Facilitating the Genetic Counseling Process Practice-Based Skills, Second Edition

227 important to hear from everyone, and then during the session, invite each partici- pant to speak. Exceptions are patients wh ...

228 Making advanced empathy statements before patients are ready for them and/or making your statements too long. Inaccurately ...

229 God’s will. You may be wondering how we can be of any help. Our team can cer- tainly help manage your child’s condition.” 8. ...

230 Formulate a Response Time your response: Use confrontation when your patient is likely to be open to it. Direct confrontati ...

231 Makes the confrontation as soon as possible after the behavior has happened. Is concise, tentative, and descriptive rather ...

232 Omissions: the patient fails to include relevant information in her or his personal narrative. Patient is being seen for ge ...

233 Discrepancies Within the Patient’s Messages and/or Internal Dialogue “You’ve said you could never have an abortion; you’ve a ...

234 Nonverbal Contradictions The patient says, with tears in her eyes, “I’m OK with these test results.” You reply, “You say you ...

235 Discredit the source: A common genetic counseling patient response might be, “You don’t understand. After all, you don’t ha ...

236 You want to be liked and are afraid patients won’t like you after you confront them. You don’t want to hurt or embarrass pa ...

237 Trying not to be “distracted by behaviors—no matter how discrepant they might seem—until they are understood from the viewp ...

238 Religious beliefs comprise another cultural variable that may present inconsis- tencies, and you might think the beliefs are ...

239 Then the student speculates on what issues s/he might need to confront the patient about during genetic counseling. Students ...

240 punitive, inaccurate, judgmental ways). Students observe and take notes of exam- ples of poor advanced empathy and confronta ...

2 41 Activity 4: Triad Role-Plays Using the patient statements in Activity 2, three students practice advanced empathy and confr ...

242 Next the instructor reads one patient statement at a time. After reading a state- ment, the students write three responses—o ...

243 Pt: I just can’t face the thought of having another baby who is going to get so sick. Does this mean that I don’t love my so ...

244 think, ‘Oh no, you’re gonna end up just like your father.’ Everyone made fun of him because of his disease. It was so hard b ...

245 20-year-old Catholic, Hispanic prenatal patient. Prenatal testing revealed anen- cephaly: “My doctor thinks I should have a ...

246 learning disabilities. Your pediatrician questioned whether autism runs in the family. Write a letter to the genetic counsel ...