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Lesson 2 - Communication
Communication techniques for the medical assistant
68
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Not Applicable
06/14/2010

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Term
Referent
Definition
Stimulation of motivation to communicate.
Term
Sender
Definition
Person who delivers a message.
Term
Reciever
Definition
Person who recieves a message and decodes it.
Term
Message
Definition
Content of a communication, including non-verbal, and symbolic language.
Term
Channel
Definition
Mode of conveying a message, including vision, hearing, and touch.
Term
Feedback
Definition
Message returned by a reciever as a response to the senders message.
Term
Evironment
Definition
Setting in which a communication experience occurs.
Term
Interpersonal variables
Definition
Factors that impact a reciever's interpretation of a message, such as a biases.
Term
Active listening involves what?
Definition
90% listening and 10% speaking
Term
What are the different communication styles?
Definition
Passive, Passive-aggressive, Assertive, and Aggressive
Term
Passive
Definition
Quality of submitting or yielding without offering resistance.
Term
Passive-aggressive
Definition
Manipulative behavior that appears passive initially, but then retaliates.
Term
Assertive
Definition
Quality of advocating to one's own rights while respecting the rights of others.
Term
Aggressive
Definition
Striving to meet one's own needs while disregarding the rights and needs of others.
Term
What does verbal communication involve?
Definition
Tone, emphasis, and pauses. Speaking clearly, and enunciating properly.
Term
What does non-verbal communication involve?
Definition
Body language, eye contact, and facial expression.
Term
What are some communication challenges?
Definition
Hearing impaired, the deaf, visually impaired, aphasics (loss of the power to use or understand words) and Alzeimer's Disease and related disorders.
Term
How do you communicate with the hearing impaired?
Definition
If the person has a hearing aid, make sure it is on and working properly. Sit directly in front of the person, and be on the same level as the person. Keep hands away from face when speaking. Reduce background noise, and write messages if necessary.
Term
How do you communicate with the deaf?
Definition
Similar to the hearing impaired, write messages if the person can read, use pictograms or other illistration devices to facilitate communication.
Term
How do you communicate with the visually impaired?
Definition
Describe the room layout, who is in the room and what is happening. Tell the person when people leave or enter the room, and before touching them.
Term
How do you communicate with aphasics?
Definition
Be patient, let the patient know when you don't understand them. Ask how they best communicate. Use pictograms or writing.
Term
How do you communicate with persons with Alzeimer's Disease or related disorders?
Definition
Always approach the person from the front, speak normal, minimize hand movement and sensory stimulation. Maintain eye contact and smile. Be respectful of their personal space, and maintain distance. Use a low pitched voice, ask one question at a time to avoid confusion.
Term
What are some of the most common defense mechanisms?
Definition
Rationalization, Compensation, Regression, Repression, Displacement, Denial, and Projection
Term
Compensation (defense mechanism)
Definition
A person offsets feelings of inadequacy by achievment in another aspect.
Term
Defense Mechanism
Definition
Unhealthy coping strategy.
Term
Denial (defense mechanism)
Definition
When a person refuses to acknowledge the validity or reality of something that is obvious to others.
Term
Displacement (defense mechanism)
Definition
When a person expresses anger or another emotion at a person or object that is not the cause of those feelings.
Term
Projection (defense mechanism)
Definition
When a person accuses others of that person's own feelings, attitudes, or behaviors.
Term
Rationalization (defense mechanism)
Definition
When a person makes excuses to justify inappropriate behaviors.
Term
Regression (defense mechanism)
Definition
When a person reverts to behaviors associated with earlier (younger) developmental stages.
Term
Repression (defende mechanism)
Definition
When a person eliminates from conscious thought traumatic memories, or painful or conflictual thoughts, or impulses that the person belives are unacceptable.
Term
What are some strategies for dealing with difficult people?
Definition
*Focusing on the patient
*Acknowledge the patient
*Validating the patient's feelings
*Using "I" language
*Moving to a solution
*Setting boundaries
Term
What is Initiation, and what part of the patient interview is it?
Definition
The medical assistant introduces themself, and asks for the purpose of the visit. This is the begining of the interview.
Term
What is the Body of the patient interview?
Definition
In the second part of the interview the medical assistant gathers more information about the nature of the patient's problems, as well as thier goals and expectations for care.
Term
What is the summary portion of the patient interview?
Definition
The last part of the interview the medical assistant will briefly summarize the main points and allow the patient to make additions, or corrections.
Term
Reflecting
Definition
Validates the patients feelings and concerns.
Term
Closed question
Definition
Seeks specific information and invites a reply in the form of one word answers.
Term
Restating
Definition
Checks understanding of the patient's message and invites confirmation or correction.
Term
Directive statement
Definition
Guides the patient to discuss a topic indicated by the interviewer.
Term
Open-ended question
Definition
Encourages the patient to elaborate on a subject.
Term
Redirecting
Definition
Guides the patient back to a relevant subject.
Term
Silence
Definition
Allows the patient ample opportunity to process information.
Term
Active listening
Definition
Non-verbal communication that indicates the medical assistant is listening and attending to the patient.
Term
Summarizing
Definition
Clarifies key issues for the medical assistant and the patient.
Term
Give an alternative strategy for each interviewing obstacle:
*Offering opinions and advice
*Using technical language
Definition
*Try answering a question with a question.
*Choose language that is easily understood.
Term
Give an alternative strategy for each interviewing obstacle:
*Offering False reassurance
*Talking too much
*Asking judgemental questions
Definition
*Use reflection to acknowledge the patient's concers.
*Effective communication happens when a person talks less and listens more.
*Practice ways to word delicate or personal questions.
Term
What strategies should a medical assistant use with a talkative patient?
Definition
*Set clear expectations
*Ask closed questions
*Restate the message
*Redirect
Term
What strategies should a medical assistant use with a quiet patient?
Definition
*Use open-ended questions
*Practice wording questions ahead of time
*Use direvtive statements
Term
Provide four functions of the patient's medical chart:
Definition
1-Record of patient's medical history
2-Recording on going care
3-Communication tool
4-Legal document
Term
The standard medical history includes what?
Definition
*Database
*Post medical history
*Family history
*Social history
Term
Database
Definition
Logistical data, such as patient's name, address, date of birth(DOB), insurance coverage, initial physical findings, and initial laboratory test result.
Term
Post Medical History(PMH)
Definition
Immonizations, allergies, prior surgies, past or current disorders and diseases, and traumatic injuries.
Term
Family History(FH)
Definition
Health information about parents, siblings, and children.
Term
Social History(SH)
Definition
Patient's lifestyle, and activities they engage in.
Term
How to communicate with children:
Definition
Drop to eye level, speak at a normal volume, use simple explainations before doing procedures, and be honest. Allow child to be with their parents or on their laps if possible. Include the child in the conversation and to touch some of the equipment to help them become more comfortable.
Term
How to communicate with older children and adolscents:
Definition
Take extra care to provide privacy, in this age group children and young adults can be very self conscience about their bodies.Assure patients of their normalcy, answer questions, and be honest.
Term
How to communiccate with elderly patients:
Definition
Adapt communication techniques for any sensory or perceptual deficits, allow time to process information. Do not assume elderly patients are hard of hearing, forgetful, or senile. Convey respect and address the patient by last name unless otherwise requested.
Term
Source-oriented Medical Record
Definition
System of documentation that includes a note for each patient visit, arranged in reverse chronological order.
Term
Problem-oriented Medical Record
Definition
System of documentation that includes the database, problem list, plan, and progress note.
Term
SOAP/E
Definition
Subjective, Objective, Assesment, Plan of care, and Evaluation
Term
Subjective
Definition
Information only known by the patient and must be shared by the patient in order for the health care team to be aware.
Term
Objective
Definition
Data obtained through the observation of the health care provider.
Term
Assesment
Definition
Physicians conclusion about the patient's condition, or the diagnoses.
Term
Plan or care
Definition
Where the physician describes how the patient's health problem will be further evaluated or treated.
Term
Evaluation
Definition
Describes the patient's understanding of the overall plan as well as their compliance with it.
Term
How can a medical assistant provide clear communication on the telephone?
Definition
Speak clearly in a comfortable volume, using a pleasant tone. Do not use jargon or slang terms, adhere to telephone ettiquette, enunciate, and use proper pronunciation.
Term
What should be asked before putting a caller on hold?
Definition
'If' it is ok to put them on hold, and if it is an emergency, triage the to asses emergency status.
Term
What is the proper information to collect when taking a telephone message?
Definition
*Name of the caller
*Date and time of the call
*Return phone number, and if they would like a call back (best time to be reached) or if they plan to call again at a later time.
*Nature of call
*Initial or sign
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