CONFRONTATION WITH A LITTLE C

·        Honestly telling something you feel uncomfortable about bringing to someone’s attention

·        Challenges an attitude or belief or behaviour

·        An uncomfortable truth

AIM

·        to allow patient to hear you and acknowledge while maintaining rather than destroying the relationship

·        to address behaviour while affirming the patient’s worth as a person

NEEDS TO BE

·        Honest

·        True

·        Supportive

THE PROBLEM

Our own anxiety: our past experiences of confrontation (personal and professional) and the present situation lead us either to sledgehammer, pussyfoot or avoid

PLAN

·        Signpost your intent

·        State what the problem is             

for you and the patient

what effect it has

use “I” statements

·        State what you would like to happen

What benefits would then accrue to you both, the benefits

·        Make a valuing statement about the person

separate the person’s behaviour and them as a  person

·        Overtly demonstrate your care/empathy

Then give plenty of time, ask for feelings, ? own that difficult for you too, move on into planning

 Reference

John Heron  (1975)

A Six Category Intervention Analysis:  Human Potential Reseach Project 

University of Surrey

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