PHIL 2015 Chapter Notes - Chapter 4.0: Differential Diagnosis, Intercultural Competence, High Tech
23 May 2020
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Strategies: ask open ended questions-charon starts her first patient visits by asking, What would you like me to know about you? before jumping into questions about symptoms. Ask patients to write about their illnesses-consider asking your patients to write a 1- page impact of my illness document, which you will read and discuss with them and keep in their charts. Learn your patients" real stories-find out 1 thing you did not know about your patients" stories in every visit. Look for a metaphor or a key word-look for a metaphor or key word that emerges in your meetnigs unique to working alliance. View noncompliance as a blocked narrative, not as patient stubbornness-non compliance has a differential diagnosis like every other problem in medicine. Record encounters with patients-take 3 minutes to write down what happened. Write it down the way we would tell a colleague-story with beginning, middle and end.
