Talcott Parsons was the first social scientist to put forward the doctor-patient relationship. His functionalist, role-based advance defined examination of the doctor-patient relationship for some time to come. He began with the supposition that sickness was an appearance of dysfunctional deviance that necessitated reintegration with the social organism. Sickness, or contrived sickness, excused people from work and other tasks, and therefore was potentially harmful to the social order if uncontrolled. Upholding the social order necessitated the advance of a legitimized sick role to manage this deviance, and make sickness a midway state back to regular role presentation (Hughes, 1994).
According to Parsons, the doctor's role is to symbolize and communicate these norms to the patient in order to manage their deviance. Doctors demonstrate for Parsons the move to affect-neutral associations in modern society, with doctor and patient being protected by emotional detachment. Medical education and social role expectations…… [Read More]
Besides the growth of health consumerism has demanded more contractual and conflicting relations between patient and doctor. A growing well-educated population has started to challenge medical authority, and treat the doctor-patient relationships as another supplier-consumer relationship instead of a sacred trust based on awe and deference. A general tendency has been seen in steadily reducing trust in physicians and also American medical system as a whole. (The Doctor-Patient elationship: A eview)
Such trends have interested many symbolic interactionists and discourse analysts to start detailed analyses of doctor-patient communication to counteract the imposition of power and authority within them. The study performed by Howard Waizkin has drawn peculiar attention to the path that American medical communication strengthens individualistic, bio-medical interpretations of problems along with social origins and social remedies and thus represents and regenerates social inequality and disenfranchisement. The studies have also revealed that various kinds of communication influence differently the…… [Read More]
Doctor-Patient Relationship Canada v. Ireland
Canada and Ireland both have nationalized health care plans. While these plans are different and alike in many ways, there are major concerns over the doctor-patient relationship and methods involved therein. Most countries will agree the doctor-patient relationship is important, and maintenance or destruction of that that relationship can have a major impact on a patient's health.
Ireland has made vast changes to their health care system over the years. In Irish healthcare, everyone has the option of free health care, if needed. Irish are also given the option to pay for private health insurance also. Many wealthier families will pay their own medical bills, instead of using a medical card. The system is based on income and scales down to no co pays, etc. For the underserved population.
In Irish studies of doctor-patient relationships it has been shown that, although the Irish tend to…… [Read More]
To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Donovan, Jenny L., and Blake,…… [Read More]
Doctors and Ethics
Is there currently a lack of sustainable ethical behavior in the physicians' profession? Do doctors care enough and are their ethical behaviors adequate for the trust that people must put in them? hat should doctors be doing that would make their practice more ethical and would help them to provide more real care to their patients? These questions and others will be reviewed and critiqued in this paper.
"Harm in the absence of care: Towards a medical ethics that cares"
A summary of the main points
The article that will be used as the feature article was researched and written by Elin Martinsen. It is titled, "Harm in the absence of care: Towards a medical ethics that cares." In this article the writer, who is a professor in the Faculty of Medicine at the University of Oslo in Norway, argues that in contemporary medicine and "medical ethics…… [Read More]
These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.
Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low…… [Read More]
The film The Doctor illustrates both sides of the doctor-patient relationship. Played by illiam Hurt, Jack McKee is a head surgeon who exudes arrogance until he is diagnosed with throat cancer. Not only does a brush with death change his outlook on life, but also his experience as a patient at his own hospital alters the way he treats his patients. hen Jack is forced to wait in lengthy lines, fill out tedious forms, and deal with impersonal physicians, he realizes how dehumanizing, humiliating, and frustrating it can be on the other end of the doctor-patient spectrum. McKee's behavior transforms considerably from the beginning of the film to the end, but he still manages to retain his witty sense of humor throughout. The Doctor provides a cinematic example of why doctors and other professionals caught up in the modern medical system need to respect their patients more, by including…… [Read More]
patient satisfaction with the care provided by nursing staff and physicians, as well as how satisfaction can be improved through better communication among physicians and nurses, and with their patients. It will, in particular, deal with a nursing student's own clinical experience with patients and their perception of healthcare provider-patient communication. In addition, the paper will examine the student's project which considered the strategy of updating white boards in patient rooms regularly for better communication.
Ten medical surgical ward patients were interviewed during rounds by a student, who rated patient satisfaction and tried to discover some common theme. While patients expressed satisfaction with how nursing staff delivered care, they felt physicians didn't keep them informed. A number of patients were visited by two or more doctors. However, there was no communication between doctors, leading to issues such as a patient being marked "not ready for surgery" by the cardiologist, owing…… [Read More]
The goals are what the client hopes will happen because of the care needed -- and the bond the specifics that need to be met in order to meet those goals (iddowson, 2010, 83).
The Transference/Countertransference Section -- ithin this section of the therapeutic relationship, transference and countertransference are phenomenons in which feelings between the client and caregiver are directed and redirected to one another. This has been part of clinical psychology since Jung, and may be both harmful or positive. ithin the caregiver model, it is usually heightened empathy for the patient, with the client, a feeling of greater emotional bonding to the caregiver than that of a professional relationship (iener, 2009).
The Real Relationship -- This is the ideal outcome, the real or personal relationship between client and caregiver. It may, of course, include deception on the part of the caregiver or therapist depending on the actuality of…… [Read More]
"Why? Because of their products. Product development is what interests the consumer" (Blanchard, pg. 7). Perhaps the automakers should take note.
One toy manufacturer does an excellent job of marketing to the consumer. Mattel uses an ongoing tracking program in its efforts to sell more Barbie dolls.
The last decade has seen over 40 differently featured Barbie dolls for sale in approximately 140 countries. ecently Mattel discovered they no longer had to change the features of Barbie (at least in Asian countries) because "market testing led an official from Mattel to proclaim: "Blond Barbie sells just as well in Asia as in the U.S." (Cross, Smits, 2005, pg. 874). Now it is possible for children almost everywhere in the world to be happy with their new Barbie dolls. That is a fine example of consumer-centric activities.
Blanchard, D.; (2006) Are your best practices getting the job done?, Industry Week,…… [Read More]
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety…… [Read More]
Health care is one of those fundamental rights we should be able to expect as citizens of a country that concerns itself with the well-being of its citizens. Sadly, however, this is the one area that sadly lacks in providing even half of citizens with an adequate basis of health throughout their lives. Many things have been blamed for this state of the situation. At the top of the list of reasons is funding. Government simply does not have sufficient funding to provide all citizens with the health care they need. However, when considering the government's interference in the health care field, critics have increasingly questioned the wisdom and effectiveness of such effectiveness. Doctor's fees, for example, are being regulated by the government. But what are the effects of such regulation on the quality of care received? It appears that doctors whose fees are regulated fail to provide…… [Read More]
Most of the literature deals with healthcare issues experienced in the United States or Europe. hat small amount of literature there is available on healthcare in Malaysia seldom has anything to do with the clinic(s) in specific. This study could help, in some small measure, to alleviate that problem.
Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112
Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45
Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59
Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40
Shameen, a., (2004) Malaysia: Coining it in Kuala Lumpure - Start-up ECM Libra has capitalized on strong markets, hard…… [Read More]
There is also relevant information for specific sectors of society such as women and seniors. The MedlinePlus Magazine includes several links to asthma information. The bottom of the page includes links that contain information such as disclaimers, copyright, and privacy information. It also contains links that provide information on the contributors of information to the Website. The privacy statement clearly provides visitors and subscribers with the assurance that their information will not be shared. All the information on the site is therefore provided on the basis of full disclosure, both of the information itself and on information providers.
This Website is therefore very reliable, and also includes information on a myriad of other health topics, which will be helpful for Amy if she wants more information on her other conditions as well.
Suspicious Website: http://www.asthmaanswersonline.com/cures-asthma/
This Website indicates that asthma can in fact be cured. Prominently displayed at the top…… [Read More]
elationships and expectations form one of the three main domains of the PEN-3 model. These three factors, perceptions, enablers, and nurturers, refer to the cultural component of health-seeking behaviors. The relationships and expectations domain can inform healthcare workers about how to encourage health-seeking behaviors in patients, and is a culturally sensitive approach. The PEN-3 concept shows how culture is a major determinant of both individual and public health.
Perceptions refer to the individual's perceptions about health, disease, medication, doctors, and healthcare systems. The perceptions are related directly to the cultural values, beliefs, and norms that are already embedded in the community. Individual and collective group health behaviors may be strongly determined by perceptions. For example, is there a perception that heart disease is not a serious problem in the African-American community? Or, is there a perception that healthcare is too expensive, or that doctors are too paternalistic? Perceptions might also…… [Read More]
A Patient's Rights
There are a number of lists to go by when it comes to the patient's "Bill of Rights," including a patient's rights under the Affordable Care Act. In the American Cancer Society "Patient's Bill of Rights" it begins with the right every patient has to "…accurate and easily-understood information about your health plan, health care professionals, and health care facilities' (www.cancer.org). Of course a patient also has the right to choose health care providers and when it comes to emergency services, a patient has a right to be "…screened and stabilized using emergency services" when injured or seriously ill; so that when one's health is in jeopardy, access to emergency services can be a vital and stabilizing experience (www.cancer.org).
A patient also has the right to be part of decisions regarding what treatment is appropriate, and a patient has a right to be respected and treated…… [Read More]
The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…… [Read More]
Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…… [Read More]
(Hummelvoll, 1996, p. 13)
The professional relationship that the client has with the nurse is often one of the most fundamental of all the relationships the client has in his or her life. The nurse can act as an advocate between the client and other health care professional as well as an advocate for the client with his or her own family. The holistic needs of the client are often met through this and other relationships, when they are strong, consistent and productive.
A an authentic caring relationship between clients and nurses. This relationship stimulates mutual empowerment and helps the client pass through the conglomerate of not easily accessible helping systems in the United States. The purpose of this reciprocal and chosen partnership is to increase the client's safety and quality of life. Here too, empowerment is a means to better health, with the nurse acting as the client's advocate,…… [Read More]
nursing client relationships and how the study is a valid research for practitioners. It has 26 sources in Harvard Style.
esearch titles must be limited to fifteen words. In this case the author has exceeded the limitation by one count which is negligible. The importance of relevance of the title to the body of the research is that it must collaborate with the core study area. In the first line the author has already specified the relationship of the nurse-client at the beginning and categorizes it as a "partnership" whereas the title of the study must not reveal the results or even the anticipated results.
Authors and Abstracts
The authors T. Hostick and F. McClelland both the authors indicate in their abstract that the article aim in establishing nursing behavior when they are engaged in a nurse-client relationship. The abstract though is limited in expressing the content of the study…… [Read More]
Perhaps the most fundamental tenet of my nursing philosophy is the administration of care in an intrinsically empathetic manner which benefits the patient. I unequivocally believe in patient-centered care and that nurses who are able to maintain this component of their practice as their primary goal are able to produce the greatest efficacy in administering to patients. Moreover, with all of the concerns of the contemporary healthcare market, including various facets of financial and technological concern, the shortage of various practitioners, and innovations in precision medicine, it is easy to forget that the most vital component of the health care industry is the patients themselves. Quite simply, patients have the most to gain and lose from the health care system. Therefore, I readily believe that keeping those patients as the center of the care delivered by me and others within my profession is the best way we can…… [Read More]
The article was written quite comprehensively and gave enough information about the different aspects of history taking. The way all the different components of the history taking process were split up and explained in more detail was very helpful. It was noted that the entire information in this article was present in a rather organized way. This organized way of presenting the details helped in teaching the history taking process and left less ambiguity. One thing that could have been improved is that common mistakes in the history taking process should have been mentioned. Surely with the amount of research done on this topic, the common mistakes and questions would have been figured out. If the commonly made errors are highlighted in these articles, then those errors are less likely to be repeated by other nurses as well.
This article did interest me as it provided me with a…… [Read More]
The concept of patient autonomy, as opposed to medial paternity, is one that has gained much ground in recent years; "... about 30 years ago, issues began to appear that were difficult to solve using traditional ethics. New medical and reproductive technologies, research controversies, and a societal ethos that questioned all authority posed difficult questions." (Czaplyski, Larry, 2002)
At issue in this paper is the meaning and significance of patient autonomy and the way in which is relates to medical paternity. As the discussion will outline, the case for patient autonomy is not only ethically valid but also essential for the moral and practical balance in the medical profession. Underlying this view is the fact that the issue of patient autonomy does not exist in isolation or in the medical field alone - but relates to other issues and ethical problems in the society at large. These larger…… [Read More]
patient is a 35-year-old (male?), he was diagnosed with diabetes twenty five years ago at the age of ten years old, he claims that this is hereditary in his family. He has one sister who has Type 2 diabetes and a brother who has type 1 diabetes. He manages his diabetes and other illnesses from home and through a medical clinic; for most of his life he has known he has diabetes and manages to regulate it through insulin shots, glucose tablets as well as through the right nutrition, however he claims that this is difficult and there are most days where he experiences draw backs. Many complications have arisen from his diabetes. This patient was selected because of the certain case he has in regards to his diabetes and other complications which had developed from it. His treatment and management also includes an extensive study. At the young age…… [Read More]
However, working as a doctor does not always imply having to operate tiny devices through even tinier body parts.
Working as a doctor gives you the chance to become closely attached to your patients. There are little professional relationships in this world that involve people leaving their lives in the hands of complete strangers. It certainly is a unique feeling when you know that someone turns to you in hope that you will relieve them of their suffering.
A doctor is not one that goes to work knowing exactly what he or she would be doing for the rest of the day. A doctor's life entails a great deal of adventures and extreme emotions, as the job is full of the unexpected. A good reason for one to consider a career as a doctor would be that this particular job resembles no other, and that it presents people with the…… [Read More]
Patient’s chief complaint, reason for visit
Ms. Richards arrived complaining that she was experiencing severe anal pain, so much so that using a tissue was also proving impossible. She claimed the pain began a couple of days earlier and has aggravated considerably since.
History of Present Illness
Ms. Richards arrived complaining of anal pain which commenced a couple of days earlier and has aggravated since. With regard to her intimate relationships, Ms. Richards states that though she has a boyfriend, their relationship isn’t serious as the two are also seeing other people. According to internal assessment reports, patient has normal hair distribution, an intact perineum, and intact urethral meatus without any discharge or inflammation. However, patient experiences unbearable pain on vaginal opening palpation, redness, and edema. Further, a mass has been identified on the right, with spontaneous, dark-yellow, smelly secretion with palpation over the Bartholin's glands.
Physical examination…… [Read More]
Communication Discussion Board Response
I would have to respectfully disagree with the idea that communication is mainly about being clear in one's verbal and nonverbal language. A nurse can clearly communicate how to follow a healthy diet to a diabetic -- or the need to stay clean to a drug addict -- but unless the nurse comprehends the patient's own view of his or her situation, such as the real medical need to follow the diet or the dangers of drug abuse, communication has not transpired in an effectual fashion. It is just as important that the nurse understand the patient's body language, to assess whether he or she is listening, and to ask the patient to restate the treatment plan, and to repeat what he or she feels about his or her condition.
You make a very important point that the process of communicating with patients isn't about…… [Read More]
Christy had some preconceived notions about Roamni people and their motivations, habits, and lifestyle. Being proactive rather than reactive is the best way to deal with different cultural practices and beliefs. Christy could educate herself regarding the cultural practices of bathing, cleanliness, eating etc. This information is available on the internet. Typically when faced with medical condition that a nurse, aide or physician is unfamiliar with it is a common practice to research it. This practice should extend to dealing with certain cultural groups one has not encountered. Obviously, she should have changed the water, sponge, and washed herself after touching the patient's lower body in clear view of the patient's relatives. Perhaps a better approach would have been to offer the patient's family the opportunity to participate in the care of the patient and perform some of these functions or to ask them how she should care for the…… [Read More]
Cathy is a 17-year-old female. She is suffering from a certain amounts of loneliness and depression (DSM-IV). This is because her mother died in Iraq 10 years ago when serving in the Army eserves. She is currently living with her uncle and often deals with these issues from not being able to talk to her mother. She never knew her father and has no way to contact him. To account for them, she hides her feelings by turning to social networking sites as a way to connect with others. In the process, she places her entire life history for everyone to see and often takes pictures of herself. At the same time, she was elected class President and hides these feelings by being engaged in variety of activities (such as: Future Business Leaders of America and track). Yet, underneath it all, she feels like the world…… [Read More]
Theories in nursing generally center on the relationship of four concepts -- nursing, environment, person and health. These concepts are interrelated and impact one another in diverse ways, often seen in issues of nursing when problems arise that require analysis. The issue of alarm fatigue is one problem in nursing that touches on each of these four concepts. Alarm fatigue can be defined as exhaustion that occurs for nurses when they are exposed to many alarms throughout their shift, which causes "sensory overload" and the nurses to develop a "non-existent response to alarms" (Horkan, 2014, p. 83). Complacency and dissension can follow in the nursing workplace as too many alarms for nurses can render them unresponsive.
Alarms are needed in nursing because they alert nurses and care providers to emergency situations that require immediate action and intervention, especially in the intensive care unit. However, nurses and staff work…… [Read More]
Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization.
Executives and administrators create the organizational culture that promotes patient-centered care. All leaders in the organization are responsible for using patient-centered practices and communications styles in their interactions with patients and their families. Furthermore, administrators oversee the policies and procedures that directly impact the culture of care. Analyzing areas of weakness within the organizational structure and culture via established assessments like the Patient-and Family-Centered Care Organizational Self-Assessment Tool, it is possible to create multidisciplinary teams that promote the organization’s…… [Read More]
These suppositions allow the researcher to view the world from a certain perspective while ignoring other perspectives. The researcher in this study assumes that his subjects are logical human beings who have a rationale point-of-view. Their thinking is valid and reasonable and their approach is more or less along the lines of scientific thinking. In addition, we assume that commonsense thinking and scientific thinking are more or less identical in nature. With these assumptions in mind, we take a post-positivism philosophical foundation; as in line with Trochim (2000) post-positivism is the outright denial of positivism (which argues that the laws of the nature are perfunctory and therefore deductive reasoning can be the only suitable approach to comprehend nature) and presupposes that day-to-day human and scientific reasoning are more or less the same and in order to understand reality, researchers have to use not only deductive but also inductive reasoning (Trochim,…… [Read More]
Although the Affordable Health Care Act represents a step in the right direction towards encouraging all Americans to avail themselves of medical services, the bill fails to address the root causes of problems in the system. The American health care system is flawed because it is a for-profit model that places profits far ahead of patients. When profits come ahead of patients, the result is an inability to fulfill the ethical duties of being a health care worker. A progressive transformation of the American health care system would systematically undo the nefarious link between corporate interests and the interests of health care.
The relationship between doctors and drug companies has been well established and well documented. Major news media resources like The Atlantic, as well as professional peer-reviewed journals like the New England Journal of Medicine cover stories addressing the potential ethical conundrums inherent in a cozy connection…… [Read More]
Patient Protection and Affordable Care Act/Impact of ACA from the Organizational and the Patients view
Impact of the Affordable Care act (ACA) on the population that it affected
Impact of the economics of providing care to patients from the organization's point-of-view
How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?
Ethical implications of this act for both the organization and the patients
Impact of the Affordable Care act (ACA) on the population that it affected
The Affordable Care Act (ACA), as initially passed, mandated Medicaid expansion, for covering a majority of low-income, as-yet-uninsured American citizens and immigrants (with legal residency in the U.S. for a minimum duration of 5 years). The United States Supreme Court, however, in the historic National Federation of Independent Business v. Sebelius, 132 S. Ct. 2566 (2012), maintained that the obligatory Medicaid expansion proved to be unconstitutionally…… [Read More]
Ethics, Values and Decision-Making in Nursing Practice
RIGHT FROM WRONG
A nurse's primary tasks are monitoring the patient's vital signs, administering medications, and helping doctors treat and perform procedures (Williams, 2012). Oftentimes and in many cases, these technical skills must be guided by certain and pertinent moral and ethical principles. This ethical and moral component of her overall responsibility is so important and critical that a code of ethics was created by the American Nurses Association to guide her in inevitable ethical dilemmas (Williams). These ethical dilemmas can include the clash between the principle of confidentiality and the concept of reasonable limits, between two or more ethical principles involving confidentiality, and the influence of culture on values.
. Importance of Ethical Theory to Nursing
In 1991, the Joint Commission on Accreditation of Healthcare Organizations or JCAHO expressed the mandate that institutions shall address ethical issues in patient care and requires…… [Read More]
Bohme, C. (2000). The Wages of Seeking Help: Sexual Exploitation by Pofessionals. Westpot, CT: Paege Publishes. Retieved Mach 8, 2008, fom Questia database: http://www.questia.com/PM.qst?a=o&d=27277229 http://www.questiaschool.com/PM.qst?a=o&d=94803861
Baaten, E.B., & Handelsman, M.M. (1997). Client Pefeences fo Infomed Consent Infomation. Ethics & Behavio, 7(4), 311-328. Retieved Mach 8, 2008, fom Questia database: http://www.questia.com/PM.qst?a=o&d=94803861 http://www.questiaschool.com/PM.qst?a=o&d=11241547
Holmes, C.A. (1998). Thee Is No Such Thing as a Theapist: An Intoduction to the Theapeutic Pocess. London: Kanac Books. Retieved Mach 8, 2008, fom Questia database: http://www.questia.com/PM.qst?a=o&d=11241547 http://www.questiaschool.com/PM.qst?a=o&d=23330078
Redleaf, a., & Baid, S.A. (1998). Behind Closed Doos: Gende, Sexuality, and Touch in the Docto/Patient Relationship. Westpot, CT: Aubun House. Retieved Mach 8, 2008, fom Questia database: http://www.questia.com/PM.qst?a=o&d=23330078 http://www.questiaschool.com/PM.qst?a=o&d=94802088
Thon, B.E., Rubin, N.J., Holdeby, a.J., & Shealy, R.C. (1996). Client -- Theapist Intimacy: Responses of Psychotheapy Clients to a Consume-Oiented Bochue. Ethics & Behavio, 6(1), 17-28. Retieved Mach 8, 2008, fom Questia database: http://www.questia.com/PM.qst?a=o&d=94802088… [Read More]
Third Party Patient
The Doctrine of Apparent Agency
June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it. Her ex-husband wishes to uphold June's decision. The hospital administrators seek risk management for legal counsel.
Explain how the Patient Bill of ights applies to this situation.
The Patient Bill of ights articulates U.S. federal law on the doctor-patient relationship, and is consistent with laws on informed consent where licensed professional practice respective to patient well being is in order. Confidentiality of patient record is perhaps…… [Read More]
The nursing career differs from the medical field in that nursing is solely focused on the care and advocacy of the patient. Nurses are the intermediaries between doctor-patient relationships; they are the bridges that enable patients to understand the situation regarding healthcare and healthcare practices. Nurses depend on the human responses and the human condition in order to better care for the patients. They are responsible for further interactions with patients as well as their families and communities (American Nurses Association). This is the broad scope that the American Nurses Association basically defines the nursing career (American Nurses Association). Nurses not only assist physicians and doctors when it comes to certain diagnoses and treatments, they also are taught to genuinely care for the patients that transcend the medicine.
Nurses have the ability to fill a myriad of fields, one of which includes being a caregiver or the one responsible…… [Read More]
Moral Medicine, and a Doctor's Duty to the World
The 18th chapter of On Moral Medicine talks about the way medical professionals build their identity as practitioners and how the form relationships with other professionals and with patients. The author uses four unique terms to define his ideas on the four things these relationships can be based on: covenant, contract, code, and philanthropy. Using these concepts, he explores the current and the ideal relationships which define the medical field and experience. In the end, the author finishes by suggesting a change in the way doctor-patient relationships are conceived, but from the evidence of his own work one can see that he may not push this revolution far enough.
The idea of a covenant in this context is the idea of a deep commitment that transforms those who make it. Covenants are usually made through the exchange of gifts and responsibilities,…… [Read More]
In this way, any concerns that could come up and be problematic will be avoided and the information contained in the study can be accepted as being reliable, valid, and unique.
As has been mentioned, limitations are too often overlooked in studies, and it is often impossible to find all of the limitations that are contained in a study and spell them out for all to see. However, that does not mean that the limitations that are noticed should be overlooked. As long as they are legitimate, the more limitations that are discussed in the research the more significant the research will be found to be, since any weaknesses that it might have will be noted and dealt with. It is for this reason that this particular section will detail the limitations that this study faces.
The main limitation of this study, other than the biases of the researcher, is…… [Read More]
At the primary level of active listening are administrative personnel, especially at hospitals, who need to direct patients to the correct physicians for their ailments. Administrative personnel at doctors' offices are also important, as these personnel are often engaged in decision-making processes regarding the length of appointments and the care that is needed.
6. oles, responsibilities and relationships of project team members
The team leader will administer the responsibilities of each team member, as well as collocating the data gathered during interviews. The team leader will also determine the final format and content of the report.
Several roles will cover the various interviews to be conducted. Physicians, nurses, administrators, and patients will be interviewed. Within these groups, the type of illness and cultural context should also be investigated. Where doctors operate in a multi-cultural context, the potential exists to investigate the effectiveness of active listening, or its absence, can be…… [Read More]
Culture and Counseling
In her book The Spirit Catches You and You Fall Down, author Anne Fadiman recounts the life and death of a little Hmong girl living in Merced, California. Lia Lee had what Western doctors call epilepsy, and which the Hmong have a far more lyrical explanation that lends itself to the title of Fadiman's book. The most common neurological disease, epilepsy can be frightening and potentially debilitating. However, in cultures around the world and throughout time, from the Hmong to the ancient Greeks, epilepsy opens pathways to creativity and an increased understanding of the universe. Thus, as Fadiman points out, many epileptics become shamans. When Lia Lee first started having epileptic seizures, her mom Foua, speaking not a word of English, rushed her to the Merced Community Medical Center. There, doctors tended to the eight-month-old child as best they could under the circumstances. Because all she was…… [Read More]
The Dying Profession of Independent Physicians
In the past, it has always been the case that physicians were, for the most part, independent contractors who had working agreements with certain hospitals in their region. However, that is not the case anymore. Physicians are increasingly joining healthcare organizations because the costs of remaining autonomous are too strenuous. It does not matter that independent physicians, on average still make more than their group counterparts because there are too many advantages to joining a healthcare group. The primary advantage being the fact that the individual is no longer solely responsible for such tasks as billing and scheduling. Although joining a group may be advantageous in some ways, it is troubling in others. Patient care is sometimes lessened because, as with the government sponsored socialized medical practices that exist in other countries, the patient may have to wait longer for care and…… [Read More]
goal of their ethical calling, physicians, nurses and other health care workers are obliged to treat the sick and potentially infectious patients and, in so doing, they are to take some personal risk (Murray 2003). This was the bottom line of the assessment and stand made by Dr. Henry Masur and his colleagues at the National Institute of Allergy and Infectious Disease (NIAID), particularly during the outbreak of dread global SARS in Canada and Hong Kong last year. They also referred to other epidemics, such as the HIV / AIDS.
Masur emphasized that this primary goal and obligation is voluntary and sets the medical profession apart from other professions, precisely because of the involvement of some personal risk in fulfilling that obligation. esides physicians, medical professionals are nurses, dentists and health workers. Records of the first SARS outbreaks in Toronto and Hong Kong showed that a huge 50% of those…… [Read More]
This means that the decision I make in this scenario must be guided by sincere questions concerning the validity of my practice and the importance of alternate ambitions such as my desire to make a foray into the screenwriting profession. It is thus that I have decided the costs are simply too high to maintain the current relationship which I have with my patient.
Therefore, the only appropriate measure is for me to immediately cease my counseling relationship with the patient. In order to ensure that the patient does not lose his access to the treatment which he requires, he will be referred to one of my respected colleagues. It is believed that the necessary cost of breaking from this established doctor/patient relationship will be outweighed by the benefits of removing myself from a situation in which objectivity has been lost.
Upon separating form the patient thusly, I would make…… [Read More]
recordings, what would you define as the unit for analysis? hy? How many data units (in rough estimates) are you likely to get based on this decision? Does the estimated number of data units seem adequate? hy or why not?
Through the analysis of the recordings, I would define communication as the measure for analysis. The reason being, efficacious doctor communication is vital to constructive doctor-patient relationships and proposes better health results. In addition, doctor communication is deemed the strongest and most reliable forecaster of patient assessments and evaluations of doctors (Quigley et al., 2014). Proper communication skills, together with deliberation and requisite time to effectively listen and offer apparent and clear explanations are some of the characteristics that patients expect for, the most, in physicians. As a result, the reports of doctor communication from patients are deemed to be the consistent and assertive predictor of general doctor assessments for…… [Read More]
Technology Decision Making
Effect of technology decision making
Technology has been growing over a period of years due to globalization. All individuals, organizations, and even the society as a whole have been affected by the information and communication uprising. This has even changed their lifestyles. The Information is readily available in the computers mostly through internet technology and telecommunications. The Organizations are able to build their information systems in a variety of formats. A System may be defined as a sequence of functional components which are connected by communication links showing or demonstrating purpose and objective directed performance (Kampov 2010). However, it is important to analyze and discuss systems, informatics theories and DIK model. The paper will also discuss the role of expert system in nursing care, use of decision aids and also the decision support systems. There will be discussion on how the effect of technology on decision making…… [Read More]
Ectopic Pegnancy and the Jehovah's Witness
It is impotant to be awae of cultual and eligious beliefs within a community, especially as a health cae povide, because when dealing with patients fom within that community thee can be tensions that aise if the teatment violates a pinciple of the cultual/eligious community. This would be the case wee a membe of Jehovah's Witness community to come into the hospital with the symptom descibed in the case study in which the woman has ectopic pegnancy. Because it is a tenant of the Jehovah's Witness community to eject blood tansfusion, it is impotant that a hospital have a back-up plan fo such cases so as to be able to pactice "bloodless medicine" in ode to save the lives of patients like the 25-yea-old woman in the case scenaio (Ratcliffe, 2004). This pape will discuss the impact of teating Jehovah's Witnesses when the teatment…… [Read More]
As I have expanded my work efforts at the hospital, I have realized more and more that the human element in such relationships is irreplaceable. While technology may shape the future of the human race, only humanity can touch individual lives. Even the greatest advances in medical knowledge and techniques require similar progress in healthcare accessibility, better education about health issues, and strong doctor-patient relationships. Spending time watching the doctors and talking to patients convinced me that, in addition to my research in technology, I wanted to work directly with people who are in need of help.
I am excited to be back on my original path towards medicine, and am confident that my computer science skills will add much value as I research medical technology. My work at the hospital has shown me that there is much room for improvement in the medical industry, particularly when it comes to…… [Read More]
To analyze and compare the U.S. healthcare, internationally, it is important to know what really constitutes a good health care system. The U.S. Institute of Medicine describes this quality as, "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." This system, in its broad sense, should comprise of two main branches of preventative and curative medicine, both of which should cover different aspects of health, such as travel medicine, school health, occupational health, mental health, reproductive health and so on. Furthermore, a well established health care system does not act independently but in co-ordinance with other industries, such as the agricultural industry. Therefore, since a well developed nation has better access to proper sanitation, housing and adequate nutrition, it is more likely to have a better developed health care system. Other factors,…… [Read More]
Telling Patients the Truth
In regards to the permissibility of deception on the part of Sokol, the writer (2006) ultimately argues that "withholding…information from…patients would be ethically permissible and, more generally, that honesty is not always the best policy" (p. 19). Sokol reaches this conclusion by evaluating a real life case study in which a daughter is willing to donate her kidney to an individual whom she believes is her father. However, while medically evaluating the former for compliance with kidney transplant criteria, the doctors determined that the pair cannot be biologically related. The critical determinant in Sokol's conclusion (2006) is that "The testing was not done to establish paternity and, from a medical point-of-view, the findings do not preclude…donating" (p. 19). Essentially, the author utilizes this case study to reason that informing the patients of this situation could provide too many unnecessary complications which could negatively impact the kidney…… [Read More]
The counselor should address issues at the time they occur with the patient and:
acknowledge importance of feelings, emphasize the provider-patient relationship and the importance of maintaining objectivity"; and finally "emphasize that the rejection of a requesting behavior does not imply a lack of caring." (arbour, 2007)
If the boundary issues affect the ability of the counseling in providing objective and compassion care, the counselor should seek professional counseling for self and possibly for the patient and their family. (arbour, 2007)
The work of Michael Liimatta entitled: "Issues of Personal oundaries in Counseling: Part I" states that many times the phrase 'professional distance' is taken by people to mean cold and uncaring but in reality 'professional distance' is quite opposite of uncaring and is actually a strategy geared toward protecting the client from the counselors loss of objectivity." (Liimatta, 2001)
IV. Maintaining the Delicate alance between Rapport and Professional oundaries…… [Read More]
Social media/technology in healthcare within the forum/blog online setting is the next step in online communication. Although many have had problems identifying social media as the new platform for communication, it has grown on its own into one of the main methods of communication, advertising, and discussion for consumers and businesses. Friends discuss things over Facebook and share their lives on Instagram and snapchat. Translating that into the healthcare setting can invite people working in healthcare to expand their networks and promote research and new treatment methods they believe will change the face of healthcare. "Many social media tools are available for health care professionals (HCPs), including social networking platforms, blogs, microblogs, wikis, media-sharing sites, and virtual reality and gaming environments" (Ventola, 2014, p. 491).
The HON Code of Conduct for medical and health Web sites has several principles that may muddy the waters when it comes to introducing social…… [Read More]
Effects on Current Position
With "The Patient Protection and Affordable Care Act," many healthcare professionals are affected (Democratic Policy Committee, n.d.). Nationwide, hospitals are scrambling to buy hospitals in an effort to control costs. Doctors are leaving small private practices. Large insurance companies are becoming more dominant as smaller ones disappear because they cannot stay competitive (New York Times, 2011). Furthermore, epublicans denounced the law as an intrusion by the government that would prompt employers to eliminate jobs, create an unsustainable entitlement program, saddle states and the federal government with unmanageable costs, and interfere with the doctor-patient relationship. As a result, the law would exacerbate the steep rise in the cost of medical services, thus affecting the elimination of many healthcare positions. Ironically, less healthcare professionals will ensue, but an increase in patient care will be needed, as a result in more people becoming insured.
Challenges & Opportunities
Moreover, many…… [Read More]
Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).
The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…… [Read More]
This research will fill in a gap that was discovered in the literature review. There have been many, even in an academic setting, that have made comments regarding the effects of email on the student environment. However, there have been no significant studies to substantiate these claims. This study will fill in the existing gap in research and will examine the actual importance of email to the academic setting.
Chapter 2: Literature eview
The importance of technology in the academic setting was an accepted fact from the inception of the internet. However, there have been few academic studies that have attempted to quantify its impact on student lives and success. In order to understand the importance of email and its impact on students lives, one must examine several areas of academic research on the topic. It has been implied that self-esteem and a feeling of satisfaction play an important role…… [Read More]
Chapter 10: Direct to Consumer Advertising
Television advertising has caused a rift in traditional doctor-patient relationship.
Patients arriving for doctor visits with a firm, fixed idea of outcome -- prescribe me the drug because I saw it on television! Encourage consumers to think buying drug like buying soap.
End of expectation that individual doctor knows best and best medical care emerges from open discussion of patient symptoms, concerns, and exam and consideration of the options, some of which may involve lifestyle changes not drugs
1. Even in car, hear about medical miracles that can change your life. Unending assault on consumer ears through various media.
There are financial ties between many of the supposedly most trusted medical experts and the medical industry
Medical 'news' or advertising masquerading as news
Studies on real news shows, funded by drug companies are presented as objective
Inadequate medical coverage and…… [Read More]
Gallant, J. (2016). Alleged sex abuse victim's fight for justice turns into bureaucratic nightmare. Toronto Star. 2 Dec, 2016. Retrieved online: https://www.thestar.com/news/gta/2016/12/02/alleged-sex-abuse-victims-fight-for-justice-turns-into-bureaucratic-nightmare.html
In this article, Gallant (2016) describes the ongoing legal battle between Sveta Kholi and her former neurologist, Paul O'Connor. Kholi has accused O'Connor of sexual abuse. After the complaint was lodged formally, a complex bureaucratic process ensued whereby the entire case appears to have been stalemated. The College of Physicians and Surgeons of Ontario has a committee that formally handles complaints, and the Health Professions Appeal and Review Board (HPARB) is a civilian body that hears appeals specifically from that very same College of Physicians and Surgeons of Ontario.
However, the bureaucratic complications become even trickier. According to the journalist, the College of Physicians and Surgeons also has an Inquiries, Complaints and Reports Committee. The HPARB has ordered on two separate occasions for the Inquiries, Complaints, and Reports…… [Read More]
A diagnosis of Major Depressive Disorder is usually determined through the observation and evaluation of the person's own self-reported experiences. No form of testing, including laboratory tests can determine if a person has this kind of disorder. It is only through analysis of the person's behavior and communication can a psychiatrist identify the disorder.
Major Depressive Disorder tends to exhist in people who have had depression for quite some time or have had recurring depression. Although it is difficult to identify it can be determined and identified. Treatment usually involves cognitive-behavioral therapy.
Mood- Incongruent psychotic features is a term used to describe the characteristics of psychosis. The psychosis usually consists of delusions and hallucinations. They tend to be consistent with an elevated mood such as experienced in Bi-Polar disorder or in depression such as Major Depressive Disorder.
Something such as Schizophrenia is a Mood-Incongruent Disorder. Mood- Incongruent psychotic features tend…… [Read More]
Medical personnel served patients and visitors deftly; they were professional, attentive and knowledgeable and operated in a no-nonsense manner that I respected and hope to emulate as a practicing physician. The occasionally present language barrier posed few problems in the doctor-patient relationship while my friend recuperated in hospital.
Cultural differences in the medical experience can become issues for medical practitioners anywhere but especially in multicultural America. Doctors who treat patients from different backgrounds sometimes fail to accommodate for large extended families for visiting hours, for example, or doctors may resist accommodating for outmoded misogynistic cultural norms such as addressing the husband directly about the wife's medical decisions. Linguistic barriers can also impede a doctor's ability to properly treat a patient or offer the patient all the options available for treatment.
While in Asia I witnessed the diverse ways patients and relatives interact with doctors, reflecting social structures that emphasize hierarchy.…… [Read More]