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:

  1. nonverbal cues
  2. family member translate
  3. staff member to translate

more effecient:

  1. translator
  2. remote language interpreter
  3. apps
  4. learn the language yourself

treating patients respectfully

https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00684-2

  1. talk directly to the patient
  2. speak in normal tone
  3. 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

  1. relationship buidling
  2. promote pateint engagement
  3. address emotion
  4. enhancing of info
  5. management of uncertaintity
  6. fostering of hope

poor health literacy: ask less questions, healthcare person might see as not engaged, communicate clearly and in laymans terms