Professional Documents
Culture Documents
OBJECTIVES :
To understand the importance of clear & effective communication in critical care situation. To understand the probable obstacles in communication, and know how to overcome them. To understand the psychological reaction of how a human being will react to a critical or a serious life threatening condition, including a post traumatic stress disorder (PTSD). To understand the patho-physiology of mental disorder in critical care, and when psychiatric consultation should be needed.
The mask, cap and gown are exclusively the scary factors for layman.
Emotional changes
Awareness of Emotional reaction. Return toward normal balance (in majority cases)
Monitor & supportive equipments make medicine less human , on one side,
But a conditio sine qua non on the other side. Medical professionals should make a balance and a wise choice.
A good, clear, and honest communication is the key component of good treatment results.
PTSD
- Becoming chronic - Change of value system - Reappraisal - Disturbance of emotional processing - Failure to complete the emotional processing
Sympathy, empathy & good communication will help the patient to recover.
With sympathetic face and gestures, and by saying : you are going to be okay Sir, We will take good care of you. , is the start of a good communication and eventually trust.
In Medical Judgment In facing un-expected critical situation Tendency of minimizing or exaggeration of serious or mild clinical condition.
Are expected to happen when a surgeon treats their loved ones, him/ herself. They should trust the treatment fully to other doctors. Ethical Consideration? Shortcoming of a doctor ?.
BETTER COMMUNICATION
-Clearer -More effective & efficient communication -Honesty -Trust -More accurate information -Prevention of violent situation -Informed consent -Legal aspects
The use of particular drugs, such as narcotics, tranquilizers, analgesics, anesthesia make communication difficult to focus. Operational fatigue (doctors, nurses, Lab/ radiology
technicians).
Stress factor
more
COMMUNICATION STRATEGY
How to break bad news. How to tell Medical Mistakes, How to Make a Consultation (to a senior, to other
colleagues.
Awareness to possible psychological disturbances. The presence of Anxiety, Major Depression suicide , drugs and alcohol dependency, acute organic reaction The Need for Psychiatric Consultation.
ORGANIZATIONAL SKILLS IN
CRITICAL CARE.
Leadership Mature and good personality to take a decision The right time The ability in working together Honesty Consultation Techniques Patient Reassessment Communication with nurses Management (quick and accurate Dx/, treatment) Data collection Surgery/ non surgery : How to tell the patient/ family
Thank You