Positives and barriers of communication healthcare staff with patient

This bachelor's thesis deals with the topic of the positive aspects and the barriers in communication of a healthcare staff with a patient. The theoretical part of the thesis gives an overview of the findings in a positive act leading to an improvement of a pacient's both physical and a psychological state. The special emphasis is put on an empathy of a healthcare staff with the patient, a patient-centered communication, listening to the patient and a shared decision making, which are all the factors improving not only the reflexion of the patient but the clinical results as well. Consequently the topics of hope and compliance, which also affect the healing process, are surveyed. Furthermore the barriers hindering an effective communication are surveyed. The thesis also focuses on the methods that help to overcome the barriers and intensify the influence of positive aspects in the communication. Currently the several methods are offered - the training of communication skills, the specialised courses and the balint societies. The practical part of the theses offers a concept of the research design, which derives from the findings in the theoretical part. The concept focuses on an application of the training in the communication and its possible positive effect on both, a physical and psychological..

Yearly mean EDSS scores in 4-year completers (n = 496) and the overall TOP population (N = 5122).

<p>For the overall TOP population, all patients with EDSS measured within the indicated year were included regardless of whether or not they completed treatment over that year. EDSS: Expanded Disability Status Scale; TOP: Tysabri Observational Program.</p

Sensitivity analyses of 6-month confirmed EDSS progression in months 13–24 compared with months 25–36: (A) with newly reset EDSS baseline (month 6–12) as a reference (n = 473), (B) excluding patients with relapse (n = 362), and (C) excluding patients with confirmed EDSS improvement (n = 337).

<p>Sensitivity analyses of 6-month confirmed EDSS progression in months 13–24 compared with months 25–36: (A) with newly reset EDSS baseline (month 6–12) as a reference (n = 473), (B) excluding patients with relapse (n = 362), and (C) excluding patients with confirmed EDSS improvement (n = 337).</p

Proportion of patients with 6-month confirmed EDSS progression during the first 2 years among the 4-year completers (n = 496) and expected 4-year completers who discontinued after 2 years (n = 514).

<p>EDSS: Expanded Disability Status Scale.</p

Scatterplots showing distributions for RNFL thinning (upper) and mfVEP amplitude loss (lower) based on subgroups.

<p>*p&lt;0.05.</p

Summary statistics for optic nerve MTR in patients. MTR values are percent units.

<p>n.s. = not significant.</p

Individual patient MTR asymmetry time courses (grey lines) and mean fitted time courses (black lines) for three subgroups defined based on the pattern of MTR flux.

<p>*p&lt;0.05.</p

Spearman rank correlations between MTR asymmetry at 3,6, and 12 months and visual, OCT and mfVEP outcomes at 6 and 12 months.

<p>Spearman rank correlations between MTR asymmetry at 3,6, and 12 months and visual, OCT and mfVEP outcomes at 6 and 12 months.</p

Averaged mfVEP latency asymmetry and lesion length asymmetry values at all time points.

<p>Averaged mfVEP latency asymmetry and lesion length asymmetry values at all time points.</p

Relationships between mfVEP latency asymmetry and optic nerve lesion length at 1 (A) and 12 months (B).

<p>A. Multifocal VEP latency asymmetry (in milliseconds (ms) and lesion length (in millimeters (mm) at 1 month after acute ON were highly correlated. B. Decrease in mfVEP latency asymmetry (ms) and shortening of lesion length (mm) remained signficantly correlated 12 months after ON.</p