Adapting Communication to Different Populations
intro
Outline
Adapting questioning stategies- always start with open ended
- open ended vs closed
- probing- either open or closed
- leading question
- checking questions
Comprehensible to patient
- dont use jargon as it limits outcomes- patients wont ask questions
-inetellictualulasion- uncomfortable emotions so focus on facts; usually healthcare professional is uncomfortable
-use pateints exerperiences to explain vs. anatomy
-use of pictures
-language barrier=negative outcome. Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. Implications of language barriers for healthcare: a systematic review. Oman medical journal. 2020 Mar;35(2):e122. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201401/
least effecient:
- nonverbal cues
- family member translate
- staff member to translate
more effecient:
- translator
- remote language interpreter
- apps
- learn the language yourself
treating patients respectfully
https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00684-2
- talk directly to the patient
- speak in normal tone
- include the patient
W/c: eye to eye
hearing loss: less ambient noise
speech impediment: be patient, shorter concrete questions
intellectual: simple direct sentences, more media and visual forms, no abstract ideas and be prepared to repeat
older adults:feel vulnerable and exposed
peds: need family member and kid- three way relatoinship, be patient, understandable language
- relationship buidling
- promote pateint engagement
- address emotion
- enhancing of info
- management of uncertaintity
- fostering of hope
poor health literacy: ask less questions, healthcare person might see as not engaged, communicate clearly and in laymans terms