Câu 1: Breaking bad news well is an ___ (1) skill for all doctors,, as it is something they will do hundreds if not ___ (2) of times in their professional careers ___ (3) it was given scant attention in medical training. This is, however, changing and consultation skills in general and the ___ (4) skills needed for breaking ___ (5) are now a core part of the medical school curriculum. Poor ___ (6) particularly with cancer patients, has been shown to be associated with worse clinical and psychosocial ___ (7) including worse pain control, worse ___ (8) treatment, confusion over prognosis and ___ (9) at not being involved in decision making.
Câu 2: At the end of life, especially when ___ (1) are unable to make decisions on their own ___ (2) treatment, it is often up to ___ (3) and doctors to decide what they believe the patients would have wanted regarding their ___ (4) which is a heavy burden and hard for family members to ___ (5). Althought it may be a difficult subject to ___ (6), it is important to discuss the patient's plans for how far to continue ___ (7) should they become unable to decide. This must be done while the patient is still able to make the decisions, and takes the form of an ___ (8). The advance directive should be updated regularly as the patient's condition changes so as to reflect the patient's ___ (9)
Câu 3: Teamwork became an important health ___ (1) for a number of reasons. First, clinical care is becoming more complex and ___ (2), forcing medical staffs to attempt ___ (3) health services and quickly learn new methods ___ (4) populations, the increase of chronic diseases have ___ (5) medical staffs to take a multidisciplinary approach to health care. Secondly, researchers have found that working together reduces the number of medical ___ (6) and increases patient ___ (7). Teamwork also reduces issues that lead to burn out. Third, because teamwork is centered on solid communication, patients and their families sometimes feel more at ___ (8) and report they accept treatments and feel more ___ (9) with their health care. Health workers are also found to be more satisfied with their work.
Câu 4: In ___ (1) health care, an effective teamwork can immediately and positively affect patient safety and outcome. The need for effective teams is ___ (2) due to increasing co-morbidities and increasing complexity of ___ (3) in whatsoever health care setting. Time has gone when a doctor or a dentist or any other health ___ (4) in a health care organization would be able to solely ___ (5) a quality care that satisfies his or her patients. The evolution in health care and a global demand for quality patient care necessitate a parallel health care ___ (6) development with a great focus on patient centred ___ (7) approach. This can only be achieved by placing the patients in the ___ (8) of care and through sharing a wide based culture of values and principles. This will help forming and developing an effective team able to deliver ___ (9) care to the patients.
Câu 5: Diversity is important in any field, and the nursing ___ (1) is an exceptional example of why. The patient ___ (2) is as diverse as this country's population. An ethnically and culturally ___ (3) applicant pool leads to more diverse and culturally sensitive healthcare ___ (4) and happier, healthier patients. ___ (5) many studies have shown that diverse groups are better problem solvers and are more prepared, which is very important in healthcare! When ___ (6) recognize cultural sensitivities, they can be proactive about helping patients with personal and cultural ___ (7). Patients may have a particular cultural background or language ___ (8) that affects the provider's approach. For example, an Iraqi woman wearing a hijaab might appreciate seeing a female doctor who would know to draw the curtains and take other steps to prioritize ___ (9).
Câu 6: Listening is one of ___ (1) for helping patients talk about ___ (2) and aid the active process. When expressing emotions, patients may feel ___ (3), or may feel as if they might be ___ (4) or going too far, with the listener. ___ (5) have to show that they are tuned into the patient through physical and (6) ___ (6) cues. Physical cues include making direct eye contact, making appropriate facial (7) ___ (7) to show an emotional response, and gestures like nodding. Verbal cues include asking questions, and responding ___ (8) with encouragers like 'ok' and 'uh huh.' Most likely, the more active the healthcare professional is in listening, the more likely the ___ (9) will be open and honest.
Câu 7: Healthcare professionals, in spite of the challenges and the (1) ___ (1), do play an important role in helping patients cope ___ (2) with a diagnosis. For better or worse, patients may, at least when initially ___ (3), have no other emotional support ___ (4) for example, the members of the healthcare team. Family members may not yet have been brought into the ___ (5) about the ___ (6), or they may not yet be ready themselves to ___ (7) with the diagnosis. Patients may not yet have the words they need to discuss their feelings and ___ (8) and may be depending on their healthcare providers to support them emotionally as they come to ___ (9) with how they are feeling.
Câu 8: Patients react to a medical ___ (1) with a range of emotions, including anger, fear, sadness... and a multitude of other ___ (2) including in some cases, relief. Patients are ___ (3) with their own unique set of life experiences and their own ways of coping emotionally with stressful situations. Healthcare professionals are not expected to be ___ (4) or counselors, nor to deliver direct ___ (5) health services to their patients. On the contrary, attempting to counsel patients without the benefit of being a ___ (6) mental health professional can be harmful to the patient and ___ (7) for the untrained professional. However, it is important for ___ (8) professionals to be able to recognize the emotional ___ (9) of their patients for a variety of reasons.
Câu 9: Good doctor-patient communication is a central ___ (1) function in building a therapeutic doctor-patient ___ (2) which is the heart and art of medicine. There is important in the ___ (3) of high-quality health care. Good doctor-patient communication has the ___ (4) to help regulate patients' emotions, facilitate comprehension of medical information, and allow for better ___ (5) of patients' needs, perceptions, and expectations. Patients ___ (6) with their good communication with their doctor are more likely to be ___ (7) with their care, and especially to share pertinent information for accurate diagnosis of their problems, follow advice, and adhere to the ___ (8) treatment. Patients' agreement with the doctor about the nature of the treatment and need for follow-up is strongly associated with their ___ (9)
Câu 10: Paediatric health care is a ___ (1) that focuses on working with children from newborns to ___ (2) Specialised children's ___ (3) for children and their treatment and health services ___ (4) for children and like to work and play. ___ (5) there are a variety of roles that health care workers play. Hospitals also have areas similar to regular hospitals such as oncology, intensive care, cardiology and asthma case ___ (6). Children's hospitals are ___ (7) designed and equipped to provide medical care to children. While adult hospitals may be scary and clinical to child patients, children's hospitals are generally bright with themed ___ (8). ___ (9) have areas to play and activities to do, as well as being staffed with individuals who are approachable, able to communicate with children and their families, and importantly fun.
