consultation
DESCRIPTION
consultation. Dr. JAWAHER AL-AHMADI MB. ABFM. SBFM. what do you understand by consultation ?. For relief of symptoms & diagnosis For normal medical service For reassurance For support For playing games As habitual response to anxieties. For certification For follow-up For referral - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/1.jpg)
consultationconsultation
Dr. JAWAHER AL-AHMADIDr. JAWAHER AL-AHMADIMB. ABFM. SBFMMB. ABFM. SBFM
![Page 2: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/2.jpg)
![Page 3: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/3.jpg)
What are the reasons for pt What are the reasons for pt consulting ?consulting ? For relief of For relief of
symptoms & symptoms & diagnosisdiagnosis
For normal For normal medical servicemedical service
For reassuranceFor reassurance For supportFor support For playing gamesFor playing games As habitual As habitual
response to response to anxietiesanxieties
For certificationFor certification For follow-upFor follow-up For referralFor referral For prescriptionFor prescription
![Page 4: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/4.jpg)
What are the doctor’s objectives What are the doctor’s objectives from the consultation ?from the consultation ?
Establishing and maintaining Establishing and maintaining relationshiprelationship
Obtaining information relating to Obtaining information relating to the pt problemthe pt problem
Conveying appropriate Conveying appropriate information to the ptinformation to the pt
Terminating the consultation in Terminating the consultation in the shortest possible time the shortest possible time
![Page 5: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/5.jpg)
Some early truths to Some early truths to rememberremember
The patient is as frightened as The patient is as frightened as you areyou are
The patient think is more serious The patient think is more serious than youthan you
Illness is frightening but Illness is frightening but understanding what is going on understanding what is going on helpshelps
![Page 6: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/6.jpg)
The health belief modelThe health belief model
Health Health motivationmotivation
Perceived vulnerabilityPerceived vulnerability
Perceived Perceived seriousnessseriousness
Perceived costs Perceived costs
and benefitsand benefits
![Page 7: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/7.jpg)
Locus of controlLocus of control
The internal The internal controllercontroller
The external The external controllercontroller
The powerful The powerful otherother
![Page 8: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/8.jpg)
Diagnostic processDiagnostic process
CuesClinical,behvioral
Hypothesis
SearchHistory.exam,invest
managment
Follow-up
Unexpectedcues
revise
![Page 9: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/9.jpg)
Psychological & Social Psychological & Social Component of Physical ProblemComponent of Physical Problem
Illness behaviorIllness behavior Interaction Interaction
between psyho-between psyho-social and social and physical physical problemsproblems
![Page 10: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/10.jpg)
Models of consultationModels of consultation
Pt centeredPt centered Use of pt’s Use of pt’s
knowledge & knowledge & experienceexperience
PHCPHC
Doctor centeredDoctor centered Use of doctor’s Use of doctor’s
skills & skills & knowledgeknowledge
Hospital Hospital
![Page 11: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/11.jpg)
Pandleton seven tasksPandleton seven tasks
To establish & maintain Dr-pt To establish & maintain Dr-pt relationshiprelationship
To define the real reasons for pt To define the real reasons for pt attendanceattendance
To consider other problemsTo consider other problems To choose with the pt appropriate To choose with the pt appropriate
action for each problemaction for each problem To achieve a share understandingTo achieve a share understanding To involve pt in the managementTo involve pt in the management To use time & resources effectivelyTo use time & resources effectively
![Page 12: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/12.jpg)
To establish & maintain Dr-pt To establish & maintain Dr-pt relationshiprelationship
Why ?Why ? What ?What ? How ?How ?
![Page 13: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/13.jpg)
Dr – Pt RelationshipDr – Pt Relationship
![Page 14: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/14.jpg)
![Page 15: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/15.jpg)
To establish & maintain Dr-pt To establish & maintain Dr-pt relationshiprelationship
Welcoming the Welcoming the ptpt
Showing Showing sympathy & sympathy & empathyempathy
Showing Showing respectrespect
confidentialityconfidentiality
![Page 16: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/16.jpg)
Communication appearanceCommunication appearance
Pt response to Pt response to questions about questions about items of Dr’s dressitems of Dr’s dress
Believe male doctor Believe male doctor should wear:should wear:
1.1. white coat 15%white coat 15%2.2. Suit 44%Suit 44%3.3. Tie 64%Tie 64%4.4. Jeans(object) 59%Jeans(object) 59%
![Page 17: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/17.jpg)
Communication appearanceCommunication appearance
Believe female Believe female doctor should doctor should wear:wear:
1.1. White coat White coat 34% 34%
2.2. Skirt Skirt 57% 57%
3.3. Jeans&jewelryJeans&jewelry(object) 63%(object) 63%
![Page 18: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/18.jpg)
Communications environmentCommunications environment
![Page 19: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/19.jpg)
Communications environmentCommunications environment
![Page 20: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/20.jpg)
Communication Communication
Verbal Verbal communication communication
Nonverbal Nonverbal communicationcommunication
Paralanguage Paralanguage Touch Touch Body languabgeBody languabge body positionbody position head positionhead position faceface eyeeye legleg armsarms
![Page 21: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/21.jpg)
To define the real reasons for pt To define the real reasons for pt attendanceattendance
Nature of the Nature of the problemproblem
EtiologyEtiology Pt ideasPt ideas Pt concernPt concern Pt expectationPt expectation Pt fearsPt fears Pt effect of the Pt effect of the
problemproblem
![Page 22: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/22.jpg)
To define the real reasons for pt To define the real reasons for pt attendanceattendance
Pt ideasPt ideas
![Page 23: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/23.jpg)
To define the real reasons for pt To define the real reasons for pt attendanceattendance
Pt concernPt concern
![Page 24: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/24.jpg)
To define the real reasons for pt To define the real reasons for pt attendanceattendance
Pt expectationPt expectation
![Page 25: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/25.jpg)
Sabah is 38 years old lady, Sabah is 38 years old lady, divorced 2week ago,running divorced 2week ago,running small business, looking after 5 small business, looking after 5 children by herself, complaining children by herself, complaining of 2 week history of headache. of 2 week history of headache. Speculates how she may think Speculates how she may think about her illnessabout her illness
![Page 26: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/26.jpg)
To consider other problemsTo consider other problems
Continuous Continuous problemproblem
At risk factorsAt risk factors
![Page 27: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/27.jpg)
To choose with the pt appropriate To choose with the pt appropriate action for each problemaction for each problem
Pt responsibilityPt responsibility Pt compliancePt compliance
![Page 28: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/28.jpg)
To achieve a share To achieve a share understandingunderstanding doctordoctor patientpatient
KnowledgeQuestions
DoubtsTheories
experience
KnowledgeQuestions
DoubtsTheories
experience
![Page 29: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/29.jpg)
To involve pt in the To involve pt in the managementmanagement
![Page 30: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/30.jpg)
To use time & resources To use time & resources effectivelyeffectively
![Page 31: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/31.jpg)
The expanded model of The expanded model of consultationconsultation
Management of presenting Management of presenting problemproblem
Management of continuous Management of continuous problemproblem
Modification of help seeking Modification of help seeking behaviorbehavior
Opportunistic health promotion Opportunistic health promotion
![Page 32: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/32.jpg)
Modification of help seeking Modification of help seeking behaviorbehavior
DenialDenial Sick roleSick role Hidden agendaHidden agenda By the way doctorBy the way doctor
![Page 33: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/33.jpg)
Inner consultationInner consultation
ConnectConnect SummarizeSummarize Hand overHand over Safety nettingSafety netting House keeping House keeping
![Page 34: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/34.jpg)
PRACTICALPRACTICAL
PPrior to the consultationrior to the consultation RRelationshipelationship AAnxieties nxieties CCommon languageommon language TTranslationranslation IInteractionnteraction CConverting insight into actiononverting insight into action AAgreement check, safety nettinggreement check, safety netting LLeave from consultation, time for eave from consultation, time for
reflectionreflection
![Page 35: consultation](https://reader035.vdocuments.site/reader035/viewer/2022070403/56813a02550346895da1c9e8/html5/thumbnails/35.jpg)