11-HealthCare Relationships W2011

11-HealthCare Relationships W2011 - Health Care...

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Health Care Relationships
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Health Communication Model Health professional Health professional Client Significant others Lifespan Health care contexts Communication variables Communication variables Health transactions
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1) Professional – Patient Relationships Barriers to effective communication Role uncertainty Responsibility conflicts Power differences Unshared meanings
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Professional - Patient Relationship Barriers to effective communication 1. Role uncertainty Hesitation to raise health concerns Professionals misinterpret lack of concern Patients only express physical concerns Reinforces the traditional communication expectations between patient and professional
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Professional - Patient Relationship Barriers to effective communication 2. Responsibility conflicts Moral model (high problems; high solutions – ex obesity) Enlightenment model (high problems; low solutions – ex AA) Compensatory model (low problem; high solutions – ex cancer patient) Medical model (low problems; low solutions – ex patient suffering unknown disease)
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Professional - Patient Relationship Barriers to effective communication 3. Power differences (using Leary’s model) Health professional = dominant Patient = submissive
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Professional - Patient Relationship Barriers to effective communication 4. Unshared meanings Multiple meanings of words Person-minded, not word-minded Paraphrase Be approachable Use many communicating methods Be aware of the context
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Professional – Patient Communication Convergence: verbal and nonverbal communication that emphasizes similarities (speech, gestures, topics, etc) Divergence: communication that emphasizes differences in expertise and status (technical jargon vs layman's terms) Overaccomodation: exaggerated divergence Power, status and control usually communicated at the relational level
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Professional – Patient Communication Patients who have a paternalistic view feel that their role is to obey and cooperate, that the provider should take the dominant role during Patients with a
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11-HealthCare Relationships W2011 - Health Care...

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