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opisi predmetov - Medicinska fakulteta Maribor - Univerza v Mariboru

opisi predmetov - Medicinska fakulteta Maribor - Univerza v Mariboru

opisi predmetov - Medicinska fakulteta Maribor - Univerza v Mariboru

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za prognozo, motivacija in vzbujanjeupanja, upoštevanje emocionalnihvidikov bolnikovega doživljanja inpotrebo po času za obdelavoposredovanih informacij, kritika inkritizerstvo).- Komunikacija zdravnika in bolnika obprvem srečanju (pregledu): pomenkvalitetne komunikacije za vzpostavitevterapevtskega odnosa, definicijeproblema, izbire in odločitve,posvetovanje o diagnozi, prognozi inobravnavi; problem (pre)velikegapričakovanja bolnika, pritiski nazdravnika, zdravnik in somatizacija,problem stereotipov glede na spol, raso,nacionalnost, bolezni, družbeno skupinoidr.), eksploracija in anamneza (lastna,tuja, socialna, bolezni, družinska,razvojna, zdravil, obnašanja idr.); pomenprepoznavanja (horizontalne invertikalne) analize značilnostibolnikovega obnašanja v komunikaciji zzdravnikom.- Priprave zdravnika narazgovor(intervju/jemanje anamneze,sistematični intervju, individualno vodeniintervju, potreba po empatiji): pričetek,aktivno poslušanje, strukturirane fazepogovora,postavljanje vprašanj (odprto,zaprto, alternativno, kataloško insugestivno vprašanje); problemzdravnikovega osredotočenja napatofiziološka vprašanja o bolniku.- Zdravnikova komunikacija pri telesnempregledu (problem polja intimnosti,sramu, tabujev, socio-kulturnih ovir) inafektivna nevtralnost.- Zdravnikova komunikacija v procesuodločanja (status zdravnika pogojujeodločanje;stili vodenja, konfliktodločitve; napaka v odločitvi, sindromheurističnega prilagajanja, slepoprilagajanje).- Komunikacija zdravnika v posebejzahtevnih medicinskih situacijah:--intenzivne medicine (izjemnost situacijebolnikove izoliranosti izgube intimnosti,pomanjkanje informacij), obremenitve osebja(visoka umrljivost, časovna stiska, stres,čustveno napeta/obremenilna situacija, delov turnusih, relativnost plačila idr.);-- urgentne medicine (psihosocialneznačilnosti, problem komunikacije, verbalnakrizna intervencija, pritisk odločanja inaktivnosti, skupinska supervizija, soočanje zcriticism and critical remarks).- The communication of doctor and patientat first meeting (examination): themeaning of quality communication toestablish a therapeutic relationship,definition of the problem, choice anddecision, consulting about the diagnosis,prognosis and proceedings; problem of(too) high patient expectations, pressureon doctors, doctor and somatisation,problem of gender, race, nationality,illness, social group etc. stereotypes,exploration and anamnesis (own, second,social, of illness, family, developmental,of medication, behaviour etc.); themeaning of recognizing (horizontal andvertical) the analysis of characteristics ofpatient behaviour in communication witha doctor.- The doctor’s preparation for conversation(interview/taking anamnesis, systematicinterview, individually guided interview,need for empathy): starting aconversation, active listening, structuredconversation phases, asking questions(open, closed, alternative, catalogue andsuggestive questions); the problem ofdoctor’s focus on pathophysiologicquestions about a patient.- Doctor communication at a physical exam(the problem intimate space, shame,taboos, socio-cultural obstacles) andaffective neutrality.- Doctor communication in the process ofdecision-making (doctor’s statusconditions decision-making; leadershipstyles, decision conflict; error in deciding,syndrome of heuristic adjustment, blindconformation).- Doctor communication in especiallydifficult medical situations:--of intensive medicine (exceptionality ofpatient isolation, loss of intimacy, lack ofinformation), overworked staff (high mortalityrate, time distress, stress, emotionallytense/aggravating situation, work in turns,relative payment etc.);--of urgent medicine (psychosocialcharacteristics, communication problems,verbal crisis intervention, pressure of decisionmakingand acting, group supervision,confronting dying and death);--of medicine of transplantation (legal andethical views of transplantation of differentorgans which demand various approaches incommunication; psychosocial peculiarity in201

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