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The protocol of counselling a patient or his attendant regarding a disease or a procedure

First of all Healthcare provider must read the patient's case file thoroughly

He should set proper environment and appointment

He should welcome and greet the patient and the accompanying attendant

The accompanying attendant must not be more than 2 because if they're more than 2 then maybe labelled as unwanted attendance and they may interrupt the process of counselling or if the number of attendance may be set by the patient himself if he allows only his wife or his father or his mother to accompany him however the patient must be advised that the number of accompanying attendance be not more than 2

Seating of the patient and attendance Healthcare provider may sit sit in a cone 60 degree position at 1 and half arm length from patient

No give time to patient and his attendant and ask an open ended question to make them speak

Ask like what do you know about disease or what do you know about the procedure that is going to be performed

This games patient and his attendants to give an opportunity to speak so now you just listen listen and listen while you're listening to patient or his attendant you have to identify his intelligent quotient his death of knowledge regarding the diagnosis and also the illness status he judges for himself

Now you have to give them a reflection you have to empathize

Till this part where you started to give them empathy it was only patients time you must not interrupt the patient as he is speaking let him speak

And as you begin to speak first give a very soft short command now you listen to me and during this time the Healthcare provider must not let himself be interrupted by the patient or the attendant by a very soft short answer you may ask your question in the end as I have finished speaking

No describe to the patient about the disease of the procedure which you are going to perform by means of easy examples illustrations diagrams and the evidence based medicine or the research outcomes that have been or any adverse effects that you know are the complications or the prognostic things it is advisable to keep good prognostic factors and results in the beginning of your discussion and to keep the bad prognostic factors and complications in the end of your discussion

If it has been a counseling regarding the disease which you have done give treatment options medicinal for surgical or both tell the patient and the attendance the advantages and disadvantages of everything or if it is the procedure you are doing counselling for tell them what are the benefits of the procedure how it will help in the disease diagnosis or disease treatment and how the patient could improve as shown by the results from research is in the past however there are few of these disadvantages the complications associated with the procedure

Do not make the choice for the patient or the attendant but you ask them to decide for themselves and you help them decide

This help for decide must not be based on Healthcare providers on buyers rather it should be based on what is logical what is in the benefit of the patient and what is right for the patient doing no harm

Once a decision has been taken document it on the patient's chart and proceed further for example for disease treatment of a procedure follow without for the protocols like taking formal consent for the procedure documenting preprocedural vital signs etcetera etcetera

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