When patients cry in the appointment: the experience of Residency preceptors in Family and Community Medicine

• Autor(a) principal: Santos, Marcia Cristina Lemos dos
• Data de Publicação: 2022
• Outros Autores: Bastos, Gabriela Sobrino Porto, Mantovani, Aline Stefano, Santos, Bianca Porto
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2586
• topic: Crying; Nonverbal Communication; Physician-Patient Relations; Clinical Competence; Education, medical.; Llanto; Comunicación no Verbal; Relaciones Médico-Paciente; Competencia Clínica; Educación Médica; Choro; Comunicação não Verbal; Relações Médico-Paciente; Competência Clínica; Educação médica.

Introduction: During clinical consultations performed in Primary Care, it is not uncommon for patients to cry. However, the professionals that operate in this scope may feel unprepared to deal with this scenario, due to the lack of skills knowledge for the approach to patients with this kind of demand. Objective: This study aims to list and categorize techniques to approach a crying patient, through interviews with preceptors of the Family and Community Medicine (FCM) Residency Program from the Municipal Government of Rio de Janeiro. Methods: 16 preceptors were interviewed, and those interviews were recorded, transcribed and later analyzed according to Bardin’s precepts. Results: As a result, we obtained a compilation of 94 quotations of non-verbal techniques and 27 of verbal techniques, as well as their learning methods, which occurred mainly through knowledge obtained during the Residency in FCM, practical experience and reading of related topics, highlighting the references about clinical communication. Moreover, reasons for patients crying, doctors' feelings, objectives of the techniques and whether they were considered to be helpful to both physicians and patients in this situation, were also categorized. Conclusions: It was concluded that the applied techniques belong to the set of clinical communication tools, based on empathy and bond, and that the first contact with these usually occurs at the FCM Residency and is later improved with clinical experience. In this context, stands out the importance of the emphasis given to the topic during specialization and continuing education for the benefit of the physician and the patient.