Enhancing Communication and Patient Care: The Reverse Stethoscope Technique

Radhika Sharma,Ravindra P Maharaj,Swetha R Nuthulaganti

doi:10.7759/cureus.22069

Abstract

Patients with hearing loss have increased difficulties while navigating communication, especially complex conversations that take place in healthcare settings. Patients with hearing disabilities may often find themselves in noisy reception areas or busy emergency departments where their confidentiality is compromised for the sake of communication, resulting in suboptimal care. The reverse stethoscope technique is a tool that healthcare professionals can use to enhance communications to optimize patient care and maintain confidentiality. We describe a case of an 83-year-old male with bilateral hearing loss whose hearing disability became a major obstacle in his access to healthcare in the inpatient setting. With the help of the reverse stethoscope technique, the patient was able to understand his hospital course, diagnosis, and treatment options and was able to actively participate in making an informed decision.

Highlights

Communication is a foundational aspect of patient-centered care
The association between hearing disability and age is evident - the prevalence of hearing loss is predicted to double with every 10-year increase in age, and it is expected that if more of the population continues to age, nearly everyone will suffer from some degree of hearing disability [3]
The reverse stethoscope technique aided with effective communication and ensured confidentiality

Summary

Introduction

Communication is a foundational aspect of patient-centered care. Effective patient-provider communication allows for the transfer of information regarding medical symptoms, diagnosis, and treatment options and facilitates shared decision-making guided by patients’ values [1]. Hearing loss leads to isolation: patients may not be able to converse on the telephone or through telemedicine, limiting their ability to book appointments or to receive care virtually [5]. The patient revealed that the batteries to his hearing aids had not been working for some time Communication enhancement techniques such as effective positioning, clear and slow pronunciation, and body language were used to improve the conversation. The reverse stethoscope technique aided with effective communication and ensured confidentiality. After reviewing his recent hospital admission and imaging results, the patient decided to pursue further workup for malignancy and stated that he would be willing to discuss the risk and benefits of associated therapy options

Discussion

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Conclusions

Disclosures