Full Description
This book takes readers through forty-five challenging scenarios to teach communication skills in medicine. It follows the revised format of the Practical Assessment of Clinical Examination Skills (PACES) exam conducted by the Royal College of Physicians in the UK, which tests communication skills twice in two separate stations. As most scenarios in this book have been created in an acute medical unit setting, the approach followed should also appeal to senior medical students and trainees in internal medicine and general practice at all levels. Readers will learn:
• How to convey abnormal test results and break bad news.
• How to discuss the diagnosis of a chronic disease and negotiate a management plan.
• How to communicate with patients who pose an ethical dilemma.
• How to communicate with challenging patients and relatives.
• What to tell patients or relatives when things go wrong.
• How to communicate with patients and relatives regarding end-of-life issues.
Key Features:
• Takes readers through a simple step-by-step approach to skillfully dealing with common challenging communication scenarios they face in their daily practice.
• Guides readers on how to communicate in layman's terms without using medical jargon, as it is fully dialogued, proving particularly helpful to non-UK candidates, whose first language is not English.
• Simplifies several complex ethical and medicolegal principles, such as treatment of patients lacking capacity, dealing with patients who refuse consent, confidentiality, counselling a non-compliant patient, basic genetic counselling, management
of patients who demand non-indicated investigations or treatments, open disclosure after a medical error, preparing an advance decision and lasting power of attorney, issues around brain death and organ donation, tube feeding, Do Not Attempt Resus- citation orders and referral to the coroner.
Contents
Contents
Preface
Conveying abnormal test results
1. The 51-Year-Old Woman with a Possible Brain Tumour
2. The 22-Year-Old Woman with New Diagnosis of Type 1 Diabetes
3. The 28-Year-Old Woman with a Positive HIV Test Result
4. The 66-Year-Old Man with Advanced Pancreatic Cancer
5. The 74-Year-Old Man with Acute Myeloid Leukaemia
6. The 27-Year-Old Woman with Possible Coeliac Disease
7. The 30-Year-Old Woman with Tuberculosis
8. The 34-Year-Old Man with Hypertrophic Cardiomyopathy
Counselling on disease management
9. The 22-Year-Old Man with Recurrent Episodes of Fainting
10. Case 10 The 24-Year-Old Pregnant Woman with Suspected Pulmonary
11. Case 11 The 37-Year-Old Woman with Functional Dyspepsia
12. Case 12 The 46-Year-Old Man with Poorly Controlled Diabetes Mellitus
13. Case 13 The 78-Year-Old Woman with Hyponatremia
14. Case 14 The 26-Year-Old Woman who has had an Anaphylactic Reaction
15. Case 14 The 26-Year-Old Woman who has had an Anaphylactic Reaction
Capacity, consent and confidentiality
16. Case 16 The 28-Year-Old Woman with Possible Lupus Nephritis
17. Case 17 The 19-year-old Girl whose Father Objects to a Lumbar Puncture
18. Case 18 The 66-Year-Old Man who Does Not Wish to Start Dialysis
19. Case 19 The 33-Year-Old Man who is Refusing the HIV Test
20. Case 20 The 52-Year-Old Man who wants to get Discharged Against Medical Advice
Challenging patients and relatives
21. Case 21 The 77-Year-Old Man whose Daughter asks you Not to Reveal the Diagnosis of Cancer to him
22. Case 22 The 37-Year-Old Man with Gonorrhoea who asks you Not to Tell his Wife about his Diagnosis
23. Case 23 The 26-Year-Old Man who is asking to be tested for Huntington's disease
24. Case 24 The 46-Year-Old Man who is Not Compliant with his Anti-Hypertensive Medication
25. Case 25 The 65-Year-Old Woman Who Wants to Try Herbal Treatment for her Lymphoma
26. Case 26 The 24-Year-Old Man with Difficult Asthma
27. Case 27 The 63-Year-Old Woman whose Husband asks you Not to Discharge Her
28. Case 28 The 42-Year-Old Man with Non-Specific Back Pain who Demands a Scan
When things go wrong
29. Case 29 The 47-Year-Old Man who is Demanding Strong Opioids for his Chronic Back Pain
30. Case 30 The 43-Year-Old Woman with No Diagnosis despite Extensive Evaluation
31. Case 31 The 66-Year-Old Man whose Sister Does Not Agree with your Diagnosis
32. Case 32 The 68-Year-Old Man whose Stroke was not Diagnosed in Time
33. Case 33 The 74-Year-Old Woman who has Suffered Harm because of a Medication Error
34. Case 34 The 78-Year-Old Man who Fell Off His Bed in the Ward
End-of-life issues
35. Case 35 The 73-Year-Old Man who was Exposed to COVID in Hospital
36. Case 36 The 27-Year-Old Woman with a Severe Allergic Reaction to Sulfasalazine
37. Case 37 The 69-Year-Old Woman whose Cord Compression was not Diagnosed in Time
38. Case 38 The 69-Year-Old Woman who wants to Make a Living Will
39. Case 39 The 82-Year-Old Woman for whom the Medical Team feels that CPR Should Not be Attempted
40. Case 40 The 68-Year-Old Man with Motor Neurone Disease who needs Artificial Feeding
41. Case 41 The 70-Year-Old Man with Acute Exacerbation of COPD
42. Case 42 The 81-Year-Old Man who is Terminally Ill
43. Case 43 The 45-Year-Old Man with Severe Brain Haemorrhage
44. Case 44 The 59-Year-Old Man who has just Died from Myocardial Infarction
45. Case 45 The 53-Year-Old Woman whose Death is Unexplained
