N 3130 - Communicating At End Of Life
+ Trauma-Informed Care And ACE
Exam Study Guide
What is relationship-driven communication? - ANSWER - Pt and family do not receive
info
=> They CO-CREATE messages and construct meaning with providers
- Info is NOT the main outcome of clinical communication
Outcome of Relationship-Driven Communication - ANSWER - The relationship built
between provider and patient/family
What is Information-driven or Sender-based Communication? - ANSWER - Outcome is
based on delivery and receipt of medical knowledge
- Receipt of info is considered effective communication
Define Transactional Communication - ANSWER - Parties contribute to and negotiate
the meaning of messages
=> Both verbally and non-verbally
Define Relational Communication - ANSWER - All messages have at least TWO levels of
meaning
=> The task/info level
=> Relationship level = Cues interactants how to interpret and process the message
itself
Define Mutual Communication - ANSWER - Communicators influence one another
Patient-Centered Communication is based on six main functions: - ANSWER 1. Fostering
patient-provider relationship
2. Providing and receiving info
3. Responding to emotions
4. Managing uncertainty
5. Making decisions
, 6. Enabling patient self-management
COMFORT Communication Model - ANSWER Communication (clinical narrative practice)
Orientation and opportunity
Mindful communication
Family
Openings
Relating
Team
Context of Hope and Denial - ANSWER *Insisting on a miraculous cure may be a
"NECESSARY REST-STOP" on the road to acceptance
*HCP needs to recognize that hope is at the center of healing
What is the AMEN Protocol? - ANSWER *Conversational tool to facilitate discussions
focused on HOPE FOR A MIRACLE
*Palliative care provider STEPS OUT of provider role for a moment
=> Then responds as a HUMAN BEING, whether they are a religious person or not
AMEN Protocol - ANSWER *Affirm the patient's belief
- Validate their position = "Ms. X, I am hopeful, too"
*Meet the pt or family member where they are
- "I join you in hoping/praying for a miracle"
*Educate from your role as a HCP
*No matter what
- Assure the pt and family you are committed to them
What is the Transactional Model of Communication? - ANSWER *People are
SIMULTANEOUSLY the Senders and Receivers in an ongoing process
- Each person is influenced by the other
- Emphasizes shared meaning and what happens "between people"
Benefits of Transactional Model of Communication - ANSWER - Encourages people to
share power
- Reminds ppl to be attentive to cues about how others interpret info
+ Trauma-Informed Care And ACE
Exam Study Guide
What is relationship-driven communication? - ANSWER - Pt and family do not receive
info
=> They CO-CREATE messages and construct meaning with providers
- Info is NOT the main outcome of clinical communication
Outcome of Relationship-Driven Communication - ANSWER - The relationship built
between provider and patient/family
What is Information-driven or Sender-based Communication? - ANSWER - Outcome is
based on delivery and receipt of medical knowledge
- Receipt of info is considered effective communication
Define Transactional Communication - ANSWER - Parties contribute to and negotiate
the meaning of messages
=> Both verbally and non-verbally
Define Relational Communication - ANSWER - All messages have at least TWO levels of
meaning
=> The task/info level
=> Relationship level = Cues interactants how to interpret and process the message
itself
Define Mutual Communication - ANSWER - Communicators influence one another
Patient-Centered Communication is based on six main functions: - ANSWER 1. Fostering
patient-provider relationship
2. Providing and receiving info
3. Responding to emotions
4. Managing uncertainty
5. Making decisions
, 6. Enabling patient self-management
COMFORT Communication Model - ANSWER Communication (clinical narrative practice)
Orientation and opportunity
Mindful communication
Family
Openings
Relating
Team
Context of Hope and Denial - ANSWER *Insisting on a miraculous cure may be a
"NECESSARY REST-STOP" on the road to acceptance
*HCP needs to recognize that hope is at the center of healing
What is the AMEN Protocol? - ANSWER *Conversational tool to facilitate discussions
focused on HOPE FOR A MIRACLE
*Palliative care provider STEPS OUT of provider role for a moment
=> Then responds as a HUMAN BEING, whether they are a religious person or not
AMEN Protocol - ANSWER *Affirm the patient's belief
- Validate their position = "Ms. X, I am hopeful, too"
*Meet the pt or family member where they are
- "I join you in hoping/praying for a miracle"
*Educate from your role as a HCP
*No matter what
- Assure the pt and family you are committed to them
What is the Transactional Model of Communication? - ANSWER *People are
SIMULTANEOUSLY the Senders and Receivers in an ongoing process
- Each person is influenced by the other
- Emphasizes shared meaning and what happens "between people"
Benefits of Transactional Model of Communication - ANSWER - Encourages people to
share power
- Reminds ppl to be attentive to cues about how others interpret info
