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Ethical Dilemmas II

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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Approaches to the difficult patient/parent encounter.

Cora Collette Breuner¹, Megan A Moreno

¹Division of Adolescent Medicine, Department of Pediatrics, Seattle Children's Hospital, Seattle, WA 98105, USA. cora.breuner@seattlechildrens.org

|December 22, 2010

Summary

Pediatricians often face difficult patient and parent interactions. Recognizing emotional responses can help providers partner with families, improving challenging encounters.

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Last Updated: Jun 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Pediatrics
Medical Communication
Psychology

Background:

Challenging patient and parent interactions are common in pediatrics.
Existing literature primarily addresses adult medicine, lacking pediatric-specific guidance.
The parent/family dynamic presents unique challenges in pediatric care.

Observation:

Pediatricians may encounter patients or parents with personality disorders or mental health issues.
Physician factors like overwork or inexperience can contribute to difficult encounters.
Healthcare system issues such as fragmentation and poor communication exacerbate challenges.

Findings:

Recognizing provider emotional and physical responses is key.
Strategies exist to help pediatricians manage difficult encounters effectively.
Shifting from confrontation to partnership can improve outcomes.

Implications:

This review offers practical strategies for pediatricians facing challenging interactions.
Understanding and managing these encounters can enhance the patient-provider relationship.
Improved communication strategies can lead to better healthcare experiences for families.