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21 THEME 3. COMMUNICATION WITH THE PATIENT Purpose of studying the topic: • learn to communicate with the patient and their relatives, As a result of studying the topic the student should know: 1. The concept of deontology; 2. The concept of iatrogenic diseases; 3. Types and functions of communication; 4. The structure and process of communication. the student must be able to : 1. whenquestioning the patient, apply the basic rules of effective communication; Content of the training material An understanding of medical ethics and deontology is also important in prac- tice. Hippocrates also proclaimed the principle of «do no harm». He argued that a person who devoted himself to medicine should have unselfishness, modesty, chas- tity, common sense, and composure. The main thesis in the work of physicians is «everything for the patient». Deontology – from the Greek deon-duty, logos-science, teaching)-the doctrine of moral and ethical problems that arise in the process of treating a patient and ways to optimally resolve them. This term was introduced in the 19 century by the English philosopher I. Bentham, who called the science of human moral behavior. For the first time, the term «ethics» was proposed by Aristotle, having a science of human morality. Medical deontology (the science of the behavior of medical professionals) is closely related to medical ethics and implies the correct relationship between the doctor and those involved in the General clinical process: • doctor – patient; • doctor – relatives of the patient; • doctor – middle and Junior medical staff; • the doctor – the doctor; • medical authorities the right to protection of law (Prosecutor’s office); • doctor – insurance medical organization (medical experts). To ensure high-quality treatment of the patient, it is necessary to create an appropriate psychological climate in the medical Department. The relationship between the doctor and the patient is deeply peculiar. The doctor should always remember that a sick person is in many ways qualitatively different from a healthy one. Under the influence of pathology of internal organs, the patient’s thinking undergoes significant changes. This changes the attitude to life, work, and the en- vironment (relatives, work colleagues, and so on). Mental shifts are observed in al- most all variants of internal organ pathology and are manifested in varying degrees