Talking to doctors & nurses

Someone who has a heart attack may know little about what is happening and may need to take in a lot of information in a short time. Good communication and exchange of information can make a difference to how patients react and their ability to cope.

Many people described excellent communication with their doctors (see ‘Getting information’). One man found it important that doctors had explained everything they were doing and why they were doing it.

It is important that doctors explain everything they are doing and why.

Age at interview 58

Gender Male

Age at diagnosis 57

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Another had been grateful that the A&E consultant had squatted down to his level when he was explaining what had happened to him and what treatment and tests were required. A third describes how the way his consultant spoke to him gave him confidence.

He had confidence in his consultant because of the way he spoke to him.

Age at interview 46

Gender Male

Age at diagnosis 42

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One man felt that communication was made much easier because he could have a one to one chat with the consultant’ he felt comfortable asking questions and the consultant had the time to answer them. Many people remarked how good the cardiac nurses were at explaining procedures and giving information.

The cardiac nurses were very good at explaining procedures and giving information.

Age at interview 61

Gender Male

Age at diagnosis 49

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In contrast, others would have liked more information and said that doctors’ use of medical jargon and terminology got in the way of understanding.

It’s difficult to understand when doctors use medical terminology and jargon.

Age at interview 37

Gender Female

Age at diagnosis 36

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One man found out from other patients what an angiogram was, and would have worried less if doctors had explained the procedure to him when they first told him he would need one.

One woman thought that bedside manner could be improved if doctors sat down beside patients when talking to them. A cheerful, friendly approach also made a difference to several patients. One man, who had a severe heart attack, describes the different approaches taken by two consultants and the effect it had on him and his family.

Describes the very different approaches taken by two consultants and the effects on him and his…

Age at interview 39

Gender Male

Age at diagnosis 37

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Communication difficulties can add to the stress patients may experience in hospital. One woman explained how she dealt with conflicting instructions by her doctors. Another received different information from the nurses and the doctors, which left her wondering who she should believe. One man was not given enough information because of the poor handover between two nurses a couple of days after he was in hospital.

Her doctors gave her conflicting instructions.

Age at interview 84

Gender Female

Age at diagnosis 81

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The nurses told her strict bed rest, the doctors wanted her to have a treadmill test: she…

Age at interview 63

Gender Female

Age at diagnosis 63

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He was given inadequate information because of the poor hand over between two nurses.

Age at interview 64

Gender Male

Age at diagnosis 54

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When describing communication with their GPs, people clearly valued being given time to talk about how they felt and knowing that their problems were being appreciated. They also liked a doctor who ‘called a spade a spade’.

He would prefer his GP to be more forthcoming with information.

Age at interview 62

Gender Male

Age at diagnosis 56

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The general ward & discharge home

For some people moving to the general ward, after being in an environment of specialist nursing and high-tech equipment where people were closely monitored could...

Recovering after a heart attack

After having a heart attack, people had to come to terms with the emotional impact of what had happened to them (see 'Coping with emotions...