25/04/2014B Davies1 Initiation

25/04/2014B Davies2 Common Problems Preparation before the patient comes in. Listening attentively without interrupting at the beginning of the interview. Discovering all the issues or problems the patient wishes to discuss. Setting the agenda for the rest of the session.

25/04/2014B Davies3 First Task How can you do worse? Positive alternatives

25/04/2014B Davies4 Preparation Records and computers before the consultation? Focussed attention and preparation.

25/04/2014B Davies5 Initial Rapport Effect of looking at records on non-verbal communication. Non-verbal messages override verbal cues.

25/04/2014B Davies6 Identifying the Issues – the Patient Wants to Discuss Most doctors and nurses end up discussing not quite knowing or having an incomplete understanding of why the patient has really come.

25/04/2014B Davies7 Opening Question Brainstorm favourite openers. Main aim: –Do I know why this patient wants to see me?

25/04/2014B Davies8 Listening Not doing nothing Components of listening? Effect of interruptions.

25/04/2014B Davies9 Screening Order of presentation not related to either medical importance or importance to patient. Doctors like doing things – mustnt leap into screening before listening. Remember its importance when you think you know what they are here for!

25/04/2014B Davies10 Agenda Setting How will we structure this time. Explicit and hidden ways of chunking. Aide memoires.