Rabu, 4 November 2009
Conversation Intervention with Alzheimer’s Patients: Increasing the Relevance of Communication
The effectiveness of conversation in improving verbal communication of nursing home residents with Alzheimer’s disease was compared to exercise and a combination of both interventions. Fifty-five participants were randomly assigned to treatment group and raters were blinded. Treatment was given three times weekly for 30 minutes, for 16 weeks. Although all groups evidenced decline in the total number of words used as a group, the conversation-only subjects’ performance was significantly better in terms of the number of nonredundant units of information produced (p = .0433) and conciseness (p = .0101) using analysis of covariance controlling for baseline performance. Individual subjects’ change in performance was also examined. Active engagement in structured one-on-one conversation may improve relevance of communication in this population.
Keywords: Alzheimer’s disease, dementia, conversation, exercise, communication, picture description
Keywords: Alzheimer’s disease, dementia, conversation, exercise, communication, picture description
DOKTOR, JURURAWAT 'BERAT MULUT' Posted by webmasters on 2009/2/24
Berita Semasa : DOKTOR, JURURAWAT 'BERAT MULUT' Posted by webmasters on 2009/2/24 17:14:55 (707 reads)
Oleh Azrina Ahzan
bhnews@bharian
Kementerian wajibkan kakitangan hospital hadiri kursus komunikasi
PUTRAJAYA: Semua kakitangan hospital, khususnya doktor dan jururawat diwajibkan menghadiri kursus komunikasi bagi mengurangkan jumlah aduan terhadap mutu perkhidmatan kesihatan.
Menteri Kesihatan, Datuk Seri Liow Tiong Lai, berkata ia juga kerana sebahagian besar aduan yang sering diterima kementerian berpunca daripada masalah kurang komunikasi kakitangan hospital dengan pesakit serta keluarga mereka.
Katanya, sepanjang tahun lalu kementerian menerima lebih 1,000, aduan manakala 34 diterima sepanjang Januari lalu.
"Kebanyakan aduan termasuk kepada Biro Pengaduan Awam (BPA) berpunca daripada masalah komunikasi. Sebab itulah doktor dan jururawat dinasihatkan supaya lebih berkomunikasi dengan pesakit.
"Ini kerana tanpa disedari, sikap doktor atau jururawat yang kurang bercakap atau tidak bercakap langsung dengan pesakit, boleh menimbulkan rasa tidak puas hati pesakit," katanya selepas melancarkan Kempen Penerapan Budaya Korporat kementerian di Pusat Konvensyen Antarabangsa Putrajaya (PICC), di sini semalam.
Liow berkata, sepanjang tahun lalu kementerian menganjurkan pelbagai kursus bagi membantu doktor dan jururawat meningkatkan kemahiran komunikasi masing-masing.
Mengulas kempen berkenaan, beliau berkata, ia memberi penekanan kepada tiga nilai teras iaitu penyayang, profesionalisme dan kerja berpasukan, inisiatif berterusan kementerian bagi membudayakan penyampaian perkhidmatan terbaik kepada rakyat.
"Usaha ini sudah dimulakan sejak 1987 menerusi kempen budaya korporat yang diperkenalkan oleh kementerian dan kempen kali ini bertujuan memberi suntikan baru bagi memantapkan lagi amalan budaya korporat di kalangan warga lama serta baru kementerian," katanya.
Mengenai usaha mengurangkan masalah kecuaian di semua hospital dan klinik kerajaan, beliau berkata, semua kakitangan kementerian sentiasa diingatkan supaya melaksanakan tugas dengan penuh tanggungjawab dan profesionalisme.
Oleh Azrina Ahzan
bhnews@bharian
Kementerian wajibkan kakitangan hospital hadiri kursus komunikasi
PUTRAJAYA: Semua kakitangan hospital, khususnya doktor dan jururawat diwajibkan menghadiri kursus komunikasi bagi mengurangkan jumlah aduan terhadap mutu perkhidmatan kesihatan.
Menteri Kesihatan, Datuk Seri Liow Tiong Lai, berkata ia juga kerana sebahagian besar aduan yang sering diterima kementerian berpunca daripada masalah kurang komunikasi kakitangan hospital dengan pesakit serta keluarga mereka.
Katanya, sepanjang tahun lalu kementerian menerima lebih 1,000, aduan manakala 34 diterima sepanjang Januari lalu.
"Kebanyakan aduan termasuk kepada Biro Pengaduan Awam (BPA) berpunca daripada masalah komunikasi. Sebab itulah doktor dan jururawat dinasihatkan supaya lebih berkomunikasi dengan pesakit.
"Ini kerana tanpa disedari, sikap doktor atau jururawat yang kurang bercakap atau tidak bercakap langsung dengan pesakit, boleh menimbulkan rasa tidak puas hati pesakit," katanya selepas melancarkan Kempen Penerapan Budaya Korporat kementerian di Pusat Konvensyen Antarabangsa Putrajaya (PICC), di sini semalam.
Liow berkata, sepanjang tahun lalu kementerian menganjurkan pelbagai kursus bagi membantu doktor dan jururawat meningkatkan kemahiran komunikasi masing-masing.
Mengulas kempen berkenaan, beliau berkata, ia memberi penekanan kepada tiga nilai teras iaitu penyayang, profesionalisme dan kerja berpasukan, inisiatif berterusan kementerian bagi membudayakan penyampaian perkhidmatan terbaik kepada rakyat.
"Usaha ini sudah dimulakan sejak 1987 menerusi kempen budaya korporat yang diperkenalkan oleh kementerian dan kempen kali ini bertujuan memberi suntikan baru bagi memantapkan lagi amalan budaya korporat di kalangan warga lama serta baru kementerian," katanya.
Mengenai usaha mengurangkan masalah kecuaian di semua hospital dan klinik kerajaan, beliau berkata, semua kakitangan kementerian sentiasa diingatkan supaya melaksanakan tugas dengan penuh tanggungjawab dan profesionalisme.
Referenced by:
2 newer articles
1. Wynn, Rolf (1996) 'Symptom' and 'diagnosis' as prototypes: applying the theory of prototypes and the notion of fuzziness to the study of a doctor-patient interaction. International Journal of Applied Linguistics 6(2)
[CrossRef]
2. Montazeri, Ali (1996) Interviewing cancer patients in a research setting: the role of effective communication. Supportive Care in Cancer 4(6)
[CrossRef]
1. Wynn, Rolf (1996) 'Symptom' and 'diagnosis' as prototypes: applying the theory of prototypes and the notion of fuzziness to the study of a doctor-patient interaction. International Journal of Applied Linguistics 6(2)
[CrossRef]
2. Montazeri, Ali (1996) Interviewing cancer patients in a research setting: the role of effective communication. Supportive Care in Cancer 4(6)
[CrossRef]
Interpretation in doctor-patient interviews: A sociolinguistic analysis
Randolph S. Marshall1
(1) UC Berkeley/UCSFJoint Medical Program, San Francisco 66 Overlook Terrace, 10040 New York, N.Y.
Abstract This paper discusses interpretation in doctor-patient interviews from a sociolinguistic perspective. A meaning-centered orientation to clinical practice calls for practitioners to create a clinical picture of the illness that is compatible with the patient's experience. This requires that appropriate interpretation of symptoms take place. Using transcripts of doctor-patient interviews, this paper demonstrates that another interpretive process, necessary to understanding illness, occurs at the level of conversation. Contrasting examples illustrate that without an adequate degree of ldquoconversational cooperation,rdquo interpretation cannot take place. The results of poor conversational interpretation are the creation of an inaccurate clinical picture and the loss of clinically relevant information. The anthropological and sociolinguistic paradigms are linked by showing how differing perspectives on the illness affect conversational interpretation.
(1) UC Berkeley/UCSFJoint Medical Program, San Francisco 66 Overlook Terrace, 10040 New York, N.Y.
Abstract This paper discusses interpretation in doctor-patient interviews from a sociolinguistic perspective. A meaning-centered orientation to clinical practice calls for practitioners to create a clinical picture of the illness that is compatible with the patient's experience. This requires that appropriate interpretation of symptoms take place. Using transcripts of doctor-patient interviews, this paper demonstrates that another interpretive process, necessary to understanding illness, occurs at the level of conversation. Contrasting examples illustrate that without an adequate degree of ldquoconversational cooperation,rdquo interpretation cannot take place. The results of poor conversational interpretation are the creation of an inaccurate clinical picture and the loss of clinically relevant information. The anthropological and sociolinguistic paradigms are linked by showing how differing perspectives on the illness affect conversational interpretation.
Jumaat, 21 Ogos 2009
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