NSE 13A/B Chapter Notes - Chapter 4-5: Demyship, Nonverbal Communication, Lip Reading
27 Sep 2014
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Physical environment: set room temp. at comfortable level, make distance between you and patient about 1. 5m (twice arm"s length, arrange equal status seating comfortably seated, at eye level with each other, avoid facing patient across desk or table because it feels like a barrier, placing chair at 90 degree angle allows patient to either face you or look straight ahead from time to time, avoid standing over patient; communicates two negative effects: a) your haste & b) your superiority, sitting decreases power differentials, arrange face to face position when you interview hospitalized, bedridden patient, patient shouldn"t have to stare at the ceiling because this causes them to lose visual message of your communication. Taking notes during interviews has disadvantages: breaking eye contact too often, shifts attention away form patient, diminishing their sense of importance, can interrupt patient"s narrative flow, impeded observation of patient"s nonverbal behavior, threatening during discussion of sensitive issues.
