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  • #16
    Nari and Felicia,

    I think I can safely say that in The States the rule should be the same. It just isn't followed where I work these days.
    Barrett L. Dorko


    • #17
      Originally posted by John W View Post
      Barrett, I should know this, but have you written an essay that addresses the elements of the therapeutic environment such as this? That might be something I could send to the staff as a way to prime them for a discussion about the noisome noise.
      John, this one might be close to what you're looking for. It is one of my favorites...and, admittedly, haunts me almost every day.
      Nick Matheson, PT
      Strengthen Your Health


      • #18
        Yeah, I'm haunted by that one, too. I knew I'd read something about the therapy environment from Barrett before, but couldn't remember where. That's the one. Thanks, Nick.
        John Ware, PT
        Fellow of the American Academy of Orthopedic Manual Physical Therapists
        "Nothing can bring a man peace but the triumph of principles." -R.W. Emerson
        “If names be not correct, language is not in accordance with the truth of things. If language be not in accordance with the truth of things, affairs cannot
        be carried on to success.” -The Analects of Confucius, Book 13, Verse 3


        • #19
          Some socialogists (Rogers?) would want you to personalise your approach to patients. The reason is to not to seem as a robot spouting endless facts. Maybe your favorite NBA sports team or pictures of your last casino gambling trip.


          • #20
            Not uncommonly, the media discusses the issues here at Soma Simple; both just before and after they appear.

            Talking Retro on On The Media is an excellent example of how this thread about trivial knowledge is in sync with the culture at large.

            I especially liked the comments about how different people react to information they hadn't previously been aware of. Some run toward it, and others away.
            Barrett L. Dorko


            • #21
              I'm not much of a small talker myself so I quite like the silent pauses that happen during my 'time' with patients, other times I tend to be trying to explain what I'm supposed to be doing and how I understand what its supposed to be achieving
              I'm with Felicia.

              And my hairdresser is very professional. She will chat gardening with me and express an interest in my life, but never talks much about her own.

              Guess learning is a lifestyle, not a passtime.
              Those people who think they know everything are a great annoyance to those of us who do. ~ Isaac Asimov


              • #22
                I have to admit I have mixed opinion on this topic. There are some patients with whom I get along quite well and so the discussions are about, well everything, sometime even about my daughter if I feel they like that. While others, I feel I should stick to stuff related to the treatment. I kind of wait to get a feel of the patient. Then, the right type of discussion topic might just help to get a good therapeutic relation with the patient.
                Frédéric Wellens, pht
                «We often refuse to accept an idea merely because the tone of voice in which it has been expressed is unsympathetic to us.»
                Those who cannot understand how to put their thoughts on ice should not enter into the heat of debate.
                Friedrich Nietzsche
                chroniquesdedouleur blog


                • #23
                  There are times when all you want or need is someone who knows what should be done. Surgeons and dentists are a good example; all anyone should need is an excellent technician. Some are good with trivial talk, most are not. Pesonally, I would prefer the kind who cut back on the chit chat and simply know their stuff.
                  But I'm well aware that many folk need the trivia and it probably boosts their recovery as well. It's all dependent on the needs of the patient.

                  Frederic, I agree that one needs to sense which patient does need the trimmings. Placebo response and all that. But I am lousy at small talk, so that doesn't help any patient who needs that security of a therapeutic relationship. It also doesn't help the process when the patient wants to talk about sport with someone who doesn't know or care about which end of the field is which....



                  • #24
                    Hi Barrett!

                    For all we know, zombies are thinking about what they cooked for dinner last night, what their kids are up to, their pets and hobbies, their last (or next) text message, their crappy hair or how their arms ache from that posture they've been forced to adopt. Of course, zombies don't speak so this is pure speculation.
                    The above passage made me think of one of my more recent team spirit shirts.
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