- Based on the responses your patient has given in the “Assess Status” part of the consultation you will have an overview of the issues which may be affecting their health and well-being.
- Find common ground between what you consider to be a priority what your patient would most like to discuss. This allows you to acknowledge your clinical responsibility while still maintaining and person-centred approach.
- It is important in this section to be open and honest about your position in relation to the issues highlighted..
- Highlight the areas for potential discussion
- You may wish to consider offering the patient an opportunity to highlight areas of concern first before you discuss any other relevant issues
- Ask permission to give the patient feedback on how any of the issues identified relate to their individual circumstances
- A degree of sensitivity is required and the practitioner must endeavour to be supportive and non-judgemental.
- Invite the patient to identify other potential issues which may be more pressing
- Here is an example of a way to start this section of the consultation:
- “Following a heart attack, we know that there are lots of different things that can impact on your recovery and reduce the chances of another incident. These include the tablets you take, smoking, weight, physical activity, healthy eating and alcohol. From a health perspective we know that quitting smoking is one of the most important things to do following a heart attack but I wonder if there is anything on this list which you might like to talk about today – anything you might like to talk about changing or getting more information about?”
- Plan how to use the remaining time to explore the issue further
- Emphasise personal responsibility
You may find an agenda setting chart useful at this point.
Click here for the Agenda Setting tool or use the diagram on your templates.