Difficult Conversations in Medicine

Paperback | September 20, 2004

EditorElisabeth Macdonald

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In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have lead the public to be morewidely informed about common conditions and the treatments available. Patients therefore attend a medical consultation better informed so the need for improved communication skills is even greater. This book aims to demystify the 'doctor-patient' relationship in order that patients and potentialpatients can more easily understand the information which doctors are seeking to convey as well as gaining some insight into the difficulties of communication from a doctor's perspective.Some conversations require specialised skills. Talking to people with difficult personalities and poor social skills can be challenging. Strong emotions of anger, frustration or distress need sensitive handling and particular age groups call on styles of address appropriate to their particularneeds. Using the expertise of experienced doctors from many specialties this book covers not only the theory behind good communication skills but also gives a wealth of practical advice.The book covers ethical and legal issues, planning difficult conversations, the patient's and doctor's perspectives, issues surrounding special groups such as children and the elderly, and conversations with patients from different cultural backgrounds. Outlines of possible clinical cases posingspecific problems are included with guidance on how to handle them.

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From the Publisher

In all branches of medicine, effective communication between health care professionals and patients, families and carers is essential to ensure first-class treatment. Increasing public awareness of health issues and the ready availability of health information have lead the public to be morewidely informed about common conditions and ...

Dr Liza Macdonald, Consultant Clinical Oncologist; Consultant Emeritus, Guy's Hospital, London, UK

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Format:PaperbackDimensions:254 pages, 9.21 × 6.14 × 0.59 inPublished:September 20, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198527748

ISBN - 13:9780198527749

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Table of Contents

Theo Schofield: Introduction1. Liza Macdonald: An introduction to basics2. Liza Macdonald: Fundamentals of good communication3. Michael Parker: The ethics of communication4. Liza Macdonald: Overall plan of management of difficult conversations5. Liza Macdonald: The patient's perspective6. Liza Macdonald: The doctor's perspective7. Peter Maguire: Dealing with strong emotions and difficult personalities8. Melinda Edwards: Difficult conversations with children and parents9. Liza Macdonald: Special adult groups10. Liza Macdonald: Difficult practical circumstances11. Cathy Heaven: Communication in a multiprofessional setting12. Liza Macdonald: Communication in a multicultural society13. Carmel O'Donovan: Apologies in clinical medicine14. Liz Martinez: Legal constraints and guidelines to good practice15. Peter Maguire, Carolyn Pitceathly, Catherine Hood and Liza Macdonald: Maintaining a balance16. Liza Macdonald: Conclusions and future directionsCatherine Hood and Liza Macdonald: Appendix I: Transcripts of useful illustrative conversationsTheo Schofield: Appendix II: A curriculum for communication in medical education