Cea Skills 2t2u4h
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CEA skills Milagros Neri, MD
Patients consult for two reasons:
They have physical symptoms
They are anxious about the physical symptoms Upsetting Distracted
Physical symptoms
Diagnosis and treatment
Anxiety
Education
If not addressed They are not really treated Difficulty of absorbing our attempts at educating them
Correct Misperception
Perception ≠ reality
Through the use of active listening skills, the physician can identify the perceptions that are most anxiety- provoking - Emotionally Critical Misperceptions
CEA Method
Active listening skills and health education
Catharsis, Education and Action
Catharsis
Emotions Becoming aware of hidden emotions Be able to name the feeling
Mad Sad Glad Afraid
Perceptions
Becoming aware of what’s behind the feeling
Four Steps to promote catharsis What came to your mind when you started feeling the symptoms? What feelings came out when these thoughts came to your mind? What do you think is the worst thing that can happen to you? Summarize the ECM and the emotions associated with it.
Active Listening Skills
Paraphrasing
Saying in 10 words what the patient said in a hundred
Doctor, a month ago, I had this sore throat, so I went to a doctor and he gave me penicillin for it. So I took it seven days and it went away. But a week later, I had the sore throat again. The doctor gave me amoxicillin this time and I took it and the sore throat went away. But a few days ago, the sore throat came back. I just can’t understand what’s happening.
Attending Skills
Non-verbal- body language L- lean forward O- open stance V- voice of comion E- eye - facial expression R- relax position S- sitting position at right angle
Reflecting feeling
Articulate for the patient the emotions
Mad, sad, glad, afraid
Educate
ECM identified and should be prioritized Doctor has been listening and understands the patients concerns “Emotional connection” Perception > reality- allay the anxiety Perception < reality- increase the anxiety
Pathophysiology and pharmacology Speak in the language of the patient Use analogy and metaphors Use anecdotes or testimonies
Action
Propose an action plan Goal setting and behavioral contracting Address ECM about treatment
Good physician cures sometimes, palliates often but comforts always
Patients consult for two reasons:
They have physical symptoms
They are anxious about the physical symptoms Upsetting Distracted
Physical symptoms
Diagnosis and treatment
Anxiety
Education
If not addressed They are not really treated Difficulty of absorbing our attempts at educating them
Correct Misperception
Perception ≠ reality
Through the use of active listening skills, the physician can identify the perceptions that are most anxiety- provoking - Emotionally Critical Misperceptions
CEA Method
Active listening skills and health education
Catharsis, Education and Action
Catharsis
Emotions Becoming aware of hidden emotions Be able to name the feeling
Mad Sad Glad Afraid
Perceptions
Becoming aware of what’s behind the feeling
Four Steps to promote catharsis What came to your mind when you started feeling the symptoms? What feelings came out when these thoughts came to your mind? What do you think is the worst thing that can happen to you? Summarize the ECM and the emotions associated with it.
Active Listening Skills
Paraphrasing
Saying in 10 words what the patient said in a hundred
Doctor, a month ago, I had this sore throat, so I went to a doctor and he gave me penicillin for it. So I took it seven days and it went away. But a week later, I had the sore throat again. The doctor gave me amoxicillin this time and I took it and the sore throat went away. But a few days ago, the sore throat came back. I just can’t understand what’s happening.
Attending Skills
Non-verbal- body language L- lean forward O- open stance V- voice of comion E- eye - facial expression R- relax position S- sitting position at right angle
Reflecting feeling
Articulate for the patient the emotions
Mad, sad, glad, afraid
Educate
ECM identified and should be prioritized Doctor has been listening and understands the patients concerns “Emotional connection” Perception > reality- allay the anxiety Perception < reality- increase the anxiety
Pathophysiology and pharmacology Speak in the language of the patient Use analogy and metaphors Use anecdotes or testimonies
Action
Propose an action plan Goal setting and behavioral contracting Address ECM about treatment
Good physician cures sometimes, palliates often but comforts always
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