Review Kidney Replacement Options

Assess familiarity with options


Assess patient’s familiarity with options and initial attitudes

“Tell me what you’ve heard about treatment options…”

Communication Skills:

  • Begin with an assessment of knowledge, understanding and interest in options before providing additional details.

Assess understanding of options


Assess understanding of options

“I would like to hear what you know about these different treatments…”

Communication Skills:

  • Begin patient education and counseling by first assessing patient knowledge, understanding and attitudes toward treatment options.

Establish knowledge of options


Establish what is known and interest in specific options

“Yes and no. You are right about…”

Communication Skills:

  • Establish what is known; confirm accurate and correct inaccurate information.
  • Allow the patient to direct the flow of the options discussion.

Establish patient knowledge of and interest in specific options

“Yeah, you’re right….”

Communication Skills:

  • Establish and confirm accurate information and/or correct incomplete or inaccurate Information.
  • Gage interest in each option before providing detailed descriptions.

Facilitate understanding


Facilitate patient understanding and processing of information

“Should I go ahead and describe this first step in more detail?”

Communication Skills:

  • Provide information in manageable chunks.
  • Checks for understanding in a way that allows the patient an opportunity to process the information, comment and question.

Facilitate patient understanding and processing of information

“Are you with me? Would you like to learn more about…”

Communication Skills:

  • Provide information in manageable chunks.
  • Checks for understanding in a way that allows the patient an opportunity to process the information, comment and question.

Hope and plan


Help the patient to hope for the best and plan for the worst

“Treatment may not be needed for a while; how fast or slow the kidney function declines is different for everyone.”

Communication Skills:

  • Make clear that you hope for the best.
  • Make the rationale clear for planning the next treatment steps.

Offer resources


Offer Resources

“There are websites and resources that I can give you to help answer questions…”

Communication Skills:

  • Provide resources for informational support.
  • Provide resources for social and emotional support.

Teach-back


Teach-back technique

“Can you summarize for me the take-away for each of the different treatments we discussed?”

Communication Skills:

  • Use the “Teach-back” technique.

View all Mrs. Jones “Options” videos


Review Kidney Replacement Options

 

Communication Skills:

  • Assess understanding of options.
  • Establish patient knowledge of and interest in specific options.
  • Facilitate patient understanding and processing of information.
  • Teach-back technique.

View all Mr. Smith “Options” videos


Review Kidney Replacement Options

 

Communication Skills:

  • Assess patient’s familiarity with options and initial attitudes.
  • Establish what is known and interest in specific options.
  • Facilitate patient understanding and processing of information.
  • Help the patient to hope for the best and plan for the worst.
  • Offer Resources.

Review Options when Patient Prefers Alternative Treatment


Acknowledge and respect patient interest in seeking information about self-care.

“I’m really glad that you’ve been speaking with your family about your kidney disease.”

Communication Skills:

  • Compliment and approve of patient effort in talking with others and seeking information about their condition and treatment.
  • Openly discuss information the patient has gotten from various sources about their condition.

Establish a working partnership

“It is possible that the herb could help you and that would be really great. But sometimes…”

Communication Skills:

  • Partner and negotiate with the patient; show respect for the patient by checking the safety of a CAM supplement but ask for a commitment to avoid taking anything unless its safety is confirmed.

Clearly express concerns about self care choices when warranted

“I have some serious concerns about the herb that we discussed…”

Communication Skills:

  • Clearly convey concerns when CAM supplements are not safe.
  • Compliment patient effort and commitment.
  • Offer assistance in exploring CAM alternatives but remain consistent in affirming the need for clinically recommended treatments.

Partner with patient in self-care treatment discussions

“I am all for you trying the herbs that we discussed…”

Communication Skills:

  • Affirm the use of CAM supplements when safe.
  • Compliment patient effort.
  • Reiterate the importance and need for clinically recommended treatments in addition to supplements.




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