Efnisyfirlit

• Instructions for online access
• Cover image
• Title Page
• Table of Contents
• Copyright
• Preface to the fourth edition
• 1 Introduction
  • What is clinical communication?
  • What is ‘good’ communication?
  • Why is communication important?
  • Developing clinical communication skills
  • What is the evidence for the effectiveness of clinical communication training?
  • Your learning
  • How to use this book
  • Key points
  • References
• 2 Core skills in clinical communication
  • The doctor–patient relationship
  • Factors that affect communication in medical settings
  • The setting of the consultation
  • Beginning a consultation
  • The main part of the consultation
  • Asking questions
  • Listening
  • Facilitation
  • Clarification
  • Reflection
  • Silence
  • Empathy
  • Touch
  • Communication during the physical examination
  • Signposting
  • Summarising
  • Ending a consultation
  • Key points
  • References
• 3 Gathering information
  • An overview of the doctor–patient consultation
  • The medical history
  • Beginning a consultation: establishing rapport
  • Gathering information for a medical history
  • The structure of a medical history
  • Writing up the medical history
  • Variations of the medical history
  • Some practical hints
  • Presenting a patient's medical history
  • Common concerns about meeting patients as a student
  • Key points
  • References
• 4 Discussing sensitive topics
  • Which topics are difficult to discuss?
  • Broaching a sensitive topic
  • Discussing a sensitive topic
  • Being aware of what the situation means for the patient
  • Talking about sex
  • When to talk about sex
  • Key points
  • References
• 5 Sharing information
  • Preparing to share information
  • Sharing information during the consultation
  • Discussing uncertainty and risk
  • Written information
  • Key points
  • References
• 6 Shared decision making
  • Patient autonomy in decision making
  • What is shared decision making?
  • When is shared decision making used?
  • Preparing for a decision-making consultation
  • Supporting decision making during the consultation
  • The importance of support
  • Key points
  • References
• 7 Breaking bad news
  • What is bad news?
  • What is difficult about sharing bad news?
  • Preparing to break bad news
  • Sharing bad news
  • ‘What to do if…’
  • Key points
  • References
• 8 Communication with a patient's family
  • Initial observations
  • Identifying family members
  • The family's influence on care and treatment
  • Working with couples
  • Confidentiality
  • Secrets
  • Responding to concerns and fears
  • Key points for communicating with a patient's family
  • Key points
  • References
• 9 Communicating with children and young people
  • What to consider when communicating with children and young people
  • Communication with young patients at different ages
  • The physical environment
  • Introductions
  • Gathering information
  • Examining a young patient
  • Responding to a young patient's feelings
  • Involving young patients in decisions
  • Reluctance to take treatment
  • Separation, isolation and chronic illness
  • Breaking bad news to young patients
  • Key points
  • References
• 10 Communicating with people from different cultural backgrounds
  • When do we notice cultural differences?
  • The role of culture in the doctor–patient relationship
  • Exploring a person's preferences
  • Perceptions of illness, care and treatment
  • Language
  • Communication strategies for discussing cross-cultural issues
  • Key points
  • References
• 11 Diversity in communication
  • Communicating with people who have a learning disability
  • Communicating with transgender patients
  • Communicating with older patients
  • Key points
  • References
• 12 Communicating about medical error
  • Making mistakes in everyday life
  • Mistakes in medical practice
  • Causes of medical mistakes
  • What should you do when you have made a mistake?
  • Complaints
  • Litigation
  • Key points
  • References
• Index

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