Benwell-Rhys2018

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Benwell-Rhys2018
BibType ARTICLE
Key Benwell-Rhys2018
Author(s) Bethan Benwell, Catrin S. Rhys
Title Negotiating relevance in pre-operative assessments
Editor(s)
Tag(s) EMCA, UK, Troubles, Nurse, Nurse-patient interaction, Medical, Applied, Medical EMCA
Publisher
Year 2018
Language English
City
Month
Journal Social Science & Medicine
Volume 200
Number
Pages 218–226
URL Link
DOI 10.1016/j.socscimed.2018.01.034
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Preoperative assessments provide an essential clinical risk assessment aimed at identifying patient risks and requirements prior to surgery. As such they require effective and sensitive information-gathering skills. In addition to physical examination, the preoperative assessment includes a series of routine questions assessing a patient's fitness for surgery. These questions are typically designed to elicit minimal, ‘no problem’ responses, but patients sometimes produce expanded responses that extend beyond the projected information. Our analysis reveals that troubles-telling is often invoked by both nurses and patients as an effective, patient-centred resource for negotiating the medical relevance of patients' concerns in these contexts.

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