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Handbook of Communication in Anaesthesia & Critical Care: A Practical Guide to Exploring the Art [Minkštas viršelis]

Edited by (Consultant Anaesthetist, Women's and Children's Hospital, Adelaide, Australia), Edited by , Edited by (Senior Staff Specialist, Department of Anaesthesia and Pain Management, N), Edited by (Consultant Anaesthetist, Women's and Children's Hospital, Adelaide, Australia)
  • Formatas: Paperback / softback, 288 pages, aukštis x plotis x storis: 234x157x17 mm, weight: 438 g, 4 black-and-white line drawings, numerous tables and boxes
  • Išleidimo metai: 11-Nov-2010
  • Leidėjas: Oxford University Press
  • ISBN-10: 0199577285
  • ISBN-13: 9780199577286
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 288 pages, aukštis x plotis x storis: 234x157x17 mm, weight: 438 g, 4 black-and-white line drawings, numerous tables and boxes
  • Išleidimo metai: 11-Nov-2010
  • Leidėjas: Oxford University Press
  • ISBN-10: 0199577285
  • ISBN-13: 9780199577286
Kitos knygos pagal šią temą:
This book provides anaesthetists, intensivists and other critical care staff with a comprehensive resource that offers ways of improving communication in everyday clinical practice, and provides practical communication tools that can be used in difficult or unfamiliar circumstances. It demonstrates how communication can be structured to improve patient care and safety with numerous practical examples and vignettes illustrating how the concepts discussed can be integrated into clinical practice, and presents ideas in a way that enhances clinical interactions with patients and colleagues and facilitate the teaching of trainees.

Edited by practising anaesthetists with particular expertise in teaching communication, and with contributions from expert clinicians based in North America, Europe and Australasia, this book will stimulate and complement the development of comprehensive resources for communication skills teaching in anaesthesia and other related professional groups.

Recenzijos

Overall, this is an excellent resource on effective communication in healthcare. It brings up interesting communication concerns with patients interacting with anesthesiologists in different clinical contexts and it reminds one to prioritize patient perceptions that will allow patient autonomy and cooperation and decrease patient anxiety. This is an excellent introductory book on communication for trainee or consultant anaesthetists aiming to fine tune their interactions and teaching prowess ...suprisingly refreshing from the outset...I thoroughly enjoyed this book and recommend it to specialist registrars and consultants in respiratory medicine - go out and get a copy for your department. I enjoyed reading this book, and I have gained lots of useful tips from doing so... the book has a lot to offer the interested reader and would make an excellent addition to any bookshelf or departmental library. * Anaesthesia * This is an excellent introductory book on communication for trainee or consultant anaesthetists aiming to fine tune their interactions and teaching prowess. It certainly forms a solid platform for those interested in reading further into these areas. Books like this can very often appear too 'fluffy' to the palate, but this one is surprisingly refreshing from the outset. * British Journal of Hospital Medicine, June 2011 *

Contributors xvii
Section 1 Principles of communication
1 To begin ...
3(14)
Stavros Prineas
Andrew F Smith
Suyin GM Tan
The importance of communication in anaesthetic practice
4(1)
When communication breaks down
5(2)
Benefits of improved communication
7(1)
Models of communication
7(3)
Communication skills training in anaesthesia
10(1)
Addressing patient needs
11(2)
What can anaesthetists learn about communication from other disciplines?
13(4)
2 Structures
17(13)
Allan M Cyna
Marion I Andrew
Suyin GM Tan
Communication concepts of relevance to the practice of anaesthesia
17(1)
The anatomy of communication
18(1)
Explicit/conscious and implicit/tacit/subconscious aspects of communication
19(1)
Human interaction: the patient and anaesthetist
19(1)
Patient rapport
20(1)
Communications that enhance patient autonomy and the perception of control
20(1)
Understanding and accepting different realities
21(1)
Patient advocacy
21(1)
The `LAURS' of communication and a `GREAT' way to structure interactions
22(8)
3 How words hurt
30(8)
Allan M Cyna
Elvira V Lang
Negative suggestions and how to look out for them
31(1)
Placebo and nocebo effects
31(1)
Minimizing words and negating words
32(1)
Negating words---when `Don't worry' means there is `Something to worry about!'
33(1)
Try---the failure word
33(1)
Therapeutic communication
33(2)
The ethics of communication
35(3)
4 Language and the subconscious
38(8)
Allan M Cyna
Marion I Andrew
Suyin GM Tan
The conscious and the subconscious
39(1)
Subconscious responses
39(1)
Imagery and imagination
40(1)
Suggestions
41(1)
Repetition
42(1)
Seeding an idea
42(1)
Reversed effect
42(1)
Failure words
42(1)
Double binds
43(1)
Use of metaphor
43(1)
Concentrated attention
43(1)
Truisms and the development of a `Yes set'
43(1)
Time---distortion and progression
44(2)
5 Narrative and metaphor
46(13)
Audrey Shafer
Narrative and story
46(2)
Narrative as a way of knowing
48(1)
Narrative in education, well-being and reflection
49(1)
Metaphor: ubiquity and import
50(1)
Metaphor: dehumanizing, patronizing, yet persistent
51(1)
Using metaphor to understand difficult communication situations
52(1)
Metaphor: embedded in practice, perception and research
53(6)
Section 2 Routine clinical applications
6 The pre-anaesthetic visit
59(9)
Vincent J Kopp
Anatomy of a suboptimal pre-anaesthetic communication
59(1)
Using templates to improve pre-anaesthesia communication
60(1)
Using `GREAT' to structure the pre-anaesthesia evaluation
61(7)
7 Consent
68(12)
Alan F Merry
Sally N Merry
Risk of anaesthesia in context
69(2)
Risk disclosure
71(1)
Documentation
71(1)
Optimizing the consent process
71(2)
Using `GREAT' to structure the consent process
73(4)
Children and adolescents
77(1)
Emergencies
78(2)
8 Perioperative care
80(17)
Andrew F Smith
Allan M Cyna
Suyin GM Tan
Induction
80(3)
Using `GREAT' in an emergency
83(1)
Recovery
84(5)
Using `GREAT' to structure the acute pain round
89(2)
Some dos and don'ts
91(6)
Section 3 Specific clinical contexts
9 The obstetric patient
97(14)
Marion I Andrew
Allan M Cyna
Addressing unique concerns in obstetric anaesthesia
98(1)
Antenatal preparation
98(3)
Labour
101(3)
Caesarean section
104(4)
Tips and tricks
108(1)
Using `GREAT' for an emergency GA Caesarean section
109(2)
10 The paediatric patient
111(15)
David Sainsbury
Allan M Cyna
How to make communicating with kids child's play!
112(1)
Children or adults: same---same but different
112(1)
Social development in the communication context
113(1)
The child's journey and using `GREAT'
114(8)
Case studies
122(4)
11 Critical care
126(17)
Daniel Nethercott
Maire Shelly
Crisis situations
127(1)
Prioritizing communication
128(1)
Handover
129(1)
Meetings with relatives
130(1)
Using `GREAT' to structure the interaction
130(1)
Using `SPIKES' to structure the interaction
131(1)
Recording and relaying communication
132(1)
Silence and empathy
133(1)
`Do you have any questions?'
134(1)
The ICU patient with a tracheostomy
135(1)
Withdrawing life-prolonging treatment
135(1)
Being positive in a bleak situation
136(2)
Personalizing communication
138(2)
Unintended communication
140(3)
12 When bad things happen
143(13)
Diana C Strange Khursandi
Principles of breaking bad news (`SPIKES')
144(5)
Critical incidents and open disclosure
149(1)
Critical incident support---`the second victim'
150(2)
Case studies
152(4)
13 Patients with special needs
156(11)
Gillian M Hood
Suyin GM Tan
Patients with communication difficulties
156(1)
Using `GREAT' to structure the interaction
157(2)
Patients with intellectual and behavioural disability
159(8)
14 Needle phobia
167(8)
Allan M Cyna
Marion I Andrew
Setting the scene
167(1)
Understanding the conscious-subconscious aspects of needle phobia
168(1)
Appreciating the origin of the problem
168(1)
Utilizing metaphor to promote patient rapport
169(1)
Useful suggestions
170(1)
Using `GREAT' for needle phobia
170(1)
Strategies to consider
171(1)
Reinforcing success
172(1)
Emergency management
173(2)
15 Intraoperative awareness
175(14)
Christel J Bejenke
Definition
175(1)
Incidence
176(1)
Risk factors
176(1)
Adverse sequelae of awareness
176(1)
Recommended preventive measures
177(1)
Mitigating the adverse effects of awareness
177(4)
Using `GREAT' in awareness
181(8)
Section 4 Communication with colleagues
16 Safety-critical communication
189(15)
Stavros Prineas
Communication errors---the mammoth in the room
189(1)
Communication styles
190(2)
Graded assertiveness
192(2)
Systematic handover and briefing techniques
194(3)
The communication roles of leadership
197(1)
Other communication tools
198(2)
Feedback and debriefing
200(4)
17 The theatre team
204(17)
Suyin GM Tan
Andy McWilliam
The nature of surgeon-anaesthetist interactions
205(2)
Using `GREAT' with surgeons
207(2)
Real-life approaches to resolving conflict
209(4)
Communicating with nurses
213(1)
Handover between anaesthetists
214(2)
Using `GREAT' for handover
216(1)
Communicating with secretarial staff
217(1)
Written communication
218(3)
18 Teaching and research
221(9)
Susie Richmond
Andrew F Smith
Suyin GM Tan
Giving feedback to trainees
221(2)
Communicating for supervision
223(1)
Encouraging and motivating the failing trainee
224(2)
Communicating with an examiner during a viva
226(1)
Communicating with an editor of a journal as an author and responding to reviewers
226(2)
Communicating with an editor of a journal as a reviewer
228(2)
19 Administrators
230(19)
Scott W Simmons
Appreciating different perspectives
231(3)
Conflict resolution
234(1)
Negotiating with management
235(1)
The one-page Executive Summary
236(2)
The communication setting
238(1)
Promoting `win-win' as a possible solution
239(1)
Recognizing the emotional components
239(1)
Converting `matters of principle' to `matters of fiscal accountability'
240(1)
Maintaining profile and a sense of urgency
241(1)
Using `GREAT' in the context of administration
242(7)
Section 5 Advanced communication techniques
20 Hypnotic techniques
249(14)
Marie-Elisabeth Faymonville
Christel J Bejenke
Ernil Hansen
Formal hypnosis
250(1)
What is hypnosis?
251(1)
What is important before using hypnotic techniques?
251(1)
Prerequisites for hypnosis
252(1)
Concepts of hypnosis
253(1)
Suggestions
254(1)
Managing negative suggestions
254(2)
Awake craniotomy without sedation
256(7)
Index 263
Dr Cyna is a Consultant Anaesthetist, Supervisor of Anaesthesia Research at the Women's and Children's Hospital in Adelaide and Clinical Senior Lecturer at the University of Adelaide. He graduated from the University of Leicester Medical School and trained in Anaesthesia in the UK and Baltimore, USA. He worked as a consultant anaesthetist in Hartlepool, UK prior to emigrating to Australia 12 years ago. He has research and teaching interests in obstetrics and paediatric anaesthesia. He is a member of the Australian Society of Hypnosis and is actively involved in teaching anaesthetists, clinicians, nursing, midwifery and other clinical staff, including psychologists, communication and hypnosis techniques as an adjunct to their practice.

Dr Andrew is a Senior Consultant Anaesthetist, and a Supervisor of Training at the Women's and Children's Hospital in Adelaide. She completed her undergraduate medical training in Manchester, UK and her postgraduate anaesthesia training in Australia. Her main work interests include teaching and research. She is a member of the Australian Society of Hypnosis and is a certified trainer in the Process Communication Model.



Dr Tan is a Senior Consultant in Anaesthesia and Pain Management at the Nepean Hospital in Sydney, Australia. She has a subspecialty interest in acute and chronic pain management. She is a graduate of the University of Newcastle-upon-Tyne in the UK and was a consultant anaesthetist at the Glasgow Royal Infirmary prior to emigrating to Australia in 1998. She has a longstanding interest in teaching undergraduate and postgraduate students in anaesthesia and communication.

Dr Smith is consultant anaesthetist and Director of the Patient Safety Research Unit, Royal Lancaster Infirmary. He has a longstanding interest in the quality and safety of anaesthetic care and anaesthesia education.