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APPENDIX A - THE ROADMAPS IN OUTLINE FORM

(so you don't have to search through the book)

Published online by Cambridge University Press:  23 November 2009

Anthony Back  and
Robert Arnold
Adaptation by
James Tulsky
Anthony Back
Affiliation:
University of Washington
Robert Arnold
Affiliation:
University of Pittsburgh
James Tulsky
Affiliation:
Duke University, North Carolina
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Summary

CHAPTER 1: TAKING YOUR SKILLS TO THE NEXT LEVEL (OUR BASIC PRINCIPLES)

  1. Start with the patient's agenda.

  2. Track both the emotion and the cognitive data you get from the patient.

  3. Stay with the patient and move the conversation forward one step at a time.

  4. Articulate empathy explicitly.

  5. Talk about what you can do before you talk about what you can't do.

  6. Start with big-picture goals before talking about specific medical interventions.

  7. Spend at least a moment giving the patient your complete, undivided attention on your computer and show him you are listening.

CHAPTER 2: GETTING A GOOD START

  1. Make a welcoming statement.

  2. Ask about the patient's main concerns for the visit.

  3. Explain your agenda for the visit.

  4. If the patient has more concerns than you think you can address in the amount of time you have, ask the patient to prioritize them.

  5. Propose an agenda for the visit.

  6. Ask the patient for feedback about the agenda.

Type
Chapter
Information
Mastering Communication with Seriously Ill Patients
Balancing Honesty with Empathy and Hope
 , pp. 145 - 150
Publisher: Cambridge University Press
Print publication year: 2009

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