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How to talk to your
   Health Care
   Professional

   Eileen O‟Donovan
           &
    Susan O‟Carroll
Workshop Today will be :

• A Personal Space with a group agreement
  And group Introduction
• A Short Presentation
• Some Group Discussions
• Personal awareness
• Role Play
• A Short Video Clip
• Tips on „How to Talk to your HCP‟
Discussions on :


• Who are your Health Care Professionals
 ( HCP) ?
• what would you like to share in your
  experiences of „Talking to your HCP‟ (negative
  & Positive)
• What do you want from this workshop ?
• Defining „ your Goals „ when you are talking to
  your HCP
Living with advanced cancer typically means a lot
of doctor appointments and on going treatment


You need a health care team you can trust
Doctor
Patient
                      /nurse/team




          Communicating
            your needs
Key members of your Health Care Team

•   Medical Oncologist
•   Radiation Oncologist
•   Oncology Nurse e.g. Day ward
•   Breast Care Nurse
•   Oncology Liasion Nurse
•   Social Worker
•   GP
•   Community Public Health Nurse
Communication



Open Communication is the key to
 getting your needs met with ease
 and is essential to good care and
 long term planning
“With communication comes
 understanding and clarity; with
 understanding, fear diminishes; in
 the absence of fear, hope emerges;
 and in the presence of hope,
 anything is possible.”
Ellen Stovall, 3-time cancer survivor
            Cancer Community Support
        www.cancersupportcommunity.org
Communication could be a problem if:
  • After many visits you have questions that
    went unanswered or were answered poorly
  • You never feel you have enough time to say
    what is on your mind
  • Members of your health care team seem
    rushed, distracted or uninterested
“ Don’t be afraid to ask a question —there are no
  stupid questions and don’t be afraid to get a
  second opinion. Don’t let some doctor talk you
  out of it. If you feel more comfortable, get
  that second opinion and feel comfortable in
  the treatment you are receiving rather than
  just accepting it. Be a part of your treatment
  process.It’s empowering to be proactive’
 Penny - Cancer support community

  www.cancersupportcommunity.org
“ It’s really important to understand the disease
   and to educate yourself. It’s a matter of what
   this disease is, how it impacts you, and being
   able to communicate with your health care
   provider.”
Elaine L. Cancer Support Community
               www.cancersupportcommunity.org
“I hate to take the doctor‟s time to
 answer my questions.”

“I‟m so puzzled I don‟t know what to
 ask.”

“So many medical terms were used so
 quickly that I just went away
 confused.”
Talking about „your experiences‟

    Postives   Negatives

       Discussion
„Choosing to be Patient Active is not a single
monumental decision, but a series of
small,incremental choices that help you regain a
sense of control over your treatment and your
life in general‟
Personal Awareness
       &
  Assertiveness
ROLE PLAY
„How to talk to your HCP„
Reflection and comments
„Your Goals „


Identify „your Goals‟
           Disease control
           Quality of Life
           Prolonging Life
           Cure
Treatment Decisions


Treatment decisions can change and you must go
  with those changes…..
      One needs to have a balance
         Response to treatment
                    vs
              Quality of Life
Tips on Communicating Effectively with your HCP

Improving communication Before A Visit
•Bring questions with you
•Keep notes of issues experienced between visits
and bring notes to remind you
•If you still feel questions and concerns are not
addressed – consider changing doctors!
Improving communication During the visit
•Write down the answers to your questions in the doctor‟s
office
•Write down new information from the doctor
•Read your notes back to the doctor
•Ask the doctor to explain anything that is unclear
•If there are changes to your treatment plan , take the time
at this visit/clinic time to fully understand this and request
a follow up call or visit with your Nurse
Communication Tips

• Keep a running list of questions to bring to your
  appointments
• Ask your doctor what the best way is to get your
  questions answered, i.e should you bring your questions
  to the appointment , would it be easier to get answers
  by email ? Should you schedule a separate appointment
• It might be helpful to choose one person to
  communicate your needs
• Know that you deserve to get your questions answered.
  So don‟t be shy ,ask again and again until you are
  satisfied
• Bring someone along to the appointments
• Take notes , even a mini recorder !
Always Always tell your Doctor or nurse if and
when you are experiencing side effects or
symptoms that are making you uncomfortable or
interfering with your activities of daily living
Short and medium effects of treatments must be
          Communicated to your HCP
            They can be managed !

                       Pain
                   Nerve damage
                  Weight gain /loss




                                  Memory &
       Fatigue & Sleep
                                concentration
        disturbances
Wording questions:
 Do not ask leading questions .
A leading question is worded in such a way that
signals the answer you‟re hoping for !
„ I am going to be alright, aren‟t I „
          reword to
What do you think is my prognosis ?
„Don‟t be afraid to speak your mind or get on
  your doctors‟ nerves. Tell them everything
  you‟re feeling. Because they can‟t help you if
  they don‟t know what‟s wrong. That‟s what
  they are there for‟
 Laura
 Cancer Support community
www.cancersupportcommunity.org
Questions ????



Thank you for listening and participating

Eileen & Susan
Cancer Information Services Nurses
Irish Cancer Society   National Helpline 1800 200 700
Recommended websites:

Cancer Support Community US
www.cancersupportcommunity.org
Living Beyond Breast Cancer
www.lbbc.org/
National Coalition for Cancer Survivorship
www.canceradvocacy.org

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How to talk to your health care professional - Eileen O’Donovan

  • 1. How to talk to your Health Care Professional Eileen O‟Donovan & Susan O‟Carroll
  • 2. Workshop Today will be : • A Personal Space with a group agreement And group Introduction • A Short Presentation • Some Group Discussions • Personal awareness • Role Play • A Short Video Clip • Tips on „How to Talk to your HCP‟
  • 3. Discussions on : • Who are your Health Care Professionals ( HCP) ? • what would you like to share in your experiences of „Talking to your HCP‟ (negative & Positive) • What do you want from this workshop ? • Defining „ your Goals „ when you are talking to your HCP
  • 4. Living with advanced cancer typically means a lot of doctor appointments and on going treatment You need a health care team you can trust
  • 5. Doctor Patient /nurse/team Communicating your needs
  • 6. Key members of your Health Care Team • Medical Oncologist • Radiation Oncologist • Oncology Nurse e.g. Day ward • Breast Care Nurse • Oncology Liasion Nurse • Social Worker • GP • Community Public Health Nurse
  • 7. Communication Open Communication is the key to getting your needs met with ease and is essential to good care and long term planning
  • 8. “With communication comes understanding and clarity; with understanding, fear diminishes; in the absence of fear, hope emerges; and in the presence of hope, anything is possible.” Ellen Stovall, 3-time cancer survivor Cancer Community Support www.cancersupportcommunity.org
  • 9. Communication could be a problem if: • After many visits you have questions that went unanswered or were answered poorly • You never feel you have enough time to say what is on your mind • Members of your health care team seem rushed, distracted or uninterested
  • 10. “ Don’t be afraid to ask a question —there are no stupid questions and don’t be afraid to get a second opinion. Don’t let some doctor talk you out of it. If you feel more comfortable, get that second opinion and feel comfortable in the treatment you are receiving rather than just accepting it. Be a part of your treatment process.It’s empowering to be proactive’ Penny - Cancer support community www.cancersupportcommunity.org
  • 11. “ It’s really important to understand the disease and to educate yourself. It’s a matter of what this disease is, how it impacts you, and being able to communicate with your health care provider.” Elaine L. Cancer Support Community www.cancersupportcommunity.org
  • 12. “I hate to take the doctor‟s time to answer my questions.” “I‟m so puzzled I don‟t know what to ask.” “So many medical terms were used so quickly that I just went away confused.”
  • 13. Talking about „your experiences‟ Postives Negatives Discussion
  • 14. „Choosing to be Patient Active is not a single monumental decision, but a series of small,incremental choices that help you regain a sense of control over your treatment and your life in general‟
  • 15. Personal Awareness & Assertiveness
  • 17. „How to talk to your HCP„ Reflection and comments
  • 18. „Your Goals „ Identify „your Goals‟ Disease control Quality of Life Prolonging Life Cure
  • 19. Treatment Decisions Treatment decisions can change and you must go with those changes….. One needs to have a balance Response to treatment vs Quality of Life
  • 20. Tips on Communicating Effectively with your HCP Improving communication Before A Visit •Bring questions with you •Keep notes of issues experienced between visits and bring notes to remind you •If you still feel questions and concerns are not addressed – consider changing doctors!
  • 21. Improving communication During the visit •Write down the answers to your questions in the doctor‟s office •Write down new information from the doctor •Read your notes back to the doctor •Ask the doctor to explain anything that is unclear •If there are changes to your treatment plan , take the time at this visit/clinic time to fully understand this and request a follow up call or visit with your Nurse
  • 22. Communication Tips • Keep a running list of questions to bring to your appointments • Ask your doctor what the best way is to get your questions answered, i.e should you bring your questions to the appointment , would it be easier to get answers by email ? Should you schedule a separate appointment • It might be helpful to choose one person to communicate your needs • Know that you deserve to get your questions answered. So don‟t be shy ,ask again and again until you are satisfied • Bring someone along to the appointments • Take notes , even a mini recorder !
  • 23. Always Always tell your Doctor or nurse if and when you are experiencing side effects or symptoms that are making you uncomfortable or interfering with your activities of daily living
  • 24. Short and medium effects of treatments must be Communicated to your HCP They can be managed ! Pain Nerve damage Weight gain /loss Memory & Fatigue & Sleep concentration disturbances
  • 25. Wording questions: Do not ask leading questions . A leading question is worded in such a way that signals the answer you‟re hoping for ! „ I am going to be alright, aren‟t I „ reword to What do you think is my prognosis ?
  • 26. „Don‟t be afraid to speak your mind or get on your doctors‟ nerves. Tell them everything you‟re feeling. Because they can‟t help you if they don‟t know what‟s wrong. That‟s what they are there for‟ Laura Cancer Support community www.cancersupportcommunity.org
  • 27. Questions ???? Thank you for listening and participating Eileen & Susan Cancer Information Services Nurses Irish Cancer Society National Helpline 1800 200 700
  • 28. Recommended websites: Cancer Support Community US www.cancersupportcommunity.org Living Beyond Breast Cancer www.lbbc.org/ National Coalition for Cancer Survivorship www.canceradvocacy.org