1. Communication Skills Dr. Amro Al-Hibshi Department of Orthopaedics

2. OBJECTIVES To be able to identify the importance of communicating with the family To be able to obtain informed consent To be able to develop skills of listening and responding to the patients

3. PATIENT’S FAMILY Why is it important to communicate with the family? Who is family?

4. FAMILY Medical illness has impact on family Family can help in treatment e.g. noncompliance

5. IMPACT ON FAMILY Parents Siblings Income Relatives of patients with infectious diseases

6. FAMILY Special skills to talk to group of people, not one person

7. FAMILY Provide information Provide social and physical support Care of other family members Help with compliance

8. OBSERVING FAMILY Patient coming alone One relative All family in waiting area Who visits the patient? Presents Personal items Patient’s relationship with other patients

9. IDENTIFYING FAMILY Who do you consider family? Who knows you are in hospital? 2 nd wife? Sons or daughters from other marriages? In case of serious decisions, who should we contact? How much information should we reveal to the family?

10. INFORMED CONSENT All competent patients Written or verbal Physical examination Teaching hospitals Anesthetized patients Patient’s and physician’s signatures

11. INFORMED CONSENT Informed Procedure Benefits Risks and complications

12. INFORMED CONSENT Use short sentences Avoid medical terms Check patient’s understanding Patient’s questions Adequate time No pressure

13. LISTENING One of the most important components of communication process Patients respond positively to physicians who listen carefully One of the most difficult skills

14. LISTENING Taking notes Asking for clarifications Repeating patient’s words Responding appropriately Empathy Noticing verbal and non-verbal hints Facilitation Summarizing

15. CONCLUSION It is important to identify and communicate well with the family Family can help with treatment It is every patient’s right to give informed consent Effective listening can reveal more information to the physician that can help with better understanding of illness