Giving informationGiving information

Adapted from Calgary-Cambridge Adapted from Calgary-Cambridge consultation frameworkconsultation framework

Maggie Eisner, Bradford COMaggie Eisner, Bradford CO

Givinginformation

In writing

On the telephone

When prepared

To patients To patients and relatives

Face to face

Off the top of your head

In a leaflet

To other doctors

To other health professionals

To other agencies

In a report

Through aninterpreter

Calgary Cambridge Calgary Cambridge framework:framework:

tasks in the consultationtasks in the consultation

Initiating the sessionInitiating the session Gathering informationGathering information Building the relationshipBuilding the relationship Explanation and planningExplanation and planning Closing the sessionClosing the session

3 aspects of information 3 aspects of information givinggiving

Providing the right amount and type of Providing the right amount and type of informationinformation

Aiding accurate recall and understandingAiding accurate recall and understanding Achieving a shared understanding and Achieving a shared understanding and

incorporating the patient’s perspectiveincorporating the patient’s perspective

Providing the right amount Providing the right amount and type of information: Aimsand type of information: Aims

Assess each individual patient’s Assess each individual patient’s information needsinformation needs

Give comprehensive and appropriate Give comprehensive and appropriate informationinformation

Neither restrict nor overloadNeither restrict nor overload

Providing the right amount Providing the right amount and type of information: and type of information:

SkillsSkills

Assess patient’s starting pointAssess patient’s starting point Chunk and checkChunk and check Give explanation at appropriate timesGive explanation at appropriate times Ask patient what other information would Ask patient what other information would

be helpfulbe helpful

Aiding accurate recall and Aiding accurate recall and understanding: Aimunderstanding: Aim

To make information easier for patient to To make information easier for patient to remember and understandremember and understand

Aiding accurate recall and Aiding accurate recall and understanding: Skillsunderstanding: Skills

Organise explanation logicallyOrganise explanation logically LanguageLanguage Use explicit categorisation or signpostingUse explicit categorisation or signposting Use visual methods to convey informationUse visual methods to convey information Use repetition and summarisingUse repetition and summarising Check patient’s understandingCheck patient’s understanding

Achieving shared understanding Achieving shared understanding

incorporating patient’s incorporating patient’s perspective: Aimsperspective: Aims

Provide explanations that relate to Provide explanations that relate to patient’s view of problempatient’s view of problem

Discover patent’s thoughts and feelings Discover patent’s thoughts and feelings about information givenabout information given

Encourage interaction rather than one Encourage interaction rather than one way transmissionway transmission

Achieving shared understanding Achieving shared understanding incorporating patient’s incorporating patient’s

perspective: Skillsperspective: Skills Relate explanation to patient’s view of Relate explanation to patient’s view of

the problemthe problem Provide opportunity and encouragement Provide opportunity and encouragement

for patient to contributefor patient to contribute Pick up verbal and non verbal cuesPick up verbal and non verbal cues Elicit patient’s beliefs, reactions and Elicit patient’s beliefs, reactions and

feelingsfeelings