation is part of a course held at Al Hammadi Hospital, Suwaidi, Riyadh, KSA on Breaking Bad News. 2017
"Mastering Empathic Communication: The Power of Slide Listening Techniques"AiveerKhan
Empathic communication, enriched by active listening and understanding, forms the cornerstone of meaningful interactions. Discover how employing slide listening techniques cultivates empathy, fosters deeper connections, and enhances communication effectiveness across personal and professional realms.
Empathy is the capacity to recognize and experience feelings that are being experienced by another.
“It is the intrapersonal realization of another’s plight that illuminates the potential consequences of one’s own actions on the lives of others.” (Hollingsworth, 2003)
EMPATHY CONCEPT2A Concept Analysis of EmpathyStudentUniversiMerrileeDelvalle969
EMPATHY CONCEPT 2A Concept Analysis of Empathy
Student
University
Class
Facilitator
Date
Running head: EMPATHY CONCEPT 2
Abstract
Empathy is an essential concept in nursing, and it underlies the practice of healthcare provision. The concept of empathy can be a valuable tool for a nurse practitioner. Emotional connection on a human level can considerably enhance the patient-caregiver interaction. This can be achieved via the nurse’s ability to share the patient’s mood, show compassion, and desire to assist by providing the best care possible. Overall, empathy can improve the quality of care, most importantly in terms of mental health. This paper reviews the attributes, synonyms, and concepts related to empathy as well as constructing models, similar, and opposite cases and providing an overview of the available empirical methods for measuring and promoting empathy. The aim of the analysis is to determine the definitional range and practical value, both objective and perceived, of empathy in the healthcare setting. It is especially crucial that healthcare practitioners, such as nurses, understand and, more importantly, possess the ability to empathize.
Keywords: Empathy, Model Case, Similar Case, Opposite Case, Preoperative Nurse.
A Concept Analysis of Empathy
Purpose of the Analysis
The term empathy was coined more than a century ago by the British psychologist Edward Bradford Titchener. Despite a long history of study and scholarly debate, empathy still lacks a single universally agreed definition (Cuff, Brown, Taylor, & Howat, 2016, p. 144). The variety of its definitions contributes to misunderstandings and misconceptions regarding this term, as well as its being used interchangeably with synonymous terms. The purpose of this concept analysis of empathy is to determine the definitional range and practical value, both objective and perceived, of empathy in the healthcare setting. It is crucial that healthcare practitioners, such as nurses, understand and, more importantly, possess the ability to empathize.
Uses of the Concept
In general terms, empathy is defined as the human ability to recognize and understand the feelings of other individuals and to respond appropriately. However, its original definition was different. Titchener defined it as “a process of humanizing objects, of reading or feeling ourselves into them” (as cited in Cuff et al., 2016, p. 147). With time, this concept evolved. Empathy received its dictionary definition as a term initially applied to psychology and aesthetics. According to Oxford University Press, empathy is “The power of identifying oneself mentally with a person or object of contemplation” (Butterfield, 2015, p. 211). Rogers classified empathy as “entering the private perceptual world of the other and becoming thoroughly at home in it” (as cited in Cuff et al., 2016, p. 148). Arguably, the best field-specific healthcare definition of empathy is as follows: “A cognitive and emotional understanding of anot ...
This presentation mainly explains about the type of patients that are encountered in day to day practice as well as how each of them should be handled to improve the communication between a doctor and the patient.
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Therapeutic And Non-Therapeutic communication in Nursing.Verbal communication consists of getting your message across using sounds, words, and languages, while nonverbal communication involves unsaid things like eye movement, body language, and tone.Verbal communication is the words and sounds that come out of our mouths when we're speaking, including tone of voice and things like sighs and groans. Nonverbal communication, on the other hand, is the signs and messages that we communicate using things like body language, gestures, and facial movements.
The Comprehensive Geriatric Assessment.pptxAhmed Mshari
Comprehensive Geriatric Assessment (CGA) is a process of care comprising a number of steps. Initially, a multidimensional holistic assessment of an older person considers health and wellbeing and leads to the formulation of a plan to address issues which are of concern to the older person (and their family and carers when relevant). Interventions are then arranged in support of the plan. Progress is reviewed and the original plan reassessed at appropriate intervals with the interventions reconsidered accordingly.
Helicobacter pylori (H. pylori) has so far infected more than half the global population. It is the most important and controllable risk factor for gastric cancer. The elderly, who are at a higher incidence of the infection, are also commonly found to develop antibiotic resistance. The symptoms, diagnosis, clinical features (of gastric or extra-digestive diseases), and treatment of H. pylori infection in the elderly, are different from that in the non-elderly. Health conditions, including comorbidities and combined medication have limited the use of regular therapies in elderly patients. However, they can still benefit from eradication therapy, thus preventing gastric mucosal lesions and gastric cancer. In addition, new approaches, such as dual therapy and complementary therapy, have the potential to treat older patients with H. pylori infection.
DYSLIPIDAEMIA Management the European approach.pptxAhmed Mshari
Atherosclerotic cardiovascular diseases are responsible for millions of deaths worldwide each year.
More patients are surviving their first CVD event and are at high-risk of recurrences.
The prevalence of some risk factors, notably diabetes and obesity, is increasing.
In recent years, a number of international and regional guidelines were developed to deal with this problem.
Frailty is a common clinical syndrome in older adults.
It is a risk factor for many health problems that older adults face.
Frailty is a major focus of geriatrics medicine.
This lecture will review the definition, epidemiology, etiologies, and consequences of frailty.
It will also discuss how to identify and manage frail older adults.
PHC represents a philosophical approach to health and health care.
This approach is characterized by a holistic understanding of health as well-being, rather than the absence of disease.
It integrates knowledge of the medical, biological, physical, social, psychological, and behavioral sciences.
PHC provides a comprehensive care including health promotion, illness prevention, treatment and care of the sick, and rehabilitation.
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Polypharmacy is typically defined as the prescription of five or more medications.
It also refers to the prescription of medications that do not have a specific current indication, that duplicate other medications, or that are known to be ineffective for the condition being treated.
In other words, polypharmacy is the use of multiple medications that are unnecessary and have the potential to do more harm than good.
Injurious falls is a true geriatric syndrome and serious clinical problems facing older adults.
Falls result in significant morbidity and mortality and an increased rate of nursing home placement.
هو نهج جديد يتم تطبيقه في بعض مراكز الرعاية الصحية الأولية، يهدف الى دعم وتحسين نظام الرعاية الصحية الأولية والمساهمة بتوفير حزمة الخدمات الصحية الأساسية بجودة عالية، وبتكلفة يسيرة، ومستندة الى الأدلة العلمية المحدثة.
Depression in elderly people, also known as late-life depression, is a clinical syndrome characterized by persistent feelings of sadness, loss of interest or pleasure in activities, and a range of emotional, cognitive, and physical symptoms that significantly impact the individual's functioning and quality of life.
Insulin has three characteristics:
Onset: is the length of time before insulin reaches the bloodstream and begins lowering blood glucose.
Peak time: is the time during which insulin is at maximum strength in terms of lowering blood glucose.
Duration: is how long insulin continues to lower blood glucose.
Constipation is one of the most frequent GIT disorders encountered among older adults in clinical practice.
Up to 50% of elderly experiencing constipation at some point in their lives.
Elderly women are having 2–3 times more constipation than men.
Approximately, 30% of older adults are regular nonprescription laxative users, such as stimulant and bulking laxatives.
Osteoporosis is a chronic, progressive skeletal disease characterized by low bone mass, microarchitecture deterioration of bone tissue, bone fragility, and a consequent increase in fracture risk.
In this overview, we draw inspiration from the article titled "Managing Hypertension in Primary Care“, published in the Canadian Family Physician journal (Vol 65: October 2019).
The article, edited by Khrystine Waked PharmD, Jeff Nagge PharmD, and Kelly Grindrod PharmD MSc,.
It provides valuable insights and evidence-based approaches to tackle Hypertension Management In Primary Care.
By incorporating the recommendations discussed in this article, we can enhance our ability to manage hypertension and ultimately improving patient outcomes and quality of life.
المداخلات المبسطة للتحرر من التبغ.pptxAhmed Mshari
التدخين هو عملية يتم فيها حرق مادة التبغ وإستنشاقه.
يعتبر التدخين واحداً من أسوأ الأختراعات التي عرفها التاريخ ومن أهم المشاكل التي تواجه مجتمعات العالم وخاصة النامية منها.
لوحظ تسارع إنتشار هذه الظاهرة بين الفئات العمرية كافة وخاصة فئة الشباب والمراهقين وبين أوساط النساء أيضاً.
إن ضرره يتعدى الجانب الصحي, فهو يساهم بحدوث أضرار بيئية وأجتماعية وأقتصادية كبيرة.
To the consultation, the patient brings ideas, concerns, expectations, feelings and emotions related to his health problem. These areas are often grouped together and called the “Patent’s Agenda”.
Some of these emotional concerns may be explicit “Open Agenda”, but a large part may never be expressed openly if doctors do not proactively elicit them.
In 1981, Barsky, an American psychiatrist, gave a name to this assortment of hidden concerns; he called it the “Hidden Agenda”.
An important objective of a medical consultation is to understand as much as possible these hidden emotions.
Unless the doctor is able to fathom these, the patient may only be left with therapy that will treat his most obvious symptoms but not resolve the underlying problems.
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It the process that involve seeking the assistance of another specialist with a resource to guide in managing a specific problem and sharing responsibility in patient care.
Ideally, it would result in “a closed referral loop”, in which the referral appointment is completed and results are then shared with the patient’s referring physician.
Apart from consultants and hospitals, a referral might be considered to family physician colleagues with special interests or expertise, and other members of the primary health care team, such as physiotherapists, dietitians, and social workers.
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Medical ethics is a set of moral principles, beliefs and values that guide decisions about patient care.
It is an integral part of good medical practice.
The health care professional uses knowledge, experience, and judgment and considers the ethical principles to make decisions on management recommendations.
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Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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2. What is Empathy?
Empathy in Clinical Practice
Importance of Empathy
Empathy vs. Sympathy
Empathetic Process
Verbal & Non-Verbal Empathy
The NURSE technique
Case Scenario
Lecture Outline
3. What is Empathy?
EMPATHY is the ability to understand,
recognize, and share someone else’s feelings
and emotions and show concern towards that
person. It is a capacity to put yourself in
someone else’s position and see things from
his perspectives.
EMPATHY is essential for building and
maintaining relationships. It is the basis of
intimacy and the closest connection. Without
it, our relationships would be superficial from
the emotional point of view. Therefore,
empathy is a powerful “social glue”.
4. Empathy in Clinical Practice
Evidence shows that many patients consider
empathy the number-one quality of a good
doctor.
Physicians’ ability to understand problems
from a patient’s perspective is key to an
effective doctor-patient communication.
The doctor needs to be able to put himself in
the shoes of his patient and understand the
situation from patient’s point of view.
The patient will almost always tell the doctor
how he is feeling, even when he is trying not
to. Thus, the doctor must be an effective
listener and observer.
5. Empathy has many positive effects:
It helps the patient comes to trust the doctor
as someone who cares about his welfare.
It lets the patient knows that he is not alone
in his problem; there is someone who cares
about his welfare.
It strengthens the relationship with the
patient.
It helps the patient to become aware of his
feelings and to cope with them.
It facilitates the patient’s own problem-
solving ability.
Importance of Empathy
6. Sometimes, Empathy is confused with Sympathy,
but they are actually different processes.
Sympathy is to feel sadness or pity at that other
person’s suffering, but do not feel the same
emotions or are not in the same situation.
Showing Empathy for a patient can build rapport,
whereas showing sympathy can show the distance
between the doctor and the patient.
Sympathy can create a sense of inferiority and
disempowerment for the patient.
Empathy versus Sympathy gives the client:
– Self-confidence.
– Assurance that the doctor has the strength to
provide support if needed.
– A positive message regarding the doctor’s
professionalism.
Empathy vs. Sympathy
7. v
v
Empathetic Process
Empathy is a Two-Stage process:
First, clarifying and gaining both a clear
understanding and appreciation of another
person’s situation or feelings.
Second, communicating that understanding
back to the patient in a visible and supportive
way.
Many doctors go halfway; they may
acknowledge and be sensitive to a
patient’s situation, but they often do not
visibly show it.
The real key to empathy is the overt
demonstration and expression of
sensitivity to the patient in a way that the
patient perceives the doctor’s support.
1
2
8. Verbal Empathy
Verbal skills allow the doctor to demonstrate empathy through supportive
comments.
Verbal empathy can name and appreciate the patient’s effect or
predicament.
– “I can see that your husband’s memory loss has been very difficult for you
to cope with”.
– “I can appreciate how difficult it is for you to talk about losing your baby”.
– “I can sense how angry you have been feeling about your illness”.
– “I can understand that it must be frightening for you to know the pain
might keep coming back”.
Statements reflecting empathy are highly effective because they tell the
patient that the doctor has heard him completely.
Hence, empathetic statements can communicate non-judgment and
understanding, and help establish trust in difficult situations.
9. Non-Verbal Empathy
Empathy may also be Non-Verbal (e.g.,
facial expression, eye contact, proximity,
touch, the tone of voice, or silence).
Empathic non-verbal communication can
say more than a thousand words.
For example, when a doctor offers a
tissue to a crying patient or gently
placing his hand on a patient’s arm to
show understanding.
Using a non-verbal behavior in response
to a patient’s expression of feelings can
clearly signal to the patient that the
doctor is sensitive to his predicament.
10.
11. The NURSE technique
The ‘NURSE’ acronym is a valuable tool for Demonstrating Empathy. It is helpful
approach summarizes what to do in responding and accepting patient emotions.
In mnemonic NURSE, each letter stands for a particular aspect of the approach.
Name the emotion
Understand the emotion
Respect the patient
Support the patient
Explore the emotion further
12. Name the emotion
This shows that the physician is attuned to what the patient is
experiencing.
By naming the emotion, the physician validates the patient’s
feelings and emotion as expected and normal.
This may require the physician to read non-verbal cues that the
patient display.
– “Many people in your situation would feel scared”
– “It sounds like you’ve been worried about what’s going on”
– “It seems that this is very upsetting to you”
– “I’m wondering if you are feeling nervous”
Remember, identify the underlying emotion in a suggestive
manner, not declarative; "I wonder if you’re feeling angry," or
"Some people in this situation would be angry," rather than "I can
see you’re angry about this“.
13. Show a sensitive appreciation of the patient’s predicament or
feelings. This may require some exploration, active listening,
and use of silence.
Avoid giving premature reassurance, disagreement, advice,
clinical information or justification without definitely
understanding what their true concern is.
The patient’s non-verbal cues are nearly impossible to fake,
often paint a picture of what’s really going, and are more
accurate than words.
Try not to convey that you understand what someone is feeling.
– “I understand what you are feeling”. Instead, use phrases
like:
– “People going through your situation often report
experiencing... Is that how you feel?”
– “If I understand you correctly, you are worried about how your
treatments will affect your job”
Understand the emotion
14. Respect the patient
Acknowledging and respecting a patient’s emotions is an important step in
showing empathy.
– Acknowledging means recognizing the importance of something.
– Respecting means sending message that the emotions are allowable and
important.
Respecting can be a non-verbal cues, involving facial expression, touch, or
change in posture, but a verbal statements can be more explicit.
Praising the person’s coping skills is a good way to show respect.
– "I am very impressed with how well you’ve cared for your mother during this
long illness”
– “You have done an amazing job dealing with your illness”
Matching the intensity of your acknowledgment to the patient’s the level of
emotion; a strong emotion deserves a strong acknowledgment and respect.
Accept patient’s perspective without judgement. But remember; accepting their
point of view is not necessarily the same as accepting it. It helps letting them
know you care, that they matter.
15. Support the patient
Express willingness to help, state your availability, preferably
in a way that demonstrates a partnership.
Statements of support provide further comfort in emotional
situations.
Reassure the patient that you are working with him.
– “You are not alone in this. We will continue to be here for
you to help you with the next steps”
– “Our team is committed to helping you any way we can”
– “We will work through this together”
– “I will do my best to make sure you have what you need”
Remember, it’s not enough to say that you support someone;
in the next step, you need to provide that support.
16. Explore the emotion further
By the time we reach this last step, the patient should be feeling
much calmer.
Show explicit interest in the patient’s feelings and emotions and
allow to express their concerns.
Letting the patients talk about what they are going through often
helps them feel heard.
– “Tell me more about what you mean when you say you don’t want to
give up”
– “Help me understand more about what you need to do your job well”
– “I notice that you’re upset, can you tell me what you’re thinking?”
– “I can only imagine how upsetting it must be to you. Can you tell me
more about your concerns?”
Exploring allows the patients to express the emotional areas most
challenging to them.
17. Case Scenario
Consider a case of a newly diagnosed diabetic who has expressed fears about his
upcoming hospital discharge. He thinks that he is not ready to handle all of this; testing
blood sugar and giving insulin shots. Respond empathetically to this patient.
1. Name the emotion
2. Understand the emotion
3. Respect the patient
4. Support the patient
5. Explore the emotion further
“You seem very anxious”
“It can be stressful to learn something new
like this that is so important to your health”
“You did a great job with both your glucose testing
and insulin injection today”
“I’ll work with you in the morning and I’ll let the nurse know
you’d like her there right away to work with you”
“Tell me more about specific concerns you have
about managing your diabetes at home”
18. Don’t try to fix other people’s difficult emotions by
offering advice or giving reasons why it doesn’t
make sense to feel that way. This invalidate the
other person’s experience and make them feel
worse.
Don’t be judgmental, you have to accept whatever
comes and avoid any critical or negative opinions.
Judgment will make the person defensive and less
likely to share openly and honestly.
Don’t minimize or negate other person’s feelings.
This is the opposite of validating someone’s
feelings.
Don’t try to rush the conversation to a specific end
point.
The level of empathy necessary can be a fine line
between helpful to the patient and harmful to the
doctor. That is why we need to avoid over-
empathizing.