| Understand the patient’s experience |
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| Rapport building/ask about the patient as a person |
Can you tell me about your life? Where were you born and raised? How has your experience been coming to a new country? |
| Invite curiosity |
As your clinician, what would be helpful for me to know about you and your life? |
| Assess how the patient interprets her condition |
What do you think has caused your kidney problems? |
| Giving information |
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| Assess for health knowledge needs |
What is your understanding of your condition? |
| Ask what kinds of information desired |
Some people want to know everything about their medical condition, whereas others may not. Do you have a preference? |
| Give information concisely without medical jargon and check in for understanding |
To ensure that I did a good job in giving you information, can you tell me what you will take away from this visit? |
| Determine patient involvement in medical decision making |
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| Assess decision-making preferences |
How would you like decisions to be made about your health care? |
| Determine the patient’s preferred decision maker |
Who is the person that you trust to help make medical decisions if you were unable to do so? |
| Understand the patients beliefs and values |
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| Ask about what is important to the patient and loved ones |
As we talk about how best to care for you, what you are hoping for? What concerns you most? |
| Address spiritual concerns |
Faith can be a source of strength. Can you tell me about your faith? |
| Address trust concerns |
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| Be transparent; avoid judgement and defensiveness |
Some people are uncomfortable discussing their health with a clinician from a different background. Please feel comfortable sharing with me your concerns |
| Explore experience |
When it comes to your health, have you ever felt that you have been treated unfairly? |
| Address resource/needs |
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| Actively inquire about ways to support the patient and family |
What kinds of support would be helpful to you and your family? |
| Actively assess for concerns about the plan |
What concerns do you have about this plan? |
