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Abstract

Communication - practical hints for the difficult patient interview

Difficult interviews belong to the most challenging issues in the doctor-patient-relative-relationship. »breaking bad news«, predominantly concerning, in the area of gynaecology, oncological but also, in the broadest sense, reproductive issues, is here the most common medical task. Most patients demand open and honest communication of their doctor. Open communication enables patients to maintain hope in a realistic way.

Attaining satisfying results for all involved in such »difficult interviews« depends on factors that are often easy to influence: good preparation, recognizing patients'needs, active listening, the right questions, the capacity to tolerate lulls in conversation, reassurance of comprehension, no fear of emotional outbursts, and understanding of the processual character of communication.This article presents a model for a clearly structured interview (»six steps«) which is open for the individual and emotional needs of the patient. Evidence from special workshops shows that good communication can be learned. Good communication heightens the degree of professional satisfaction for the doctor, conveyes a sense of being respected to patients and facilitates their compliance

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2010; 6(2): 152-166

Keywords
Breaking bad news,cancer,doctor-patient communication, emotional needs,compliance

Christine Klapp
Klinik für Geburtsmedizin, Charité Campus Virchow-Klinikum,
Universitätsmedizin Berlin

Reviewer: Alkje Königer, Berlin
und Jalid Sehouli, Berlin

Klapp C. Kommunikation ... Gynakol Geburtsmed Gynakol Endokrinol 2010;6(2):152-166 publiziert 31.07.10 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2010 ISSN 1614-8533