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Old 06-29-2013
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Question Distance between me and the patient

At what distance from the patient, we have to stand or sit ?

Is there any cup or glass available in the room to offer water to the patient if patient is coughing ? or we can just give him / her tissue paper ?
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Old 06-29-2013
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Yes there are cups available

if pts is coughing , offer tissue. If you are gonna do thyroid exam , offer water.
Life is a sexually transmitted disease.
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Old 06-29-2013
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Stand about an arms length away from the patients....i thought i was gonna sit down for my exam but i decided to stand up as it provides better eye contact...i thought to myself its gonna be kinda weird with me sitting and looking up to the patients
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Old 06-30-2013
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Depends on the position of the patient.
In general when the pt is sitting, you sit and when they are lying down supine, you stand. However, when they are lying down on their side, you sit.
When they are sitting on the exam table and when you you sit, your eye level is below their eye level, which is non-verbal way of conveying that they are in-charge of their health (empowering them) and you are just there to help them (serve them). It also, gives you a more complete view of the patient especially their hand where you can pick up non-verbal cues they might try to convey. It is also better for writing your notes and looks more professional since by sitting you are also conveying that you have all the time for them and are not in any hurry. It is also a better position for leaning forward to show empathy. I can go on & on but I think you get the idea.

In contrast, as Steptaker said "If the patient is in the ER with extreme excruciating pain, you have to be standing and doing the job in urgent manner" to show that you want to finish the interview as quickly as possible to go on to the next step of treating them.
It is all about comfortable eye contact and showing empathy in a non-verbal way.

Distance is between an arms length and arms length & half.........just like you do in a normal conversation with anyone. The important tip is that it is a good idea to sit down (except as above) and lean forward when they are telling something important since it is an excellent way of getting communications skills points without actually saying anything. Also, if the pt is coughing/crying, just pick up the box of tissue and offer it to them, again without saying anything (since silence is a very powerful non-verbal way of showing empathy). This way you will nail the CIS without actually saying anything. All this is very well demonstrated in Drexel DocCom videos and I strongly recommend watching at least the videos which are free.

Yes, there are cups with dispenser/box of tissue, gloves (medium/large) available in the room.

Just watch the orientation video again and again to be comfortable with the exam room and decrease your test anxiety.
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”

Last edited by Novobiocin; 06-30-2013 at 09:12 AM.
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