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pharmacology notes to study for advanced pharm, Study notes of Pharmacology

pharmacology notes to study for advanced pharm

Typology: Study notes

2024/2025

Uploaded on 01/13/2025

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Chapter 2: Interviewing, Communication, and Interpersonal Skills -
Summary
Fundamentals of Skilled Interviewing
Effective interviewing requires mastering a range of techniques to build
rapport and gather accurate patient data:
Active Listening: Focus on the patient’s words, emotions, and body
language to foster open communication.
Guided Questioning: Start with open-ended questions, then narrow
focus using graded responses or echoing.
Empathic Responses: Acknowledge and validate patient emotions to
build trust.
Summarization: Recap patient information to ensure accuracy and
understanding.
Transitions: Smoothly guide the conversation between topics or
stages.
Validation: Show understanding of the patient’s experiences or
feelings.
Empowering Patients: Encourage active participation in care
decisions.
Appropriate Reassurance: Provide information to ease concerns
without false guarantees.
Verbal and Nonverbal Communication
Language: Use clear, non-stigmatizing language and avoid medical
jargon.
Nonverbal Cues: Maintain eye contact, observe posture, and match
the patient’s energy to convey empathy and attentiveness.
Addressing Sensitive Topics
Be nonjudgmental and explain the rationale for questions to reduce
patient discomfort.
Topics include sexual health, substance use, domestic violence, mental
health, and end-of-life care.
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Chapter 2: Interviewing, Communication, and Interpersonal Skills - Summary Fundamentals of Skilled Interviewing Effective interviewing requires mastering a range of techniques to build rapport and gather accurate patient data:  Active Listening : Focus on the patient’s words, emotions, and body language to foster open communication.  Guided Questioning : Start with open-ended questions, then narrow focus using graded responses or echoing.  Empathic Responses : Acknowledge and validate patient emotions to build trust.  Summarization : Recap patient information to ensure accuracy and understanding.  Transitions : Smoothly guide the conversation between topics or stages.  Validation : Show understanding of the patient’s experiences or feelings.  Empowering Patients : Encourage active participation in care decisions.  Appropriate Reassurance : Provide information to ease concerns without false guarantees. Verbal and Nonverbal CommunicationLanguage : Use clear, non-stigmatizing language and avoid medical jargon.  Nonverbal Cues : Maintain eye contact, observe posture, and match the patient’s energy to convey empathy and attentiveness. Addressing Sensitive Topics  Be nonjudgmental and explain the rationale for questions to reduce patient discomfort.  Topics include sexual health, substance use, domestic violence, mental health, and end-of-life care.

 Preparation, openness, and reflection can help clinicians handle these conversations effectively. Informed Consent and Serious Discussions  Provide clear, thorough information for consent.  Use structured approaches like SPIKES for delivering serious news:

  1. S et up the interview: Create a comfortable, private setting and include necessary participants.
  2. P erception: Assess the patient’s understanding of their situation.
  3. I nvitation: Ask how much detail the patient wants to know.
  4. K nowledge: Deliver information clearly and gradually, avoiding medical jargon.
  5. E motions: Acknowledge and validate emotional responses; provide support.
  6. S trategy and Summary: Outline the next steps and ensure the patient understands the plan. Motivational Interviewing  A collaborative approach for encouraging behavioral change, especially effective for ambivalent patients.  Techniques include open-ended questions, reflective listening, and exploring reasons for change. Working with Medical Interpreters  Use professional interpreters to ensure accurate communication in patients with limited English proficiency.  Position the interpreter appropriately to maintain direct clinician- patient interaction. Interprofessional Communication  Collaboration across disciplines is essential for safe, effective care.  Use tools like SBAR (Situation, Background, Assessment, Recommendation) for structured communication. Managing Challenging Patient Behaviors