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NAME: TAN RUI ERN
STUDENT ID: DPH18056003
BATCH: 55 (05/2018)
TOPIC: COMMUNICATION IS ESSENTIAL FOR OPTIMUM TREATMENT OF PATIENT. DISCUSS WHY AND ELABORATE HOW YOU CAN MAINTAIN IT.

GUIDANCE LECTURER: MANIKANDAN RENGASAMYCONTENTS
TOPICS PAGES
INTRODUCTION 2
MODEL OF COMMUNICATION PROCESS 3
SHANNON-WEAVER MODEL 4
TYPES OF COMMUNICATION 5
THE REASONS OF COMMUNICATION IS ESSENTIAL FOR OPTIMUM TREATMENT OF PATIENT 7
THE WAYS TO MAINTAIN THE ESSENTIAL OF COMMUNICATION FOR OPTIMUM TREATMENT OF PATIENT 8
CONCLUSION 9
REFERENCES 10
INTRODUCTION
Communication is the process of exchanging information, usually via a common protocol. The protocol which means that the system of rules and acceptable behaviour used at official ceremonies and occasions.

According to research, “Medicine is an art whose magic and creative ability have been recognized as residing in the interpersonal aspects of a patient-physician relationship.” A physiotherapist’s communication and interpersonal skills encompass the ability to gather information in order to facilitate accurate diagnosis, counsel appropriately, give therapeutic instructions, and establish caring relationships with patients. Basic communication skills in isolation are insufficient to create and sustain a successful therapeutic physiotherapist-patient relationship, which consists of shared perceptions and feelings regarding the problems, goals of treatment, and psychosocial support.

People in organizations typically spend over 75% of their time in an interpersonal situation but the physiotherapists interact even more with patients, spending up to 90% of their time and effort. Thus, effective communication is an essential component of organizational success whether it is at the interpersonal, intergroup, intragroup, organizational, or external levels, not only that, the effective communication is also essential for the optimum treatment of the patients.

MODEL OF COMMUNICATION PROCESS
According to some theories, there are five steps for a physiotherapist to communicate with their patients:
18143368890COMMUNICATION
00COMMUNICATION

2777067190218
373394116446519078221643945101731170815598311175189587022164394
0269240CREATIONS
CREATIONS
4493260256540RESPONSE
RESPONSE

2945765124460INTERPRETATION
0INTERPRETATION
1309370140970TRANSMISSION
0TRANSMISSION

2237105124460RECEPTION
RECEPTION

This model of the communication process is based on a model of signal transmission known as the Shannon-Weaver model.

SHANNON-WEAVER MODEL
1695450883285ENCODING:
Transfer ideas to words phrases gestures.

00ENCODING:
Transfer ideas to words phrases gestures.

3701415866281TRANSMISSION:
To overcome barriers shyness, tap on the shoulder if not looking at you noise.

00TRANSMISSION:
To overcome barriers shyness, tap on the shoulder if not looking at you noise.

According to the Shannon-Weaver model, the process of communication divided into seven components which are an ideal initiation, encoding, transmission, receiving, decoding, action, and feedback. The explanation will be shown clearly in below figure:
48655112482921486551111610623364089414232138853341599637115751520966RECEIVING:
Make sure message has been received by others.

00RECEIVING:
Make sure message has been received by others.

-191911-1693IDEA INITIATION:
Know what you want to communicate.

00IDEA INITIATION:
Know what you want to communicate.

5016505588000
3724910306070DECODING:
Derive meaning.

00DECODING:
Derive meaning.

-63568368FEEDBACK
00FEEDBACK

48621955715
370522551435ACTION:
Perform.

00ACTION:
Perform.

496252515670439096951690511868664181610680226165100369132615451767733315451723819554233COMMUNICATION
00COMMUNICATION

Interactive Trans active Intentional Unintentional
An exchange of ideas where both participants, are active and can have an effect on one another. It is a dynamic, two-way flow of information. Occurs when sources transmit messages to one another simultaneously and send back acknowledgment messages. The display of communicative signals that are sensitive to the state of the receiver. The subtle and unconscious cues that provide information to another individual. It can be verbal or the tone of voice of an individual.

TYPES OF COMMUNICATION
Communication can be categorized into 3 types: verbal communication, in which you listen to a person to understand their meaning; written communication, in which you read their meaning; and nonverbal communication, in which you observe a person and infer meaning.

In verbal communication, the medium of the message is oral. It’s consists of many advantages such as the receivers able to get the first-hand information, a message conveyed, informal, direct impact and commitment from a receiver. However, there are also disadvantages which are we need time to prepare what we want to express.

Next, the nonverbal communication, you could voice out the important messages via visual, planning and terminology which is forming the specific short term. Research shows that 55% of in-person communication comes from nonverbal cues like facial expressions, body stance, and tone of voice. During visual, there’s no guarantee of understanding but the impact is better than writing.

During writing, the legality issues that can be recorded by handwriting but there is no guarantee of understanding and no personal contact with the receiver. Besides, the example of the communication also consists of telecommunication which is to enhance distance communication.
As Harold Dwight Lasswell says, he is well known for his comment on communications:-
Who (says)
What (to)
Whom (in)
What Channel (with)
THE REASONS OF COMMUNICATION IS ESSENTIAL FOR OPTIMUM TREATMENT OF PATIENT
Effective physiotherapist-patient communication is a central clinical function, and the resultant communication is a central component in the delivery of healthcare. The 3 main goals of current physiotherapist-patient communication are creating a good interpersonal relationship, facilitating exchange of information, and including patients in decision making. Effective communication is determined by the physiotherapists’ “bedside manner,” which patient judge as a major indicator of their physiotherapists’ general competence.

Good physiotherapists-patient communication has the potential to help regulate patients’ emotions, facilitate comprehension of medical information, and allow for better identification of patients’ needs, perceptions, and expectations. A good communication between patients and their physiotherapist are more likely to be satisfied with their care, and willing to share pertinent information for accurate diagnosis of their problems, follow advice, and adhere to the prescribed treatment. Patients’ agreement with the physiotherapist about the nature of the treatment and need for follow-up is strongly associated with their recovery.

A patient-centred physiotherapist will result in better patients’ satisfactory. Satisfied patients are less likely to initiate any malpractice complaints. Besides, satisfied patients are also advantageous for physiotherapists in terms of greater job satisfaction, less work-related stress, and reduced burnout.
However, side effects can happen in a poor communication between the medical participants. Additionally, with the inclusion of extra participants in the communication channel, the risk of error increases. Any instance of incomplete exchange of information can lead to: incomplete treatment procedure, delayed of treatment, and incorrect medication dispensed to the patient. Thus, such instances can have grave consequences for the patient which may lead to severe health complications or even death. So, a good communication can avoid the issues mentioned above. This is because good communication allows solving the problems faced by the patient which reduces the number of complaints made.

THE WAYS TO MAINTAIN THE ESSENTIAL OF COMMUNICATION FOR OPTIMUM TREATMENT OF PATIENT
left58420Using a simple concept that your patients can work with and understand, you’ll be more likely to communicate with your patients. However, a poor communication starts when there’s too much of jargon is used when meeting with patients. It’s the fact that has been reported by THE WALL STREET JOURNAL. “Medical speak” is appropriate when speaking with other medical professionals but it’s not an ideals way to use the medical terms around patients. It’s your responsibility to bridge this gap and to share relevant medical knowledge to patients in an understandable manner.

00Using a simple concept that your patients can work with and understand, you’ll be more likely to communicate with your patients. However, a poor communication starts when there’s too much of jargon is used when meeting with patients. It’s the fact that has been reported by THE WALL STREET JOURNAL. “Medical speak” is appropriate when speaking with other medical professionals but it’s not an ideals way to use the medical terms around patients. It’s your responsibility to bridge this gap and to share relevant medical knowledge to patients in an understandable manner.

right8255Physiotherapists should always be prepared for a reaction. There’s always a group of patients that come with bad temper and refused to communicate with their physiotherapist. Facing such patients, we need to give them some time to build up the trust in us. Always ready to give encouragement to them to express their feeling.

00Physiotherapists should always be prepared for a reaction. There’s always a group of patients that come with bad temper and refused to communicate with their physiotherapist. Facing such patients, we need to give them some time to build up the trust in us. Always ready to give encouragement to them to express their feeling.

175978925668400
right10783Try to slow down the pace when providing the information to patients so that patients have sufficient time to comprehend the new information. It’s crucial to give the patients who lack of medical knowledge extra time to formulate the questions. According to research, physiotherapist usually only wait for 23 seconds after a patient begins describing his complaint before redirecting the discussion. Such redirection may lead to late-arising concerns and missed out important information. Thus, a dialogue punctuated with pauses is important for deeper comprehension.

00Try to slow down the pace when providing the information to patients so that patients have sufficient time to comprehend the new information. It’s crucial to give the patients who lack of medical knowledge extra time to formulate the questions. According to research, physiotherapist usually only wait for 23 seconds after a patient begins describing his complaint before redirecting the discussion. Such redirection may lead to late-arising concerns and missed out important information. Thus, a dialogue punctuated with pauses is important for deeper comprehension.

176212530480000
left14605THE WAYS TO MAINTAIN THE ESSENTIAL OF COMMUNICATION FOR OPTIMUM TREATMENT OF PATIENT
00THE WAYS TO MAINTAIN THE ESSENTIAL OF COMMUNICATION FOR OPTIMUM TREATMENT OF PATIENT

15519403638551761490363220
17621258890
left163830Instead of just follow the rules and procedures stated in the checklist, try using simple conversation when interacting with patients. Always treat the patient as a friend. Talk to them like the way you’re chatting with your friends. As a patient, it feels bad to be treated like a checklist which boring and dull. Try to talk less, listen more and communicate well, eventually the patient will feel comfortable interacting with you.

00Instead of just follow the rules and procedures stated in the checklist, try using simple conversation when interacting with patients. Always treat the patient as a friend. Talk to them like the way you’re chatting with your friends. As a patient, it feels bad to be treated like a checklist which boring and dull. Try to talk less, listen more and communicate well, eventually the patient will feel comfortable interacting with you.

right6350Try to “talk more with patients” but not “talking at the patient”. By “talking at your patients”, there’s no connection between a physiotherapist and patients. Instead, we could use heart to heart talk with your patients. Your patients will able to respect you as a partner in the journey of recovery and they will follow the instructions given.

00Try to “talk more with patients” but not “talking at the patient”. By “talking at your patients”, there’s no connection between a physiotherapist and patients. Instead, we could use heart to heart talk with your patients. Your patients will able to respect you as a partner in the journey of recovery and they will follow the instructions given.

CONCLUSION
In conclusion, as a patient, the dialogue is not over yet even after the discussion of diagnosis, tests and treatment. For the patient, this is just a beginning; the news is sinking in. The proper way is, physiotherapists are supposed to anticipate a shift in the patient’s sense of self, which should be handled as an important part of the encounter.

Besides, the quality of one-to-one communication between the patient and physiotherapists can be greatly affected by simple choice of words, body position, information depth, speech patterns, and facial expression. Avoiding communication pitfalls and sharpening the basic communication skills previously suggested can help to strengthen the patient-physiotherapist bond that many patients and physicians believe is lacking of.
Lastly, although communication can be tough skill but with constant practices, communicating with your patients will be an easy task. A good rule of thumb to remember that a good communication is essential for optimum treatment of patients.

REFERENCES
Effective Communication in Nursing by Derek A. Hayes and Rohani Arshad.

Health Assessment edited by Anna Crouch and Clency Meurier.

Communication Skills Training For Health Care Professionals second edition by David Dickson, Owen Hargie and Norman Morrow.

Communication: An Introduction by Karl Erik Rosengron.

http://open.lib.umn.edu/principlesmanagement/chapter/12-5-different-types-of-communication/https://www.healthcareguys.com/2017/12/04/effects-of-the-poor-communication-in-hospitals/http://hability.net/blog/5-donts-in-patient-communication/https://medlineplus.gov/ency/patientinstructions/000456.htm