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The important behavioural aspects of efficient listening are: S-O-L-E-R Sit squarely in relation to the affected person Maintain an Open position Lean slightly in the direction of the shopper Maintain Eye contact with the affected person Relax around the affected person (Egan 1990) Barriers to effective listening: Temptation to inform them what to do, as opposed to letting them share their emotions Not enough time to hear, share emotions, experiences A feeling of vulnerability and concern of what the affected person might ask (Donoghue and Siegel 2005) Responding to difficult feelings 1) Acute emotional misery Acute stress disorder is current in almost one third of sufferers after diagnosis (Kangas et al 2007). Securing of airway and trial of antidote; wants excessive dependency setting with anaesthetist assist. 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