Initiating conversation with patients

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When volunteering at the hospital, how do you spark a conversation with a patient. My interactions are usually like:
Me: "Hey, I'm a volunteer. Do you need anything?"
Patient: "No"
Me: "Okay, well just ask if you need anything."
Or they will ask for something and I get it for them, but then it ends there.

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I asked "Have you enjoyed your stay with us?" Or about how long they had been in the hospital. Things I would ask a friend, except not as personal and nothing about why they were there or what was wrong with them. Or something comical, but obviously only when I sensed that they were in a good mood/not horribly sick.
 
that's about the extent of hospital volunteering. if you thought you were going to spark dreams and get through the thick emotional barriers of a jaded 60 year old paraplegic, becoming his close confidant and eventual heir to his possessions a la Les Intouchables then you are sadly mistaken. do your time, deliver your blankets, and get out

patients sit miserably in hospital beds and the incessant stream of fake-nice people who come in with a high pitched voice "HOW ARE YOU TODAY [while thinking: couldn't give a **** how you are, why the heck hasn't he matched me on tinder]" and grab your arm in a high pitched "JUST GONAN START A IV OKAAAAYYYYY"

the best thing you can do is give these pts some dignity and respect their right to leave you alone. that, if anything, will bring you closer to them
 
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Just ask them how their day is going and if you can make them more comfortable. If they want to talk, they'll say something that can begin a conversation. If they don't want to talk, it'll be obvious. Just initiate a conversation with them as you would your friends or a stranger.

Also, knowing when to draw the line is a key skill to have. Sometimes they just don't want to talk and you'll make them uncomfortable if you keep at it.
 
That's just how it goes sometimes. A good way to start conversation is to be observant--look to see if there are any pictures, cards, or flowers by their bedside. If so, ask a question i.e. "That's a beautiful picture, where was it taken?"

I've found most patients enjoy talking about their families or explaining the stories behind pictures, who brought them flowers, etc. Granted I volunteer at a hospice and not a hospital, so the sentiment can be different.
 
Don't try too hard with volunteering. Even at my job, my job is just to wheel patients around after surgery (well there's more than that but that's where most conversation happens). When people are sick, you generally want to let them dictate the conversation. I ask them if they feel ok, if I can do anything for them or if anything will make them more comfortable, and if they want a drink (provided they're allowed). Beyond that, I let them dictate the amount of conversation they want. Some people are chatty and love talking even after surgery, and I'll have long conversations with them. If I just had surgery I'd probably just want to sleep and not talk to anyone, and many of my patients are the same way.
 
When volunteering at the hospital, how do you spark a conversation with a patient. My interactions are usually like:
Me: "Hey, I'm a volunteer. Do you need anything?"
Patient: "No"
Me: "Okay, well just ask if you need anything."
Or they will ask for something and I get it for them, but then it ends there.

Some people are more likely to talk than others, especially older people.

Try following up with:

"Enjoying the weather?"
"How's everything else going?"

But don't be awk about it...
 
Any time I'm a patient, last thing I want to do is talk to anyone who isn't my nurse or doctor. Unless I'm in post-op recovery, then I love everyone and say some really wild stuff. Part of learning how to communicate with people is knowing when not to communicate with them.
 
Any time I'm a patient, last thing I want to do is talk to anyone who isn't my nurse or doctor. Unless I'm in post-op recovery, then I love everyone and say some really wild stuff. Part of learning how to communicate with people is knowing when not to communicate with them.

+1. Also depends on which department OP is in.
 
I'm just one of those people who prefer to be left alone. When I'm at a store, I hate when people can't take a hint that I don't want help.
 
It isn't a bad thing if you don't have conversations that go beyond 30 seconds very often. I think it is more important to make sure that you are being appropriate and that you don't say anything that would make the patient uncomfortable/upset. Most hospitals would find it inappropriate to ask any sort of personal questions such as: "Do you have children? What brought you in here today?" or anything like that. Many patients would be happy to answer these questions, but you still shouldn't ask them if the hospital doesn't want you to. Also, I try not to even ask: "How are you doing?" of someone who is obviously not having his/her best day, such as a person waiting to have a laceration on his/her arm stitched. Some won't be bothered by this question, but others will think or say: "Really, I've just become ill or sustained an injury, and you want to know how I'm doing? Isn't it obvious that I'm not doing well?"
 
that's about the extent of hospital volunteering. if you thought you were going to spark dreams and get through the thick emotional barriers of a jaded 60 year old paraplegic, becoming his close confidant and eventual heir to his possessions a la Les Intouchables then you are sadly mistaken. do your time, deliver your blankets, and get out

patients sit miserably in hospital beds and the incessant stream of fake-nice people who come in with a high pitched voice "HOW ARE YOU TODAY [while thinking: couldn't give a **** how you are, why the heck hasn't he matched me on tinder]" and grab your arm in a high pitched "JUST GONAN START A IV OKAAAAYYYYY"

the best thing you can do is give these pts some dignity and respect their right to leave you alone. that, if anything, will bring you closer to them
Hey, it's tough being fake nice all the time. Genuine or not, it's done for the benefit of the patients.

But the rest is on point. Patients love speaking to doctors and nurses; the rest, not so much. Certainly not twenty- something volunteers delivering blankets and drinks.
 
Does anyone else ever have patients that go into long rants about how their baby daddy is a total deadbeat or they're totally broke or whatever?

This always happens to me and I just sympathetically listen, nod, and say "mmmm-hmmmm." Never know if I should chime in or not.
 
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Over my years of volunteering in the hospital, I found that some patients want to talk and some don't. I personally really enjoy talking to patients have learned a great deal from the patients I have met. To spark conversation, I always looked for some common ground or things I could bring up. For example: If a patient is wearing a baseball hat, I will ask if they are a fan, or ask about the weather, or what they do/did for a living, etc. I have gotten much better at starting conversation, but there are always patients who don't want to talk and you must respect that. However, I do think it is important to learn how to talk to strangers and patients and that is part of the reason why volunteering in the clinical setting is so important. Just my opinion
 
"Hi, I'm WedgeDawg, one of the hospital volunteers. I just wanted to see if there was anything I could help you with right now?"

"I think I'm okay thanks!"

"Are you sure you couldn't use x, y, or z right now? It would be no trouble to get any of those for you."

"Hmm, no thanks, but thank you for stopping by!"

"My pleasure, if you need me, please [do x] and I'll also be stopping by in about a half hour to check on you again! Please let me know if I can do anything at all to make you more comfortable."

"Thank you!"

So went most of my conversations.
 
When I volunteered in an oncology ward I initiated conversations by bringing up current topics in sports, pop culture, etc (nothing controversial) and it worked pretty well! Obviously, this was in addition to introducing myself and asking if anything was needed.
 
You would be surprised (but probably not) at the conversations male patients initiate with me, and I have to say okay well, I have to check on everyone else on the floor, be back later! Then one time a patient refused his meds bc he only wanted them from me. Old men.....sigh....
 
Hey I had the same troubles !

I volunteer both emergency and spinal cord injury.
Emergency is so crazy I really try to keep to myself. Sometimes the people are there alone, and that's when I try to reach out and say "hope you feel better".
But for other floors like spinal cord where you see the same people, oftentimes you will see their room decorated with things so try to start convo about that.
"is that your grandson?"
Also my mom worked spinal, and she always told me she started her convos "how long have you been here?" usually thats when they told you how they ended up with the injury and so on. Some might go into detail others might not. either way its okay, dont press for anything.
I have one patient that has me always going "but I cant miss seeing ____ today".
So get to know them, because it will really motivate you to go back.

edit: make sure your conversations are sensitive to the injury the person has. With spinal cord patients I never discuss activities like "I ran 5 miles today...I went kayaking...". I always stick to whats on the tv, which is a big part of their life. And just events around the world. Food is a big part of my convos. I have seen some very immature people come in and initiate conversation about "my leg hurts and is cramped up because I swam too much today, I am training for a 5k". And then the patient shuts down for any hope of opening up.
So food + tv = best
 
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I asked "Have you enjoyed your stay with us?" Or about how long they had been in the hospital. Things I would ask a friend, except not as personal and nothing about why they were there or what was wrong with them. Or something comical, but obviously only when I sensed that they were in a good mood/not horribly sick.

Enjoyed? If they're enjoying their stay they should probably go home. It's not a hotel. Also asking sick ppl if they are enjoying being in the hospital is pretty tone deaf and insensitive.

Some people are more likely to talk than others, especially older people.

Try following up with:

"Enjoying the weather?"
"How's everything else going?"

But don't be awk about it...

Another gem... Ask the person cooped up in the hospital room, sometimes for days or weeks, whether they're enjoying the weather essentially rubbing it in their face that you get to leave the building and they can't.
 
Enjoyed? If they're enjoying their stay they should probably go home. It's not a hotel. Also asking sick ppl if they are enjoying being in the hospital is pretty tone deaf and insensitive.

It's a strange new thing called humor, people actually enjoy it.
 
It's a strange new thing called humor, people actually enjoy it.
Definitely not funny…especially when delivered by someone who doesn't have access to the chart and knows nothing about why the patient is there… but what do I know about talking to patients, I'm just a lowly resident
 
I asked "Have you enjoyed your stay with us?" Or about how long they had been in the hospital. Things I would ask a friend, except not as personal and nothing about why they were there or what was wrong with them. Or something comical, but obviously only when I sensed that they were in a good mood/not horribly sick.
I hope this was sarcastic, because no patients enjoys their stay in the hospital.
 
I hope this was sarcastic, because no patients enjoys their stay in the hospital.
Except some maternity patients.

With patient satisfaction surveys being more important these days than ever before, it can't hurt to say, "if there is anything I can do to make your stay with us more comfortable, please let me know".

As a hospital patient I would have enjoyed some news of the outside world with regard to weather. That's generally a safe topic.

In an inpatient unit, it can be useful to ask a nurse if there are any patients who are alone and lonely and who might enjoy some company. Extra hands at meal time to open milk cartons and other packaging is another way to engage with patients at the bedside.
 
Another gem... Ask the person cooped up in the hospital room, sometimes for days or weeks, whether they're enjoying the weather essentially rubbing it in their face that you get to leave the building and they can't.

Good job not jumping to conclusions. The people I work with have been there for <12 hours at most.... Now go take your Resident angst somewhere else.

I hope this was sarcastic, because no patients enjoys their stay in the hospital.

Thanks for the constructive advice Mr. Med Student!
 
Having been a volunteer and also a 'tech' who essentially directs volunteers in the departments, here's my two cents:

1) This is a great time for you to experiment (within reason) and develop your interpersonal skills. Yes, most of you will think that, "I'm sociable!" or " I HAZ FRENDS!" but it's more about how you can develop rapport with people just from that limited 1-3 sentence exchange. (not saying i can sell anything to anyone, but its something to think about.) Also, bear in mind that most of your friends and interactions (REMEMBER, MOST OF YOU GUYS ARE IN COLLEGE) are either with other college students (which in sdn circles might be the super studious dork, or in tradition college life of parties, having fun, going to school), or maybe with a professor (highly educated). Unless your hospital only serves the well-off, odds are your patients will be from a different part of town than you, live a different life than you, have substantially different values than you. It does impress me when a volunteer I know to be a super studious affluent person be able to laugh and joke around with a patient from the inner-city. When you're training as a physician, you'll see a similar set of people too as your patients. Good to get started early with that.

What do I use as my go-to line? I usually ask them where they're from (not country, unless that happens to be the case, but just regionally). A pretty benign conversation.

2) People say as volunteers you don't get to do much. True, but entertaining and being able to develop rapport with patients is also important too. Hippocrates, Osler, others have said "Cure sometimes, relieve often, comfort always." Yes, some people don't want to be bothered. But in my experience, having an interaction with a charismatic individual who is conversational is usually not that bothersome. (Unless you're on a morphine PCA pump...might want to leave them alone) I think people are more annoyed when the volunteer is socially awkward because their awkwardness usually makes the patients feel more uneasy. My point is that volunteers whine about this, but having been on the other side of the fence, most volunteers work for a few weeks and quit, some will just clock in, go to the cafeteria for 2 hours and clock out, etc. With my work being busy, it's not my job to figure out how you can be involved without being 'clinically involved'. For me, I'm more impressed when a volunteer sits down and can develop a conversation with a patient. It tells me 1) You actually give a 5h1t (or try to), 2) you're actually in the department and not in the cafeteria, and 3) If they need anything, I can count on you to let me know so I don't have to keep checking in on them on top of all of my other tasks.

3) Last point, its important to appreciate how much time you will have to develop patient rapport because as you continue your training, your interactions with patients will become more and more brief as time progresses. (You just get busier. And no, you DON'T need an MD to interact with a patient, aka a human being, lol) If you're having difficulty interacting with people as a volunteer, it really raises a red flag in my book.
 
I always talk about the weather when I'm bringing patients back to rooms.

Then I always talk about how cold my hands are when I'm taking vitals/apologizing for it.

Seems to work!
 
Hospice volunteering pushes this question to the next level because they sometimes have quotas to meet in regard to how much time a volunteer spends with a patient. It's one thing to sit for half an hour with a comatose patient, another when they're awake but not able to interact too much, yet another when they're awake, alert, and cranky.

I filled my iPad with books and simple games and bought a deck of cards. Sometimes I brought sprigs of flowers from the farmer's market. I'd say something like, "Hi, Ms. X, I'm pageantry, how you doing today? Would you like me to read to you/play a game/make bouquets with me for half an hour?"

Most patients where I volunteered wanted me to read them the Bible. I'm not a Christian but it made for some really beautiful moments.
 
"Hi, I'm X, I'm one of the hospital volunteers. Is there anything you need, or anything I could help you with? I know how hard it can be to get ahold of people around here for things sometimes, so if there's anything I can do for you, getting a pillow, blanket, water (if they are cleared for it, always be careful with the water question lol), whatever, just let me know."

Sometimes you'll find a patient jar wants you to change the thermostat our gab a blanket, sometimes they'll just want an ear to complain to our someone to talk with. Just make sure you come off as genuinely wanting to help them and be there for anything they need, and they'll open up a bit. The biggest thing is making them feel like it's okay to ask for the little things, because most people don't want to feel like a burden and are thus reluctant to ask for small things like an extra pillow behind their back or whatever.
 
"Hi, I'm X, I'm one of the hospital volunteers. Is there anything you need, or anything I could help you with? I know how hard it can be to get ahold of people around here for things sometimes, so if there's anything I can do for you, getting a pillow, blanket, water (if they are cleared for it, always be careful with the water question lol), whatever, just let me know."

Sometimes you'll find a patient jar wants you to change the thermostat our gab a blanket, sometimes they'll just want an ear to complain to our someone to talk with. Just make sure you come off as genuinely wanting to help them and be there for anything they need, and they'll open up a bit. The biggest thing is making them feel like it's okay to ask for the little things, because most people don't want to feel like a burden and are thus reluctant to ask for small things like an extra pillow behind their back or whatever.
exactly.....you're a concierge, not a counselor. just make yourself friendly and available
 
Enjoyed? If they're enjoying their stay they should probably go home. It's not a hotel. Also asking sick ppl if they are enjoying being in the hospital is pretty tone deaf and insensitive.



Another gem... Ask the person cooped up in the hospital room, sometimes for days or weeks, whether they're enjoying the weather essentially rubbing it in their face that you get to leave the building and they can't.

Eh, I ask my patients how their stay is all the time. I've definitely talked weather, sports, TV shows, music, with people. I'm not sure how talking about the weather automatically rubs it in their faces. Kinda depends on the weather outside, how you are saying it and why they are in the hospital. Not everyone is 'stuck' in the hospital. Most aren't. Also, while 'enjoyed' may be the wrong word, you don't know how someone is doing unless you ask. Maybe these are different expectations, but I expect my patients to feel like we care about their stay being as "enjoyable" as it possibly can be. Even if I am taking their leg off during their stay. But, I've been told that I have impossibly high standards...

I hope this was sarcastic, because no patients enjoys their stay in the hospital.

This is categorically false.
 
A few quick notes from my experience:

1) "How are you?" doesn't work as well as "How are you feeling today?" To the former, patients may look at you like you're crazy (they're in a hospital, of course they're not well), whereas they will usually respond to the latter with how they are in comparison to baseline (being in a hospital). The latter also leads nicely to, "Well, what can I do to make it better for you?"

2) Many patients want to know what the weather is like. Understanding that they've been confined to a room all day, I sometimes just lead in with "The weather is really nice today" (or w/e is true that day). If the blinds are closed, I'll offer to open them to let in the view (not all will want it, but it doesn't hurt to ask).

3) When patients start discussing their personal lives (relationships, problems with X/Y/Z), I stay attentive and engaged, but I don't feel the need to respond substantially. I would never give advice (seems inappropriate). Most of the time they just need someone to rant to, and that's fine!

4) At the end of the day, some patients really like company (especially those who don't have family visiting) and some prefer to be left alone. Don't feel offended or entitled to a conversation if they don't want to talk. Your job is to make them as comfortable as possible, and it's important to learn that sometimes the best way you can help is to leave them alone if that's what they want.
 
Eh, I ask my patients how their stay is all the time. I've definitely talked weather, sports, TV shows, music, with people. I'm not sure how talking about the weather automatically rubs it in their faces. Kinda depends on the weather outside, how you are saying it and why they are in the hospital. Not everyone is 'stuck' in the hospital. Most aren't. Also, while 'enjoyed' may be the wrong word, you don't know how someone is doing unless you ask. Maybe these are different expectations, but I expect my patients to feel like we care about their stay being as "enjoyable" as it possibly can be. Even if I am taking their leg off during their stay. But, I've been told that I have impossibly high standards...

There's a lot more leeway when you know exactly why the patient is there etc etc but if you're going into a patient's room blinded to any of their medical information (and with no medical knowledge on your end) it's much safer to assume the worst and let the interaction guide you. While you know that the patient is there for a day to get an operation the pre-med volunteer typically can't tell.

Also it's way more common to see patient's who are "stuck" in the hospital on a medical ward than a surgical ward so YMMV
 
I used to volunteer at an ER and I remember feeling the same way at first. While I was quick to leave people alone if they were giving off vibes that they didn't want to be bothered, a lot of times I would just say "Want some company to keep your mind off the wait?" and if they said yes I'd just start asking them non-treatment related questions about themselves. I ended having some pretty great interactions by doing that and you'll be surprised how quick some people open up.
 
Any time I'm a patient, last thing I want to do is talk to anyone who isn't my nurse or doctor. Unless I'm in post-op recovery, then I love everyone and say some really wild stuff. Part of learning how to communicate with people is knowing when not to communicate with them.

I'm one of those people too. I think it's important to accept, especially when you are on the lower end of the totem pole (even applies sometimes to residents of the opposite sex of the patient they are supposed to see and the patient requests a same-sex doctor, like on OB), not everyone is going to want your help. And that's ok! The important thing is that you are offering it and sometimes it can be helpful to them to just let them have their peace and quiet. On the other hand, if a patient seems open to it, asking if they need some company like suggested above would be a good transition, because there are just as many patients who are open to talking.
 
Does anyone else ever have patients that go into long rants about how their baby daddy is a total deadbeat or they're totally broke or whatever?

This always happens to me and I just sympathetically listen, nod, and say "mmmm-hmmmm." Never know if I should chime in or not.

Happens to me quite regularly. A lot of people love to have an audience. Your responses are about on point for a situation like this.
 
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