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Communication with families - lessons from genetic counselling What is genetic counselling? • a communication process • connected with human concerns • information giving • discussion of risks and options • support Communication • ‘cum’ - together with • ‘unio’ - union Communication • use of signs or symbols • conveys meaning • affects change Communication • results in shared meanings • reduces uncertainty • changes relationship Outcomes of genetic counselling • study of 43 families • longitudinal • grounded theory • lay knowledge • certainty • relationship Effective genetic counselling • Integration of lay and scientific knowledge Effective genetic counselling • Reduces uncertainty Effective genetic counselling • Develops positive relationships where individuals is valued Communication • results in shared meanings • reduces uncertainty • changes relationship Healthcare • Effective communication is integral to health care in all settings Clinical practice • midwifery • paediatrics • mental health • surgical