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Any disruption or failure in the process of having communication with another patient cam create what is called ineffective communication. Language is an easy example ineffective communication takes place. If a physician or a patient doesn’t speak in a language neither can understand, then the communication would be ineffective. There are other examples such as writing in a language either the physician or patients can’t comprehend, and even barriers such as lack of confidence or lack of knowledge or even physician burnout. If a physician was caring for a patient and he or she lacked the confidence to speak up about a complication or issue he or she recognized. There are also examples such as doctors avoiding the patient’s questions or concerns because those questions aren’t helping the doctor save or help them. For example, in the clip below there Is a physician trying to care for the patient, but the patient can't stop asking questions and asking her to check the house. The doctor then addressed this patient concerns and questions in a horrible way. The physician tells the patient that she needs to be quite basically and that she needs to stop because its not allowing her to help the patient at a reasonable time. She then says that she has 300 patients she has to take care of.

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Nonverbal Communication I simply communication without the use of language. Most people think that nonverbal communication is just communication without using words, but it is more than just that. Nonverbal communication is the way we can send a message without any kind od legit language. For example, sign language isn’t a sign or nonverbal communication because it’s a language in itself. Now on the other hand, some examples of nonverbal communication would be facial expressions, hand gestures, and body postures. In this clip of grays and anatomy, you will see a variety of doctors gathering together while they all are giving off nonverbals. While talking to each other, they are all giving facial expressions, hand gestures, certain body postures, and more. For example, in this clip the doctor begins to start rubbing her stomach to indicate that her stomach wasn’t feeling well.

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Empathy is the ability to understand and share the feelings of another. Having empathy while communication with certain patients is important to have within the healthcare field because empathy encompasses a connection and it shows the patient that you understand their situation. In this clip, Doctor Meredith Grey gathered up all the doctors and gave a speech about how dealing with patients can be very hard and emotional and that they need to be there for them and show them empathy with whatever they are going through.

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Grey's Anatomy 12x04 Meredith Grey's Speech

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Patient-centered communication is having the ability to understand patients’ perspectives in any giving situation or illness, and express empathy towards their situation. Understanding their perspectives and being able to cope with them takes the effort of exploring their feelings, ideas, and concerns. Getting to know your patients and allowing them to guide and have the freedom to choose what they want is also a huge factor of patient-centered communication. Instead of the physician doing all the directing and doing all the talking, it is also good sometimes for the doctor to sit back and listen to what the patient has to say, recommend, and vent to them. Having more patient-centered communications helps these patients get comfortable and helps with better results. Patient-centered communication can also come in form of surveys, interviews, and videotaped sessions. In the movie Greys and anatomy, the patient is given the stage to express her feeling and vent to the doctor which lead to an emotional understanding and feel of trust and comfortability between each other.

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Burnout is a combination of factors, including emotional exhaustion, depersonalization, and reduced sense of personal accomplishment (Maslach, 1982). This what is known to be syndrome is mostly found in physicians whose job require direct contact with other patients. The syndrome is known all around the world, as one of the major causes of psychological problems affecting quality of life of these employees and their patients (p. 357). Many physicians suffer from burnout because of the tragedies they see on a daily basis and the amount of constant pressure on their hands to save people’s lives. In the movie Gray’s and Anatomy, the doctor Stephanie Edwards had a very rough history as a physician, as she had to suffer and coupe through multiple deaths and mourns of families. Though these tragic events had a huge effect on her, later on in the show, she had encountered a patient who physicians found out to be a rapist and he threatened to kill her if she didn’t help him leave the hospital without being seen. She then agreed to do so but while escorting him to the exit, the doors locked due to an emergency lockdown. Eventually she took matters into her own hands and burned him alive. Stephanie then tried to drag him away from an oxygen tank he was burning next too, but the tanks busted right before she could stop them. She suffered from severe burns and then expressed how burnt our she was and that she is quitting her job. As said in the clip, Stephanie stated that “I've spent my whole life in hospitals. My whole life and I think I need to see everything that's not in a hospital. I need to travel and explore and hike and breathe. Breath real air. So deep, I want to breathe it all in. Away from the monitors, and the blood, and the sterile gowns, away from saving other people's lives. I want my own. It's time I live my own. You changed my life, Dr. Webber. You taught me how to take my past and find my path. Thank you.

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Grey's Anatomy Season 13x24 "Ring of Fire" STEPHANIE QUITS BEING A DOCTOR

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E.M.P.A.T.H.Y,89(8), 1108-1112. (2014). doi:10.1097/ACM.0000000000000287, https://journals.lww.com/academicmedicine/Fulltext/2014/08000/E_M_P_A_T_H_Y___A_Tool_to_Enhance_Nonverbal.12.aspx

Hashim, J., M. (2017). Patient-Centered Communication: Skills. 95(1), 29-34. Retrieved March 23, 2019, from https://www.aafp.org/afp/2017/0101/p29.pdf.

Langer, M., & Langer, N. (2009). HOSPITAL IMPLEMENTATION OF PATIENT-CENTERED COMMUNICATION WITH AGING MINORITY POPULATIONS,880-889. doi:10.1080/03601270902782461, from https://web-a-ebscohost-com.onu.ohionet.org/ehost/pdfviewer/pdfviewer?vid=4&sid=a1fd7124-7e4e-4ce4-bdc6-89822df6c1f4%40sessionmgr4010

Stanetic, K. D., Savic, S. M., & Racic, M. (n.d.). THE PREVALENCE OF STRESS AND BURNOUT SYNDROME IN HOSPITAL DOCTORS AND FAMILY PHYSICIANS,356-365. doi:10.2298/MPNS1612356S, from https://web-b-ebscohost-com.onu.ohionet.org/ehost/pdfviewer/pdfviewer?vid=11&sid=7100a570-c19e-43c1-aabe-a6d3555951ee%40pdc-v-sessmgr01

Stephanie Edwards. (n.d.). Retrieved from https://greysanatomy.fandom.com/wiki/Stephanie_Edwards