his problem as being valid, you are not necessarily agreeing with him or implying that
you would respond in the same manner. You are simply communicating to him that you
consider his feelings to be normal and reasonable.
g. Ask questions if you do not understand something being said or as another
way of encouraging the speaker to continue. An example might be:
PATIENT: I don't want to take these pills today!
HEALTH CARE PROVIDER: Are you getting tired of taking pills?
h. Consider carefully before attempting to reassure the patient by denying that a
problem exists.
(1)
For example:
PATIENT: I'm really worried about my surgery tomorrow.
HEALTH CARE PROVIDER: Why? You have the best surgeon
available, and it's just a minor operation.
(2) This is a common and well-intentioned type of response to verbalization
of a problem. However, in some cases, it may embarrass the patient or cause him to
question his own ability to view things realistically. This type of reassuring comment is
one of the many responses you may choose to give. But any response should be given
only after you:
(a) Establish the fact that you understand and accept the problem as
being valid.
(b) Explore the problem by encouraging the patient to elaborate. In
this way, you can get a better understanding of his thoughts so that you can choose an
appropriate response.
(3)
Compare the following interaction to that above.
PATIENT: I'm really worried about my surgery tomorrow.
HEALTH CARE PROVIDER: It's really bothering you?
PATIENT: Yes. I just can't get it off my mind.
HEALTH CARE PROVIDER: Is there anything in particular that
you're worried about?
2-6
MD0520