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dc.contributor.authorMaguire, Peter
dc.contributor.authorPitceathly, Carolyn
dc.date.accessioned2009-08-27T11:31:36Z
dc.date.available2009-08-27T11:31:36Z
dc.date.issued2009-08-27T11:31:36Z
dc.identifier.citationManaging the difficult consultation., 3 (6):532-7 Clin Meden
dc.identifier.issn1470-2118
dc.identifier.pmid14703032
dc.identifier.urihttp://hdl.handle.net/10541/78856
dc.description.abstractPatients are more likely to develop psychological problems if their concerns are unresolved and their information needs unmet. However, many health professionals are uncertain how to elicit patients' concerns or tailor information appropriately. These difficulties may also lead to psychological problems for the health professional. Feeling inadequately trained in communication skills has been linked to burnout amongst senior doctors working in cancer. Clinicians find that some consultations are particularly hard to manage; for example, when patients are highly distressed, angry, withdrawn or in denial. Barriers to effective communication are patient-led as well as doctor- or nurse-led but relevant training can help overcome those barriers. The article described one training model that is effective in improving health professionals' skills. Specific strategies are suggested that can help in the more difficult consultations and so enable clinicians to talk to patients about their concerns and worries more freely.
dc.language.isoenen
dc.subject.meshCommunication Barriers
dc.subject.meshHumans
dc.subject.meshPhysician-Patient Relations
dc.subject.meshReferral and Consultation
dc.titleManaging the difficult consultation.en
dc.typeArticleen
dc.contributor.departmentCancer Research UK, Psychological Medicine Group, Christie Hospital, Withington, Manchester.en
dc.identifier.journalClinical Medicineen
html.description.abstractPatients are more likely to develop psychological problems if their concerns are unresolved and their information needs unmet. However, many health professionals are uncertain how to elicit patients' concerns or tailor information appropriately. These difficulties may also lead to psychological problems for the health professional. Feeling inadequately trained in communication skills has been linked to burnout amongst senior doctors working in cancer. Clinicians find that some consultations are particularly hard to manage; for example, when patients are highly distressed, angry, withdrawn or in denial. Barriers to effective communication are patient-led as well as doctor- or nurse-led but relevant training can help overcome those barriers. The article described one training model that is effective in improving health professionals' skills. Specific strategies are suggested that can help in the more difficult consultations and so enable clinicians to talk to patients about their concerns and worries more freely.


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