Communication Skills for Medicine E-Book

Margaret Lloyd, Robert Bor

Description

This title was Highly Commended (Basis of Medicine category) in the BMA Awards 2005. A highly practical account of communication for medical students, backed up with numerous case histories. In addition to the clinical interview the book covers other aspects of communication including how to promote healthy behaviour and the need for the doctor to work as part of the health care team.

• Reflects current importance of communication skills in curriculum.
• Highly practical approach.
• Accessible information with summary points.
• Covers needs for both hospital and general practice setting.
• Written specifically for medical students, unlike many of the competing books.

• Additional practical examples.
• More material on: professionalism; Mental Capacity Act; risk; the 'expert' patient.

Informations

• Publié par: Churchill Livingstone
• Date de parution: 01 mars 2009
• Nombre de lectures: 0
• EAN13: 9780702042034
• Langue: English

Extrait

Table of Contents

Cover image
Front matter
Copyright
Preface
Foreword
Chapter 1. Introduction
Chapter 2. Basic communication skills
Case example 2.1. How not to begin an interview
Case example 2.2. A patient's response to open and closed questions
Case example 2.3. Picking up verbal cues
Case example 2.4. Doctor- and patient-centred interviewing styles
Chapter 3. The medical interview
Case example 3.1. A good way to begin an interview
Chapter 4. Giving information
Case example 4.1. A habitual smoker with asthma
Chapter 5. Breaking bad news
Case example 5.1. Breaking the news of breast cancer
Chapter 6. Taking a sexual history
Case example 6.1. A married man worried he might have contracted HIV
Case example 6.2. Treating a man who was depressed and presented with impotence
Chapter 7. Communicating with patients from different cultural backgrounds
Case example 7.1. Mrs Shah, an Asian woman attending a hospital clinic
Case example 7.2. A female Arab patient on the ward
Case example 7.3. Asian female seeking urgent medical consultation
Case example 7.4. Refugee family from Afghanistan seeking advice regarding their son's health
Chapter 8. Guidelines on communicating with children and young people
Case example 8.1. Anaemic adolescent refusing treatment
Chapter 9. Communication with a patient's family
Case example 9.1. Patient unwilling to tell husband of her hospital admission
Chapter 10. Mistakes, complaints and litigation
Case example 1. A fatal mistake
Case example 2. Admitting your mistake to a patient
Chapter 11. Challenging consultations
Case example 11.1. A challenging consultation – whose challenge?
Chapter 12. Communicating with patients and colleagues
Exercises
Appendix A. Guidelines for using role-plays
Appendix B. Guidelines for giving feedback
Appendix C. Assessment of communication skills
Appendix D. Presentation: hints and assessment
Further reading
Subject Index
Front matter
Communication Skills for Medicine
For Elsevier
Commissioning Editor: Timothy Horne
Development Editor: Helen Leng
Project Manager: Camilla Cudjoe
Design Direction: George Ajayi
Illustration Manager: Merlyn Harvey

Communication Skills for Medicine
Third Edition
Professor Margaret Lloyd MD FRCP FRCGP, Emeritus Professor of Primary Care and Medical Education, University College Medical School, University College London
Professor Robert Bor MA (Clin Psych) DPhil CPsychol CSci FBPsS FRAeS, UKCP Reg EuroPsy, Consultant Clinical Psychologist, Royal Free Hospital, London
Contributions by
Geraldine Blache MSc CPsychol, Chartered Psychologist and Organisational Consultant, London
Zack Eleftheriadou MA MSc CPsychol & Chartered Scientist UKCP Reg, Dip Infant Mental Health, Psychologist and Integrative and Psychoanalytic Psychotherapist, Visiting Lecturer, Tavistock Clinic and private practice, London
Copyright

© 2009, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier's Rights Department: phone: [phone] (US) or ([phone] (UK); fax: [phone]; e-mail: [e-mail] . You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions .
First edition 1996
Second edition 2004
Third edition 2009
ISBN 978-0-7020-3058-1
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notice

Neither the publisher nor the authors assume any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient.
The Publisher


Printed in China
Preface
The first edition of this book was published in 1996 and since then communication skills teaching has continued to develop in both undergraduate and postgraduate education. The intended outcome is to educate a generation of doctors who can communicate effectively and sensitively with patients, relatives and colleagues.
Many doctors increasingly recognise that communication skills in medical practice are not simply about positive engagement with patients. Effective communication also helps us to understand better a patient's problem, the impact it has on the patient's life and relationships and also how best to manage the problem in the patient's life. Nowadays, effective communication skills are also vital for reducing the risk of error in clinical practice as well as avoiding complaints about one's practice. Both of these could have serious consequences for the doctor. There is no formula or short-cut for learning communication skills as we have to engage differently with each patient. There are, however, certain approaches and skills that help us to communicate more effectively, and the evidence strongly suggests that communication skills can be taught and learned. Since the last edition there has been more research in all aspects of communication in medicine and we have tried to reflect this in the text and references .
The principles that gave guidance in our writing of the first edition have not changed. We set out to produce a practical guide to the learning and development of communication skills that would be of value to students throughout their careers. The order of the chapters reflects this development from basic communication skills to those required in dealing with challenging situations. We have maintained the same format as the first edition, including case examples, guidelines and opportunities to encourage the reader to ‘stop and think’. The skills of effective, sensitive communication are learnt and developed by practising them and reflecting on the process. We hope that the exercises and the appendices will help students and their teachers to do this.
All of the chapters have been revised and references updated. A new section on medical professionalism has been added in response to the increasing emphasis now placed on professionalism and the role of the doctor in society.
We hope that this book will continue to provide students and teachers with a map to guide their learning and teaching of the skills of good communication.
M.L.
R.B.
London, 2008
Foreword
D.J. Weatherall

November 2008
The ten years or more since the first edition of this fine book was published have been one of the most exciting periods in the development of the medical sciences. The completion of the human genome project, surely one of the most remarkable achievements in human biology, was followed by predictions that medicine would change completely over the next 20 years and that many of our intractable diseases would be preventable or at least amenable to improved forms of therapy. As the dust has settled on this heady period, however, it has gradually become clear that human beings are even more complex organisms than was ever imagined. And although some progress has been made in applying our new technology to the prevention and control of disease it is now clear that we have only the flimsiest ideas about the workings of healthy bacteria, never mind the multi-layered and infinite complexity of sick people.
In my small monograph, Science and the Quiet Art , I pointed out that while we should make every effort to explain our patients' problems in the language of modern science, in many cases, because of ignorance a moment would come when we would have to call on the classical skills of good doctoring, including sympathetic communication skills, an ability to carry out a painstaking clinical examination, but above all to be able to listen to what our patients have to tell us. However far modern science is able to move medical care forward, these skills, particularly an ability to listen and develop an attitude of humility, will always be required for good medical practice.
As witnessed by the new edition of this book, it is possible to do a great deal to improve doctors' communication skills and, along the way, improve their facility for listening to what their patients are telling them. Paradoxically, the extraordinary advances in the basic medical sciences, which are pointing daily to our profound ignorance about what makes us what we are, may engender a greater humility in our profession, so vital for generating skills in communication and listening.
None of the richer countries of the world has learnt how to cope with the increasing costs and pressures of medical care, particularly those that result from their increasing aged populations. The pressure on doctors, whatever their field, are enormous and it is increasingly difficult for them to spend adequate time talking to their patients. But as this book clearly states, there are no short cuts to medical communication skills, a message that has to be stated absolutely clearly to those who control and organise