Pediatric emergency medicine trisk 0119 0119
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TABLE 5.2
METHODS TO IMPROVE HUMANISM IN THE EMERGENCY
DEPARTMENT
• Introductions and joining
• Detailed social history
• Personal information
• Addressing fears
• Frequent touch points
• Parental presence
• Setting realistic expectations
• Follow-up communication
• Humanism with colleagues—Teamwork
• Humanism via self-care
PERSONAL INFORMATION
When possible and appropriate tell the family something about yourself.
For example you might say to the patient—“you are the age of my nephew
or grandson,” “We live in that neighborhood.” Statements of this kind also
serve to humanize you. They should not be highly personal or inappropriate
but just personal enough to serve to enhance the bonding process.
ADDRESSING FEARS
Above all, find ways to show your concern. Every child with abdominal
pain is thought to have appendicitis, every child with a headache has a
serious infection or tumor, every child with a cough has pneumonia. Ask
what the parent is worried about. Sometimes the fear is obvious. Sometimes
it is far from what you might think. Tell parents what you are not worried
about and this will often elicit a sigh of relief.
FREQUENT TOUCH POINTS
There is nothing more anxiety producing and dehumanizing than sitting in
an ED room devoid of communication. Always try to have frequent touch
points of communication. Let the families know what the planned steps are
and where they are in the process. Stop by, poke a head in the room just to
