PatientInteractionandCommunication病人的互动和沟通

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1、PatientInteractionandCommunicationBrianT.Larsen,DPT,MSObjectivesBefamiliarwithwhatconstitutesnon-verbalandverbalcommunicationandknowhowtobeeffectiveatboth.Befamiliarwiththebarrierstocommunicationandknowthepartstoactivelistening.Understandtheimportanceofobtainingrapportwithpatients,andunderstand

2、howtomatch,leadandpacewhencommunicatingwithyourpatients.Understandthe3differentlearningstylesinthislecture,andbepreparedtogiveexamplesofeach.BefamiliarwiththedifferentstepsintheTrans-theoreticalModelofBehaviorChange,andknowhowtoassesswhichstageapersonisin.TherapeuticCommunicationFacilitatestheh

3、ealingprocessAccomplishedverballyandnon-verbally3partstoamessage:Verbal(actualwords):7%Vocal(toneorinflection):38%Nonverbal(physicalaspects):55%Verbalandnonverbalmessagesoftenconflict“actionsspeaklouderthanwords”Non-VerbalCommunicationGestures,facialexpressions,inaudibleexpressionsUsedtotransmi

4、tamessageMaynotbethemessageyouintendtosendCancompliment,repeat,contradictoraccentone’sverbalandvocalmessageNon-VerbalCommunicationPhysicalcharacteristicsVisualdataisimmediateClothingProfessionaldress=professionalworkPersonalspaceMoreintimatefriendsareallowedcloserCulturaldifferencesPersonalspac

5、ediffersgreatlybetweenculturesNon-VerbalCommunicationPostureBody,arm,legpositions,sittingpostureFacialexpressionsEspeciallyeyecontactHandgesturesVerbalCommunicationCanbeaffectedby:Sender’smeaningversusreceiver’smeaningInterferenceNoisebetweensenderandreceiverChannelsofcommunication:Face-to-face

6、TelephoneWrittenThirdparty(theworsttypeusually)BarrierstoCommunicationPrejudiceClosedwordsNever,always,etcJudgingUseofslangorjargonEmotionsifupsetInabilityorunwillingnesstolistenHearingdeficit,defensiveness,noiseActiveListeningParaphrasingaspeaker’swordstoclarifyifyouhavecaughtthemeaningRestate

7、:repeatingwordsasyouhaveheardReflection:verbalizecontentANDimpliedfeelingsofsenderClarification:summarizesender’sthoughtsandfeelingsintoconcisestatementIfunsureaboutspeaker’smessage…ASK“whatI’mhearingis…Isthatwhatyoumeant?”Physica