Abstract
Cultural shifts in healthcare have changed expectations for communication between doctors of all specialties and their patients. The shift toward greater patient-doctor collaboration has been shown to produce better medical outcomes, even with complex, neurologically compromised patients. Neuropsychologists diagnose the presence of brain disorders like Alzheimer’s disease and autism or the effects of known brain disorders like stroke or traumatic brain injury. We therefore share a lot of difficult news. The conversations are particularly challenging as our patients usually have limitations in their ability to understand and remember information, and their family members are often so worried and stressed by the effects of the illness that it is hard for them to process information. Understanding how neuropsychologists provide feedback may be useful to those in other medical specialties who treat patients with central nervous system conditions. This chapter shares effective techniques that can be used across medical specialties to improve patient conversations in a way that not only delivers the message but also improves lives.
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Ibid, p. 110.
Ibid, p. 130.
Ibid, p. 21.
Ibid, p. 18.
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Chapter Review Questions
Chapter Review Questions
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1.
The shift toward greater patient-doctor collaboration has been shown to:
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A.
Produce better medical outcomes with non-complex cases.
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B.
Produce better medical outcomes even with complex, neurologically compromised patients.
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C.
Have no effect on medical outcomes.
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A.
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2.
Patients often can’t understand our messages because:
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A.
They are not as educated as doctors.
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B.
They do not understand our jargon and have never heard our basic assumptions.
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C.
People with neurological disorders cannot truly understand their own medical issues.
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A.
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3.
The most effective feedback conversations occur:
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A.
In the context of a clear understanding of the differences between the cultural assumptions of the clinician and those of the patient and family.
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B.
Only between clinicians and patients with the same cultural backgrounds.
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C.
Only between clinicians and patients of different cultural backgrounds.
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A.
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4.
Establishing credibility:
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A.
Isn’t a factor in good feedback to patients.
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B.
Is out of our hands as clinicians.
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C.
Is an important step in helping patients and families listen to the complex messages we are presenting.
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A.
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Postal, K. (2019). Effective Feedback Conversations. In: Sanders, K. (eds) Physician's Field Guide to Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-8722-1_34
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DOI: https://doi.org/10.1007/978-1-4939-8722-1_34
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