Chapter: 1.2 Verbal and Non Verbal Communication in Medical Practice

Verbal and Non Verbal Communication in Medical Practice

The main characteristics of verbal communication are the use of words, either written or spoken.

The Health Professionals spend considerable time in oral communication. Oral communication has the advantage of being more rapid. Generally speaking, spoken words are simple and are a faster method of conveying our message to the listener. The possibility of misunderstanding or distortion is far less if words are carefully selected. As far as possible, familiar words should be used. A lay person does not understand the meaning of technical words or use of jargons. The information should be given in the colloquial language Inappropriate to the situation.

Written communication in medical practice includes; presentations, out patient Records, indoor case papers, laboratory investigation reports, X Ray, USG Reports, CT Scan, MRI Reports, Operation notes and all types of certificates issued by the physician.

The written communications are permanent records. That can be used:
1.    To verify the facts
2.    To assist the physician in the diagnosis and treatment of patients
3.    Useful in the medical audit
4.    Produced in the court of law to substantiate the findings
5.    Useful to insurance companies to settle the insurance claims
6.    Produced in the Consumer Forum in cases of alleged negligence and claims for monetary compensation

All these documents are of medico-legal importance. They should be precise and accurate. Any document which lacks preciseness or accuracy will create problems in the management of the patient and may harm the interests of the physician or the hospital in case of legal suit.

Non verbal communications between the physicians / nurses and the patient/ relatives are also important. Body gestures are an integral part of two way communications or transfer of information. This is called the body language of the persons which include, smiling, greetings, handshake, eye contact and the manner in which the persons (physician/ patient) conduct themselves. Even the tone of the voice, its modulation, accent and pauses assist in the effectiveness of the communication.

Health Professionals must learn the significance of the body language and its role in effective communication. A great care is required in the use of proper body language while interacting with female patients/ relatives and female staff members.