Introduction to the Communication Approach

2019 ◽  
pp. 1-26
Author(s):  
Elaine Wittenberg ◽  
Joy V. Goldsmith ◽  
Sandra L. Ragan ◽  
Terri Ann Parnell
Keyword(s):  
Palliative Care ◽  
Patient Care ◽  
Nonverbal Communication ◽  
Communication Model ◽  
Communication Climate ◽  
Patient Centered ◽  
Centered Care ◽  
Communication Approach ◽  
Relationship Communication ◽  
The Relationship

The introduction to the volume emphasizes that communication between nurses and their patients and family members does not consist merely of disseminating information. Instead, nurses must view communication as the mutually beneficial creation of meaning and that the nurse and the patient/family collaboratively affect each other’s communication. Every message has two levels of meaning: the task level, usually conveyed by the words themselves, and the relationship level, generally conveyed by nonverbals. Nonverbal communication relays most of the meaning of a message and affects both the task (patient care) and the relationship (communication climate) between nurses and patients/families. For this reason, it is essential that verbal and nonverbal communication receive adequate attention. The six components of patient-centered communication include both task and relationship aspects of patient-centered care. The chapter ends with a brief description of the communication model that undergirds the entire book, the COMFORT model, which outlines palliative care communication.

scholarly journals Komunikacija u fizioterapeutskoj praksi

2020 ◽  
Vol 23 (80) ◽  
pp. 7-10
Author(s):  
Stevan Jovanović ◽  
Divna Kekuš ◽  
Biljana Stojanović-Jovanović
Keyword(s):  
Health Care ◽  
Communication Process ◽  
Communication Model ◽  
Patient Centered ◽  
Rehabilitation Process ◽  
Therapeutic Practice ◽  
Health Care Professions ◽  
Communication Approach ◽  
The Relationship ◽  
Positive Effect

Communication is considered to be the most important aspect of the practice of healthcare professionals, and the communication relationship between the health care provider and the patient involves two groups of people who have different positions or roles that determine their interaction and relationship. The communication process between physiotherapist and patient is increasingly recognized as a therapeutic practice. Through communication interactions, physiotherapists can educate, motivate, empower, or release, express empathy or authority, show interest, or build confidence. In physiotherapy, as well as in other patient-oriented, biopsychosocial and related health care professions, a patient-centered communication approach has been established as guides and frameworks for practitioners to communicate with their patients. These communication models are used to share information as well as accountability but also to reduce power disparities between the physiotherapist and the patient. Accordingly, this communication model is specifically aimed at understanding the needs of patients and addressing them in order to maximize the perspective of each patient. Developing active patient-therapist collaboration creates a relationship defined as a "therapeutic alliance" characterized by empathy, trust, and respect. Many forms of treatment performed by physiotherapists cannot be successful without the patient's contribution and motivation to cooperate, both during and outside the communication interaction. communication skills have a positive effect on the patient's psychology and therefore physiology as they are inseparable, and the relationship between the physiotherapist and the patient during the rehabilitation process creates a sense of "companionship" on the path during which the patient is free from his or her physical, social and environmental limitations.

Patient-Centered Care and Autonomy: Shared Decision-Making in Practice and a Suggestion for Practical Application in the Critically Ill

2019 ◽  
Vol 35 (11) ◽  
pp. 1352-1355
Author(s):  
Marianna V. Mapes ◽  
Peter A. DePergola ◽  
William T. McGee
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Critically Ill ◽  
Care Service ◽  
Clinical Care ◽  
Patient Centered Care ◽  
Practical Application ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Centered Care

Decision-making for the hospitalized dying and critically ill is often characterized by an understanding of autonomy that leads to clinical care and outcomes that are antithetical to patients’ preferences around suffering and quality of life. A better understanding of autonomy will facilitate the ultimate goal of a patient-centered approach and ensure compassionate, high-quality care that respects our patients’ values. We reviewed the medical literature and our experiences through the ethics service, palliative care service, and critical care service of a large community teaching hospital. The cumulative experience of a senior intensivist was filtered through the lens of a medical ethicist and the palliative care team. The practical application of patient-centered care was discerned from these interactions. We determined that a clearer understanding of patient-centeredness would improve the experience and outcomes of care for our patients as well as our adherence to ethical practice. The practical applications of autonomy and patient-centered care were evaluated by the authors through clinical interactions on the wards to ascertain problems in understanding their meaning. Clarification of autonomy and patient-centeredness is provided using specific examples to enhance understanding and application of these principles in patient-centered care.

scholarly journals Healing at the End of Life: The Voice of the Patient

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Cory Ingram
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Lived Experience ◽  
End Of Life ◽  
Life Story ◽  
Patient Centered ◽  
Whole Person ◽  
Centered Care ◽  
The Impact

In palliative care we have the privilege to care for seriously ill people and their families. Some people value capturing their life story or illness journey on film. I have been fortunate to have been invited into the lives of many people close the end of life for a heartfelt conversation.On an interactive iPad incorporated in the poster, the recorded narrative of patients and one bereft spouse the poster audience will experience the lived experience of people close to the end of life as they reflect on their lives. The narratives will demonstrate how each lived with a new found improved quality of life in the face of increasing symptoms, declining functioning and the approaching end of life; otherwise known as healing. Topics of healing and quality of life, patient-centered care, dignity, human development, spirituality and love will be the focus of their stories. The stories lay bare the very practical, emotional, existential, and personal experience central to our provision of whole person care through palliative care. The poster audience will experience a renewed sense of the impact of a dedicated approach to whole person care as experienced through those on the receiving end.

A Computational Perspective of Knowledge Empowerment for Healthcare Decision Making

2017 ◽  
pp. 134-155
Author(s):  
Timothy Jay Carney
Keyword(s):  
Public Health ◽  
Computational Models ◽  
Healthcare Delivery ◽  
Research Literature ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Healthcare Decision Making ◽  
Computational Perspective ◽  
Centered Care ◽  
The Relationship

People in a variety of settings can be heard uttering the phrase that “knowledge is power” or the relatively equivalent concept that “information is power.” However, the research literature in particular lacks a simple and standardized way to examine the relationship between knowledge and power. There is a lack operational quantitative definitions of this relationship to adequately support the building of complex computational models used in addressing some longstanding public health and healthcare delivery issues like differential access to care, inequitable care and treatment, institutional bias, disparities in health outcomes, and eliminating barriers to patient-centered care. The objective of this discussion is to present a relational algorithm that can be used in both conceptual discussions on knowledge empowerment modeling, as well as in the building of computational models that want to explore the variable of knowledge empowerment within computer simulation experiments.

Health literacy and palliative care

2017 ◽  
Vol 25 (1) ◽  
pp. 94-95
Author(s):  
Melissa G. French
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Literacy ◽  
Patient Preferences ◽  
Health Care Organizations ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
Pathway To Care

Abstract Health literacy and palliative care have been receiving more attention within health care organizations and systems in recent years. Both can offer a pathway to care that is better for patients and has the potential to be of high value. A health literate approach to palliative care provides patient-centered care that is better aligned with patient preferences and needs.

Our Stories, Ourselves

2013 ◽  
Author(s):  
Richard M. Frankel
Keyword(s):  
Medical School ◽  
Appreciative Inquiry ◽  
Indiana University ◽  
Patient Centered ◽  
School Of Medicine ◽  
Centered Care ◽  
Traditional Approaches ◽  
Emergent Design ◽  
The Relationship ◽  
Relationship Centered

This chapter aims to combine traditional approaches to analyzing narratives with strategies for using them to change organizational culture; introduce the concepts of emergent design and appreciative inquiry as a framework for uncovering and disseminating an organization’s core narrative; and describe several innovative organization-level activities that used emergent design and appreciative inquiry narratives to change the culture of a large medical school. Indiana University School of Medicine (IUSM) is currently the largest medical school in North America. In January of 2003, the Relationship-Centered Care Initiative (RCCI) was launched, with an audacious goal: to change the culture of the school and reverse some of the negative trends it had been experiencing over the past decade. Relationship-Centered Care is an expanded form of patient-centered care, which focuses on including the values, attitudes, and preferences of patients as they seek and receive care.

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