Résumé
Based on the theory of "Johari Window", this study introduced how to stimulate information content obtained in doctor-patient communication and how to apply the comprehensive geriatric assessment creatively from the four modules of open area, blind area, hidden area and unknown area in the model. It helped students to gain the trust and cooperation of patients, rapidly narrow down the blind area, hidden area and unknown area, guide patients to actively extend the open area, improve the teaching quality of doctor-patient communication in a scientific way.
Résumé
@#In the usual medical consultation, history taking, physical examination, and investigations lead us to a diagnosis list from which management ensues. When the patient’s problems need further exploration of the mind. We can extend the medical consultation beyond the biomedical to include psychosocial dimensions. The usual clinical methods of history, examination and investigation may be extended by various tools. History is extended by the use of three tools: the time-line of events in the patient’s life; the family genogram including recent changes; and the Johari window. Examination of the patient physically may be extended by reflective communication. Just as we investigate the body by various tests, we also investigate the patient’s thinking processes using Socratic inquiry techniques. Based on the information collected, we arrive at a 4P’s formulation of the patient’s problem(s). We can then integrate one or more of the 4P’s of psychosocial work into the usual management.
Résumé
Effective doctor-patient communication not only affects the doctor-patient relationship,but also affects the normal medical practice.Johari window is referred to as theself consciousness discovery-feedback model or information exchange process management tool.This article introduces the relationship between self-exposure and experience feedback by doctors and patients.As a skill and theory about communication,Johari widow can help doctors to better understand their patients and to improve their ability of communication.