This article discusses the importance of effective communication in the practitioner-patient relationship and provides strategies for communication with a patient named Kirra who has mood and weight concerns.
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Running head: COMMUNICATION FOR HEALTH PROFESSIONALS1 Communication for Health Professionals Student’s Name Institutional Affiliation
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COMMUNICATION FOR HEALTH PROFESSIONALS2 Communication for Health Professionals Essentially, in a practitioner-patient relationship, the quality that is formed will largely depend on the time and effort being invested in the development and sustaining the bond. Additionally, it is worth noting that a health practitioner is set apart on the basis of ability and experience to narrow down and apply theories and techniques to help people in gaining insight, awareness and explore possible means of solving issues tied to health. Purposefully, this piece is centered on reflecting communication skills applied to a patient scenario with the intention of providing aid to Kirra. She is a 20-year-old who has been referred regarding her mood and weight concerns. For the entire assessment, a person-centered approach would best be put to use since it closely examines the positives of a therapy and discusses the value of health professional ability to effectively share the key conditions of genuineness, empathy, and unconditional positive regard to the patient(Stans, Dalemans, Roentgen, Smeets, & Beurskens, 2018). The session would be kickstarted by a warm greeting before proceeding to break the ice with Kirra through engaging her in some small talk unrelated to the context to set a calm mood for the session. Thereupon, I would go forth and explain my role before estimating the length of time I intended on spending with her. The aforementioned step would be proceeded by mentioning the issue of confidentiality through friendly and sensitive means. The first area that is best reflected on is a practitioner attending skills. Therefore, I will apply both verbal and non-verbal communication cues so as to encourage Kirra into telling her story. Much of my attention would be focused on her by application of right facial expressions and maintaining an attentive posture while maintaining appropriate and steady eye contact.
COMMUNICATION FOR HEALTH PROFESSIONALS3 Given that this point is key, I would ensure that an open and consistent body language is maintained for effective communication(Meuter, Gallois, Segalowitz, Ryder, & Hocking, 2015). Research purports that effective questioning also plays a big role as far as effective communication is concerned(Waters, Wheeler, & Hamilton, 2016). It helps in identification, clarification, and breaking down the concerns in question. The conversation will commence with an open question, for instance, ‘Hey Kirra can you partly tell me what has been happening?’ This would be helpful in getting information on the issue at hand, further, more information can be obtained with a follow up open question(Garrett, 2016). However, caution has to be taken on the number of questions asked so as to ensure free-flow communication. From the start, it is vital to ensure the patient feels comfortable and relaxed. In that regard, a non-official and a non-threatening demeanor needs are to be adopted. Given that a patient’s openness could depend on the extent of how they feel respected. Kirra is a teenager and at current her BMI of 18 indicates that she is underweight, therefore, there is need to introduce the mood and weight discussion in a non-judgmental and respectful way(Markowitz, 2018). Ideally, the non-critical and non-judgmental attitude will help establish a sense of trust thus providing a calm atmosphere for Kirra to further air her. Conversely, socio-cultural factors such as age may come to play and dent effective communication. Kirra is a young lady in her 20. Although, she is unhappy with her condition there is a possibility that she is going to be somewhat laid back, fairly direct and open as far as the style of communication is concerned. The conversation with her may be blunt on some occasions since confidence and directness may lack in expressing her points of view. Furthermore, in the referral, it is documented that she hides her lack of eating to caregivers
COMMUNICATION FOR HEALTH PROFESSIONALS4 (Moore, Rivera, Bravo-Soto, Olivares, & Lawrie, 2018). This can be dealt with through constant friendly engagement that could instill confidence to freely speak. Additionally, when it comes to health communication, ethical considerations also come to play. Issues tied to ethics are firmly embedded in health communication pursuits when it comes to influencing individuals’ health- related behaviors and beliefs(Ludolph & Schulz, 2015). For Kirra’s case, some of the ethical concerns that may arise relate to infringement on her privacy and her right to choose and autonomy given that she hides her lack of eating. The chosen health interventions may have psychological effects on the overall well being of the patient since they are likely to deal with personal choice(Katz & Peberdy, 2015). Another particular concern that may arise may be tied to personal responsibility. There may be concerns regarding whether the chosen interventions may invariably put the burden of being of sound health to Kirra. The weight of Kirra’s health situation calls for partnering with the patient and other practitioners so as to develop a well-tailored plan that can meet the patient’s needs in preparation for change. Additionally, the patient is likely to gain from a referral to a registered dietitian who is likely to guide through a structured weight gain program. Ideally, effective interprofessional communication is a necessity so as to accurately perform a diagnosis after full disclosure of information by Kirra. Not only would this help in devising an appropriate treatment for the patient but would also ensure she agrees to it. As the primary practitioner, it is a requirement to ensure that Kirra wholly understands the extent of her medical condition plus the rationale behind the treatment(Moini, Moini, Moini, & Moini, 2018). In that case, the patient and the team of professionals need to ensure they are fully committed to meeting their respective obligations. However, interprofessional communication among health professionals may be undermined by a couple of factors. Firstly, the case of differing ideologies may arise via
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COMMUNICATION FOR HEALTH PROFESSIONALS5 differences in views among the professionals and the client needs. Secondly, interprofessional communication may be undermined by a lack of clearly defined functional roles and responsibilities(Biasio, Carducci, Fara, Giammanco, & Lopalco, 2018). This would result in diminished accountability and communication breakdown which could directly impact negatively on the patient’s outcome. For Kirra, one of the regimens includes the patient endorsement of motivation to change. Kirra appears unmotivated about working on her eating disorder. In that regard, the probable approach would be to engage her about physical activity given that she has been inactive and has withdrawn from painting and drawing (activities she greatly cherished). There is a need to ensure that she becomes aware of the health values of being active on a regular basis, even for short lengths of time. However, recognizing the need to alter behavior and the willingness and the ability to make changes are somewhat different(White & Verdusco, 2018). That said, a helpful means to deal with the resistance situation is establishing a practitioner-patient relationship to identify what the patient wants to work on or alter. Achieving an initial agreement on goals tied to the therapy and decision to work on a specific behavior gives a sound introduction on dialogue about ways to achieve these laid out goals. Another strategy that may be helpful is questioning (Thomson, Outram, Gilligan, & Levett-Jones, 2015). Successive questioning would come in handy in progressively challenging the patient’s point of view. There is a possibility that this strategy will work but it is a dysfunctional approach given that it is likely to undermine the patient’s self-esteem. In sum, it is fair to say that the construction of a sound nurse-patient relationship is integral to the overall success of patient health care. Ideally, there is cause for concern when it
COMMUNICATION FOR HEALTH PROFESSIONALS6 comes to factors such as age, ethical concerns, and successful application of interprofessional relationship. In line with ethical considerations, there is a need to weigh the concerns that may arise from the communication and choice of intervention. Finally, given that interprofessional communication may offer a great opportunity for change there is a need to anticipate and iron out differences in ideologies and clearly define roles between the practitioners.
COMMUNICATION FOR HEALTH PROFESSIONALS7 References Biasio, L. R., Carducci, A., Fara, G. M., Giammanco, G., & Lopalco, P. L. (2018). Health literacy, emotionality, scientific evidence: Elements of effective communication in public health.Human Vaccines and Immunotherapeutics. Garrett, J. H. (2016). Effective Perioperative Communication to Enhance Patient Care.AORN Journal. Katz, J., & Peberdy, A. (2015). Developing effective communication. InPromoting Health. https://doi.org/10.1007/978-1-349-25430-9_8 Ludolph, R., & Schulz, P. J. (2015). Does regulatory fit lead to more effective health communication? A systematic review.Social Science and Medicine. Markowitz, J. S. (2018). Body mass index (BMI). InSpringerBriefs in Public Health. Meuter, R. F. I., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming language barriers in healthcare: A protocol for investigating safe and effective communication when patients or clinicians use a second language.BMC Health Services Research. Moini, J., Moini, M., Moini, J., & Moini, M. (2018). The communication process. In Fundamentals of U.S. Health Care. Moore, P. M., Rivera, S., Bravo-Soto, G. A., Olivares, C., & Lawrie, T. A. (2018). Communication skills training for healthcare professionals working with people who have cancer.Cochrane Database of Systematic Reviews.
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COMMUNICATION FOR HEALTH PROFESSIONALS8 Stans, S. E. A., Dalemans, R. J. P., Roentgen, U. R., Smeets, H. W. H., & Beurskens, A. J. H. M. (2018). Who said dialogue conversations are easy? The communication between communication vulnerable people and health-care professionals: A qualitative study.Health Expectations. Thomson, K., Outram, S., Gilligan, C., & Levett-Jones, T. (2015). Interprofessional experiences of recent healthcare graduates: A social psychology perspective on the barriers to effective communication, teamwork, and patient-centered care.Journal of Interprofessional Care. Waters, E. A., Wheeler, C., & Hamilton, J. G. (2016). Journal of Health Communication.How Are Information Seeking, Scanning, and Processing Related to Beliefs About the Roles of Genetics and Behavior in Cancer Causation? White, M. L., & Verdusco, L. M. (2018). Communicating with Older Adults.Home Healthcare Now.