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Talking with the patient flashcards

Study the cards, then practice on the patient.

Twenty flashcards on talking with patients and the team: consent, bad news, teaching and handoffs.

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20 cards
What does SBAR stand for?
Situation, Background, Assessment, Recommendation.
Protocol for breaking bad news?
SPIKES: Setting, Perception, Invitation, Knowledge, Emotions, Strategy and summary.
How does the teach-back method check understanding?
The patient explains the plan back in their own words.
Key parts of informed consent?
Nature of the procedure, risks, benefits and alternatives, including doing nothing.
Who should obtain informed consent for a procedure?
The clinician who will perform it.
Four parts of decision-making capacity?
Communicate a choice, understand, appreciate the situation, and reason about options.
Working with an interpreter: who do you face and speak to?
The patient, directly, in the first person.
Core skills of motivational interviewing (OARS)?
Open questions, Affirmations, Reflections, Summaries.
The 5 As for quitting smoking?
Ask, Advise, Assess, Assist, Arrange follow-up.
Short screening tool for unhealthy alcohol use?
AUDIT-C.
Closed-loop communication?
Sender gives a clear message, receiver repeats it back, sender confirms.
What does SOAP stand for in a note?
Subjective, Objective, Assessment, Plan.
Disclosing a medical error to a patient?
Tell them promptly and honestly, apologize, and explain next steps.
First step to calm an angry patient?
Listen calmly and acknowledge their feelings, keeping a clear exit.
Common side effect to mention when starting a statin?
Muscle aches.
Metformin counseling: most common side effect?
Stomach upset. Take with meals and increase the dose slowly.
Warfarin diet advice?
Keep vitamin K intake steady, not avoided.
Most effective emergency contraception?
Copper IUD within 5 days of unprotected sex.
Testicular self-exam: when?
Monthly, after a warm shower.
Person chosen to make medical decisions if the patient cannot?
Health care proxy, or durable power of attorney for health care.