crri – as first line communicator
DESCRIPTION
DOCTOR PATIENT RELATIONSHIPTRANSCRIPT
CRRI – As First Line Communicator
Dr.G.RAMANUJAM MD (Psy)Associate Professor
Psychiatry Dept
GOOD THING IS
Dr.SURESH SANA Dr.SETHULAKSHMI Dr.KAILASH BAGALE
Dr.Sures Sana – SR in Ortho Brutally Hit Delay in Xray Nov 2013
Dr.Sethulakshmi Anesthesiologist Killed by relatives JAN 2012
Dr.Kailash Bagale Cardiologist Hit by Mob Eardrum perforated June 2012
Feb 2014-Kanpur – Police attacks Med college
Raichur – Nursing home was burnt March 2014- Prof of Med Shot in
Imphal Drunken RTA victims assaulted a
hospital in Hassan
90 % of the cases it is the Junior Doctors Available Approachable Spend most time at Hospital.
EXPECTATIONS OF PATIENT/RELATIVES EMOTIONS OF PATIENT/RELATIVES UNDERSTAND RESOURCES EXPLAIN
COMMUNICATION
Expectation Vs reality
WHAT PEOPLE THINK OF SURGERY
GIVE ATTENTION
GIVE ATTENTION
CLEAR INSTRUCTIONS
Local slang Interval Gare Avoid unnecessary technical “He is electroencephalographically
inactive”-Brain Dead
LANGUAGE
AS FOR AS POSSIBLE- LEGIBLE
IU – Insulin 15IU- 151 units or 15 Int.Units?Inj Phen. = Phenergan or Phenytoin
From Ass. II MU
To Ass IISU
DON’T EXPOSE YOUR IGNORANCE
OR LIKE THIS
AVOID UNNECESSARY TROUBLE
BE GENTLE
UNDERSTAND INSTRUCTIONS
DON’T GIVE FALSE HOPES DON’T BE AMBIGUOS GOK TIG NEVER BLAME YOUR COLLEGUES
NEVER BREAK TRUST
UNDESTAND PATIENT’S EXPECTATIONS
ACCEPT APOLOGISE
WHEN YOU DID A MISTAKE
NAGGING PARANOID OBSESSIVE HYPER-OBEDIENT HYPOCHONDRIACAL THE GOOGLER DENYING PATIENT MALINGERING
TYPES OF PATIENT
SLEEP - IMPORTANT
PREVENTION-PREPARE
BREAKING BAD NEWS
KUBLER ROSSPHASES OF GRIEF
DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE
PHASES OF GRIEF
TEN COMMANDMENTS FOR BREAKING A BAD NEWS-
1.NEVER SURPRISE2.NEVER DELAY
3.NEVER HIDE4.ALWAYS PUT IN WRITING
5.TELL SOME POSITIVE ASPECTS- (PATIENT DIED PEACEFULLY ETC)6.GIVE SOLUTIONS - (AMBULANCE ETC)
7.NEVER EXPRESS FEAR OR GUILT 8.JUSTIFY YOUR EFFORTS CALMLY
9.NEVER ARGUE10.EMPATHIZE
