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Consultation Models

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by

Damian Kenny

on 18 October 2017

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Transcript of Consultation Models

Task
Orientated
Behaviour
Orientated
Neighbour
Helman's Folk Model:
What has happened?
Why has it happened?
Why to me?
Why now?
What would happen if nothing was done about it?
What should I do about it?
Helman's Folk Model
Health Belief Model
(Ideas, Concerns, Expectations)
Consultation Models
Doctor
Centred
Patient
Centred
Heron's Six Interventions
Narrative Medicine
Heron's Six Interventions:
Prescriptive - giving advice or instructions
Informative - imparting new knowledge
Confronting - challenging an attitude or behaviour
Cathartic - seeking to release emotion
Catalytic - encouraging the patient's own explorations
Supportive - offering comfort
Narrative Medicine:
actively gain rapport
be empathic, patient-centred
be valuing, curious and accepting
listen actively, pick up cues, clarify
Stott and Davis
Triaxial Model
(Physical, Psychological, Social)
Non-directive Counselling
NLP
Balint
Problem Based Interviewing
Neighbour's Model
Connect
Summarize
Handover
Safety Net
Housekeeping
Disease-Illness Model
Medical Model
Medical Model
History
Examination
Investigations
Diagnosis
Treatment
Cambridge Calgary
Pendleton
BARD
Transactional Analysis
Beginning
Gathering Information
Disease Framework
Doctor’s agenda
Symptoms
Signs
Investigations
Pathology
Diagnosis
Illness Framework
Patient’s perspective
Ideas
Concerns
Expectations
Effect on life
Understanding of experience
Integrate Both Frameworks
Shared Understanding
Shared Plan
Disease-Illness Model: McWhinney 1972
Find out why the patient has come
Check how the problems affect them, their job, their family, etc
Explore the patient's ideas, concerns, expectations, and health beliefs
Examine: physical, mental
Summarise, check
you understand
the problems ... then ...
Gathering Information
Discuss management options
Seek the patient's preferences
Explain the chosen management plans, treatments, tests, etc
Check for drug allergies
Safety Net
Check the
patient understands
Discussing Management
Explain the problems or diagnoses, linking your explanation to the patient's ideas, and concerns
Consultation Navigation Tool
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