1. The first 2 minutes are key
Psoriasis Academy: How to get the most out of your consultation
Introduce yourself and initiate the session
The consultation
Clarify reasons for visit and any worries
Effective communication has a profound affect on adherence
Gather information
Build a relationship
Check and summarise what you have heard
Explain the process and ask for consent before examining a patient
The first
2 minutes are key
Explore and plan
Share information wanted by the patient
Develop goals and make decisions together
Close the session
How have you been since we last met?
What have you come to discuss today?
How is your skin, any change since we last met?
How do you feel about your skin and your treatment, any concerns?
Person-centred discussion points
Which aspects of your psoriasis bother you most?
Do you find it affects your day to day life?
Any problems sleeping or doing everyday tasks?
What about hobbies, socialising or going out?
The first 2 minutes are key
Open with some of these questions and listen to the patient’s response
Tell me about your treatment, how is it going?
What difference do you think the treatment makes?
Are you following the plan we discussed?
If not, what makes it hard for you, do you find it inconvenient?
What can I do to help you stick to your treatment plan?
What would you like to see from your treatment?
Tell me what you know about your condition
Is there anything you would like to know more about?
How we communicate is as important as what we say
Maintain eye contact and a facial expression appropriate to the topic
Lean forward and nod appropriately, encouraging the patient to tell their story, do not interrupt
Non-verbal
Acknowledge the patient’s views and feelings
Accept their opinions without judgement
Be supportive, genuine and sensitive to the patient
Verbal
Moderate your speech; speed, volume and intonation
Allow the patient to express their feelings, thoughts or concerns without interruption
Actively listen with an intent to understand by clarifying and summarising points
Approach
Understanding your patient
It is important to attend to the patient while picking up on cues such as facial expression and how they word answers to your questions. You should adapt your actions accordingly.
Non-verbal
Verbal
Facial expressions, emotions,
eye contact,
body language
What they say,
prompted or unprompted, fears, ideas, expectations
Remember to
actively listen to your patient
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