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Bed side manners.pptx

29. Mar 2023
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Bed side manners.pptx

  1. BLDE Deemed to be University (NAAC A Grade) Shri B M Patil Medical College Hospital and RC, Vijayapura Bridge Course 2023 Topic – Bed Side Manners Presenter – Dr. Kalyanshettar S S MD Paed. Professor & HoD,Department of Pediatrics Adjunct faculty, Medical Education
  2. Bed side manners • For Students • For Faculty
  3. Hospital Bed And who is on bed ?
  4. A old man as patient……
  5. • The surgery in the morning had been uneventful and the surgeon was happy with my father’s progress. In the evening as my wife and I sat in his room in the hospital, two gentlemen barged in and started examining my father. They lowered his pyjamas for the examination, chatted with each other, assured him that all was well and walked off. As they were leaving I asked them who they were and one of them introduced himself as an associate of my father’s surgeon and left. • Now here is my problem.
  6. • I have no idea who these people were. They wore no surgeon’s gowns, they had no telltale stethoscope around their necks. They marched into our room without a knock and proceeded to examine a patient, without his permission. They removed his pyjamas for an examination, with two people sitting in the room and the door wide open. I was shocked to witness this humiliation and I could feel my father’s acute discomfort. • To the doctors, strangely nothing appeared to be amiss! When I stepped out to have a word with these gentlemen and pointed out their completely unacceptable behaviour, they appeared surprised that a patient’s attendant has the gall to question them and arrogantly dismissed me saying that if I had any complaints I needed to address those to my surgeon! They did not deem it fit to utter a word of apology for their appalling conduct.
  7. Why bed side manners? • Empowers you to develop good doctor patient relationship • Patient on Bed is one who teaches you a lot • These skills are build and incorporated in you, over years • The good bedside manners will prevent stress and burnout in you • Child, middle aged, pregnant lady , elderly , & comatose • Care givers too are important • Essential to be successful as a medical professional.
  8. Bed side manners • Who is on bed? • Patient • Teacher • Judge • CCTV • Inform others how you are behaving
  9. Verbal Non Verbal Bedside Manners Empathy Professional conduct
  10. Do’s • Behave • Maintain privacy while examining • Respect the patient on bed (rich patients wont allow you to touch) • Good communication • Empathy • Be a good listener
  11. Do’s • Take permission of the patient before examination • If patient say come later, or he want to relax now – accept it • Always stand on right side of patient • Comfort the patient • Stay focused • Examine one at a time • Thanks giving
  12. Don'ts • Sit on bed • Cause pain • Inappropriate touching • Call the patient by name of disease he is having • Stand around empty bed • Gossip • Argue • Make fun
  13. Don'ts • Nail polish and long nails • Rings ,Perfumes • Jeans , T shirts / shorts , Chappals • Carry food/coffee to wards • Mobile phone • Too many bangles • Arrogance • Ego
  14. How a student should behave in ward? • Clean shaven • Tidy well groomed hairs • Carry instruments – stethoscope, pen, books • Positive attitude • Arrival on time • Smile on face
  15. Good bedside manners Trust – Bonding Compliance Good Doctor Patient Relations Better outcomes , compliance , satisfaction
  16. Components of Bed side manners • Attention: Your undivided attention allows the patient to feel that their needs are important and will be met. • Communication: Engage, educate, and explain to your patient the necessary medical information they seek. • Compassion: Speak with kindness and understanding to establish a positive environment for a patient. • Honesty: Patients look to receive honest opinions and information. • Respect: Treat the patient as though you were in their shoes by being courteous and polite.
  17. ABC….of manners in students • Attitude • Behaviour • Communication • Decency and Dignity • Empathy • Gratitude / well groomed • Human touch • Judgemental • Observational skills • Privacy • Respect
  18. Behaviour should be Positive little humour Respectful Appealing learning Build trust
  19. What is wrong in this?
  20. What is wrong in this?
  21. Take home message • Bedside manners learnt now will remain your signature throughout. • Dignity for your profession is earned • Respect for doctor is earned • Learning occurs
  22. Take home message • Less stress • Builds patient trust and enhances healing • Creates a fulfilling career • less likely to be sued for malpractice than those with poor bedside manners.
  23. Thank you • Have manners that you expect a Dr should have, when your near and dear ones are examined. • Any comments/ Questions?
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