SCENARIO 1 : Effective communication skills in the making..

STEP 1 :

1. General practicioner : the person that do the practition in the medical

institution

2. Micro skills :

 communication skills from doctor to patient to help us make

interaction skills

 process basic skills in communication

3. Listening skills : the ability of person for listening a patient problem

4. Emphaty : the ability to understand and feel the feeling and thoughts of
others

5. Message : the information from one person to other person

6. Communication skills : the ability to convey information to another

effectivelly and eficiently.

7. Attending behavior :

 respect from a person to the other person and environment

 To trigger the patient to talk freely at large may

8. Body language :

 body reaction with movement part of body

 give some message with part of body

9. Anamnesis :

the process to gather the information from patient

The case history of a patient

To do by the doctor

Data collection is done by doctor

 The early stage of medicine examination using conducted from doctor to
the patient to get best therapy

10. Nausea : sensation or reaction of discomfort in upper abdomen

following with urgger to vommit

STEP 2 :

1. What the purpose of anamnesis ?

2. How to do good anamnesis ?

3. How the step of micro skills of communication ?

4. How we can develop our effective communiative skills ?

5. what is the benefit become a communicative doctor ?

6. How to be a good listener ?

7. What are the disadvantages of communicative skills ?

8. The advantages and disadvantages of emphaty ?

9. What is the kind of anamnesis ?

10.What is the different of micro skills and communication skills for get a
good anamnesis ?

11. Why the anamnesis is needed ?

12. What is the relation of doctor and communicatin skills ?

13. How to become communicative doctor ?

14. What the include micro skills of communication ?

15. What is the problem to be a communicative doctor ?

16. How to develope micro skills of communication ?

17. When communication skills is needed ?

STEP 3 :
Anamnesis

1. What the purpose of anamnesis ?

 To get the data and information about the patient problem are
being felt

 To get the information of health condition from patient

 To help the doctor to make a diagnosis for patient

2. How does the doctor make a good anamnesis ?

 A doctor must to have the basic of communication skills

 Ask the chief complaint to ask medical history ask family

history, anamnesis system and anamnesis result

 The doctor have to give best approach to their patient with

clinical reasoning

3. What is the kind of anamnesis ?

 Allo anamnesa : information from the family or someone

nearest the patient

 Auto anamnesa : information from the patient

 Hetero anamnesis : combain from allo anamnesa and auto

anamnesa

4. What is the different of micro skills and communication skills for get a
good anamnesis ?

Micro skills is the reaction for get the anamnesis but communication
skills is the

5. Why the anamnesis is needed ?

 To help the doctor to make a diagnosis because the doctor dont

know patient feel so the doctor must be ask

 To know the problem of patient in diagnosis

 Communication skills

1. How the step of micro skills of communication ?

2. How we can develop our effective communiative skills ?

 Attitude

 Experience

 Our daily activity

3. what is the benefit become a communicative doctor ?

 make a patient feel comfortable

 trust the suggestion from doctor to patient

4. How to be a good listener ?

 Listening the patient problem with caring and patiently

 Increase the emphaty of the doctor

5. What are the disadvantages of communicative skills ?

 When the doctor have too much problem, the doctors cant
understand patient problem

6. The advantages and disadvantages of emphaty ?

 Advantages : make doctor more caring with the patient, to make a

person feel comfort

 Disadvantages : characteristic the people is different, spend time,

7. What is the relation of doctor and communicatin skills ?

To get the good result, the doctor apply the communication skills

8. How to become communicative doctor ?

 We must be a good listener

We must more caring with the patient

The doctor must have more emphaty

Give our time to listen the patient problem

9. What are the componens of micro skills of communication ?

10. What is the problem to be a communicative doctor ?

 The patient not open minded

 Language

11. How to develope micro skills of communication ?

12. When communication skills is needed ?

 Everytime. When we listening our friend, when we explain the

diagnosis to patient, when we solve the patient problem

13. What is basic of communication skill ?

14. How do the communication ?

15. When we use communication skills ?

16. What is islamic communication ?

 STEP 4 :
General Practioner

Anamnesis

Communication skills

Basic skill Micro Skills Attending Emphaty Islamic

communication Communication Behavior communication

Effective
Communication

Good anamnesis
STEP 7
Anamnesis

1. What the purpose of anamnesis ?

develop an understanding of the patient's medical problems and make diagnosis and
vital insights about providing an overview of the patient's complaints by the most
important

Sumber : Gleadle Jonathan,2007.At A Glance Anamnesis. Jakarta: Penerbit Erlangga

2. How does the doctor make a good anamnesis ?

In do anamnesis patients , there are several procedures known as the Four

Fundamental Secret Sevendan . But before heading to the two procedures , it is
useful to know the nurse if a general data about the patient first, such as :

1 .Name of patient : should the full name is not a nickname or alias .

2 . Gender : the completeness of the data must also be written

3 .Age : particularly important in pediatric patients because it is sometimes used to

determine the dose of the drug . Also can be used to estimate the probability of
illness , some typical diseases to a certain age

4 . Address : when patients moved around the place now ask not only address but
also the address at the time the patient felt pain for the first time . Dataini
sometimes necessary to determine the occurrence of epidemic , endemic disease or
for disease dataepidemiologi .

5 .Occupation : if a doctor suspects the presence of a relationship between disease

pasiendengan job , then ask not just a job now but also previous jobs .

6 .Marriage : sometimes useful to know the background of psychology patients .

7 . Religion : This information is useful to know what can and can not ( prohibition )
of a patient according to his religion .

8 .Ethnic groups : related to certain habits or diseases yangberhubungan with race or

ethnic tertetu

After checking the data , then the next step is to continue the interview

 Onset : from the time when such pain or keluha felt.

 Location : where the pain is felt or complaint ( in which part of the body )
 Chronological : how the story of the illness or complaint to be up like this .
  Quality : the pain of what kind of patient complaints ( painful , sore to the
touch , etc. ) .
 Quantity : whether the disease is often recurrent , or how often the disease
attacks the patient .
 Accompanying symptoms or comorbid complaints : complaints other .
 Modification factors : factors that aggravate or mitigate the disease of the
patient . Modification factor is also sometimes divided into risk factors and
diagnostic factors . Risk factors are factors that increase the likelihood of the
occurrence of a disease , while the prognostic factors are the factors that
affect the course or outcome of a disease

DISEASE HISTORY FIRST

History of physical or psychiatric illness who had previously suffered

For example, a history of trauma, other serious illness, surgery,

hospitalization.

example: frequent headaches, can not concentrate (history of previous CKB)

FAMILY HISTORY

Diseases with hereditary predisposition, infectious diseases are often found in

one family

Diseases eg Diabetes, High Blood, Asthma, Allergies. Infectious disease

tuberculosis, leprosy, etc..

Environmental Socio-Economic History

• Education Situation

• Employment Situation (Economy)

• Situation home / family / marriage

• Environmental Conditions

ml.scribd.com/doc/104988749/Cara-Melakukan-Anamnesis

3. What is the kind of anamnesis ?

1. Auto history derived from patients themselves

2. Allo history that comes from other people such as family, police, residents other.

Done in the following circumstances:

Patients with a decrease or change in consciousness.

Patients infants, children or the very elderly

For confirmation of auto history

http://kedokteran.unsoed.ac.id/Files/labskill/KomunikasiEfektifdanAnamnesis.pdf

4. What is the different of micro skills and communication skills for get a good
anamnesis ?

5. Why the anamnesis is needed ?

determining the risk factors for, diagnosing, and treating a disorder–eg, history of
exposure, Sx, occupational, exposure to causative agents linked to a particular
condition

McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill

Companies, Inc
 Communication skills

17.How we can develop our effective communiative skills ?

 Give the impression that you are keen to talk to them

 Ask questions about their interests
 Adapt to their body language and feelings
 Show a sense of approval
 Listen attentively to everything they say
 Give them eye contact long
 Express yourself as much as possible
 Give the impression that you are both on the same team
 Give them your best smile
 Offered helpful suggestions
 Give them motivation
 Shown with the energy level a little higher than others
 Their name in a fun way their ears
 Offer to undergo relationship a step further.

http://www.wikihow.com/Develop-Good-Communication-Skills

18.what is the benefit become a communicative doctor ?

 can Achieve success and clinical success
 can understand the feelings of the patient
 patients feel more comfortable when making anamnesis
 no misunderstanding between doctors and patients

Makalah Profesionalisme

Universitas Islam negeri Syarif Hidayatullah Jakarta

19.How to be a good listener ?

 MAKE EYE CONTACT

 TAKE A LISTENING POSITION.
 PARAPHRASE THE SPEAKER’S MESSAGE
 ASK CLARIFYING QUESTIONS FOR UNDERSTANDING
 MAKE COMMENTS, ANSWER QUESTIONS
 PROVIDE APPROPRIATE FEEDBACK
 EMPATHY
 OPENNESS
 AWARENESS
 http://www.twu.edu/downloads/counseling/E-8_How_to_be_a_good_listener.pdf

20.What are the disadvantages of communicative skills ?

21.The advantages and disadvantages of emphaty ?

Advantages

 Eliminate selfishness
 eliminate vanity
 Able to accept others' viewpoints
 Have a sensitivity to the feelings of others
 Able to listen to others
 Develop evaluation skills and self-control

http://p2kk.umm.ac.id/files/file/EMPATI%20DAN%20PERILAKU%20PROSOSIAL.pdf

22.What is the relation of doctor and communicatin skills ?

23.How to become communicative doctor ?

 Give them the impression that you’re enthusiastic about talking to

them.
 Ask open-ended questions about their interests.
 Adapt to their body language and feelings.
 Show them approval: Tell them what you admire about them and why.
 Listen attentively to everything they say.
 Give them prolonged eye contact.
 Reveal as much about yourself as possible.
 Give the impression that you’re both on the same team.
 Give them your best smile.
 Offer helpful suggestions.
 Give them encouragement.
 Appear to have a slightly higher energy level than the other person.
 Say their name in a way that is pleasing to their ears.
 Offer to take the relationship a step further.

http://advancedlifeskills.com/blog/14-very-effective-communication-skills/

24. What is the problem to be a communicative doctor ?

Dealing with difficult patients in medical encounters
 http://www.oscehome.com/Communication-Skills.html

25.How to develope micro skills of communication ?

 Linkages Emotions and Communication

 Between Communication and Information
 Be Puller Attention
 Use the word 'I' is proportional
 Anticipating rapid Flow of Information
 Personal relationships
 Creative in Communicating

http://ariaditya.com/berita-45--9-cara-ampuh-meningkatkan-kemampuan-
komunikasi.php

26. When communication skills is needed ?

27.What is basic of communication skill ?

sender's thoughts or information (sender / source), the channel used (channel) to
convey ideas or information, and receiving thoughts or information (receiver). The
model will also be illustrated an inhibitor of thoughts or information to the receiver
(noise), and feedback (feedback) that facilitates the smooth communication itself

http://elib.fk.uwks.ac.id/asset/archieve/matkul/Ilmu%20Kedokteran%20Terintegrasi%20-
%20PBL/Materi%20Semester%201%20-%202007/MANUAL%20KOMUNIKASI.pdf

28. How do the communication ?

29. When we use communication skills ?

30. What is islamic communication ?

Communication is the process of delivering the message of Islam-Islamic
messages using communication principles in Islam. With such understanding, the Islamic
emphasis on the elements of communication messages (message), the treatise or Islamic
values, and how (how), in this case about the speaking style and use of language
(rhetoric). Islam's religious message conveyed in the communication of Islam covers the
entire teachings of Islam, including belief (faith), sharia (Islamic), and character (ihsan).
About how (kaifiyah), in the Al-Quran and Al-Hadith found various guides that
communication goes well and effectively. We can be termed as a rule, principle, or
communicating ethics in Islamic perspective.

http://fai.umy.ac.id/komunikasi-penyiaran-islam/