Technology causes a delay in diagnosis due to the lack of physical examinations done by the patient’s physicians, therefore returning to the traditional bedside manner will be beneficial to the patient. Abraham Verghese, Blake Charlton, Jerome P. Kassirer, Mehgan Ramsey, and John P.A. Ioannidis were the authors of the research study titled “Inadequacies of Physical Examination as a Cause of Medical Errors and Adverse Events: A Collection of Vignettes.” In this study, Verghese et al discussed how physical examination in patients has been lacking in many hospitals. Therefore, this study was conducted for physicians to describe their failures of patient intervention, especially in physical examination and its consequences. According to the study, …show more content…
Through this article, it was evident that physical examination should be a primary care for the patients. This article states, “Although the majority of the errors were corrected within 5 days, even a delay of 1 hour might affect patient outcomes” (Verghese et al 1324). Through this quote, it is evident that physicians must not underestimate the importance of performing physical examination in patients. Physical examination is part of the traditional bedside diagnosis because it is a tool that allows them to conclude what diseases the patient has. In the introduction of this study, Verghese et al presented the statistic of how physicians today spend less time with their patients, and more time on the computer. The article …show more content…
Lo and Lindsay Parham’s article discussed about how some physicians feel challenged when the patients bring in the health information from the Internet to their office. This article states, “The physician’s perception that the patient was challenging her authority was the strongest predicator of perceived deterioration in the doctor-patient relationship” (Lo and Parham 21). Based on this quote, the reason why physicians might feel challenged is because they are taken aback by the confidence of the patient due to the patients already researching their own disease or symptoms online. The physicians do not know what illnesses that the patient might have without interacting with the patient physically first, therefore, making the physicians feel challenged by the patient whom have researched it previous to the meeting. By bringing information from the internet, some patients might feel that that they know everything about their health, and thus, they want an immediate intervention. In the article, “The Impact of Health Information on the Internet on Health Care and the Physician-Patient Relationship: National U.S. Survey among 1.050 U.S. Physicians” by Elizabeth Hurray from the Department of Primary Care and Population Sciences, Murray et al discussed how some patients request immediate intervention, when they do not need any
In today’s hospital environment, technology is starting to take over the patient’s role. Physicians are starting to place more importance on Abraham Varghese’s iPatient and using the patient only to create an iPatient. An example Verghese provides his audience is the difference in how physicians conduct their rounds during rounds when he was training and now. Back then, a group of training physicians would be surrounding a patient in his bed because the focus was around the patient. Today, training physicians are seen in a different environment. The discussion takes place “in a room far away from the patient. The discussion is all about images on the computer, data.” The patient has been completely replaced by the iPatient in today’s hospital environment. Because of this, the patient is essentially tossed aside wondering what is going and can only hope the physicians will make the best decision. By attending to the patient over the iPatient and keeping them informed of their condition the patients assured that his or her caretakers are doing what they can to improve the patients
information using the internet. Today patients are encouraged to be active in their care. Patient
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
The doctor might also conduct a physical examination to confirm the diagnosis. This is carried out by listening...
The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.
Most patient portals are linked to one physician’s office, which means that most patients will have to log on to numerous medical providers portals. Lets take a family of three in consideration. They would have to log on the Pediatrician, the Gynecologist and the Family doctor patient portals to obtain their medical information. Although one of the benefits of Patient Portal is that patients can send questions by way of email. It may become a challenge deciphering what a patient is asking. There is also the risk of giving incorrect information in response to a patient’s question. Systems have to be set up using a delivery system that guarantees emails have been received, viewed and responded to. Another set of challenges is related to clinicians and staff who have concerns about managing online communication. Providers are concerned that e-mail and web would add to their workload rather than substitute for other tasks, and that many messages might not be clinically relevant. (Slabodkin, 2015) In addition, there is currently little consensus about the rules of patient-provider online interactions and the important role that can be played by staff in responding to certain types of messages. In general, patients are unaccustomed to online communication in clinic settings. Another important challenge is the growing digital gap in the community. Not everyone has a computer or even access to a computer. It’s hard to believe, but there is a
...uys out. In conclusion, a warning, technology is there to guide and help a physician it is not, nor has it ever been intended to replace the physician patient relationship.
The expected hierarchy among health care providers is led by physicians. The doctor has long been the “expert” on anything to do with the human body, whether it is disease or injury. The evolution of technology brought the World Wide Web readily to every consumer’s doorstep resulting in a slight shift of this everlasting faith. Older adults continue to retain some of this confidence in their physicians due to their tendency not to use the internet and search for their own ...
The doctors’ role in society is to help cure patient. Under those circumstance, doctor sometimes have to diagnose complex symptoms. It’s stressful because the ration of doctor and patient is overwhelming. In the United States (US) alone, it takes
In the provision of a high quality care, many factors influence the way it is provided; however, IC is crucial. A healthy work environment would result from open communication among the staff, it would increase the employees and patients’ level of satisfaction and sense of well-being. Good communication is the cornerstone for the IC, it is a complex process which requires to develop some skills to learn how to transmit some information. One of the most common factors leading to medical errors, are due to miscommunication, sometimes because the message is not clearly sent, and others because it is not clearly received or it is misunderstood (Danna, 2015). In terms of communication non-verbal communication must be taken into consideration as well; body language, facial expressions, use of space, and touch, entail conscious or unconscious movements and gestures, also impacts the communication among the staff and
Initially, I spoke to an advisor, whilst at home, who asked a set of automated questions to assess my symptoms and decide the best course of action. Although this was an uncomfortable process, as it was something I had not experienced before, the advisor was patient and understanding (Finkler, 1991). The language used by the advisor was easy to understand from a non-medical perspective and she took her time to explain the information covered. This improved my confidence in the process, but also made me feel as though I was taken seriously and would receive the correct advice. In contrast, when I spoke to the Doctor over the phone there was a noticeable change in terminology and the general flow of conversation. The doctor rushed through the conversation using medical terminology and offered no explanation for his decision. During a medical interaction, it is important for the patient to be confident that the professional is listening and taking their issues seriously as in order for health care to be effective the patient needs to have confidence in the health professional (Staum and Larsen,
Medical errors can happen in the healthcare system such as hospitals, outpatient clinics, operating rooms, doctor’s offices, pharmacies, patients’ homes and anywhere in the healthcare system where patients are being treated. These errors consist of diagnostic, treatment, medicine, surgical, equipment calibration, and lab report error. Furthermore, communication problems between doctors and patients, miscommunication among healthcare staff and complex health care systems are playing important role in medical errors. We need to look for a solution which starts changes from physicians, nurses, pharmacists, patients, hospitals, and government agencies. In this paper I will discuss how does the problem of medical errors affect our healthcare delivery system? Also how can these medical errors be prevented and reduced?
Physical assessments and vital signs go hand in hand when pertaining to a patient’s care due to the circumstance that they work hand in hand to create an indication of the patient’s physiological state and show healthcare providers the protocols necessary to assess the patient. Vital signs are known as the regular components and the foundation of a patient’s physical assessment (Joseph J. et al., 2006). They are both necessary to obtain for the patient and the provider. As people age, they tend to require more assessments that are necessary to remain benign (Y. Guigoz, B. Vellas, P. Garry, 1996) so, the addition of a nutritional assessment to an elder’s nursing intervention (taken by proficient healthcare providers) should be a resolution
A few decades ago, an unusual cough or a painful headache resulted in an immediate visit to the doctor. Scared that their symptoms were associated with a terrible disease, people were unwilling to relieve their pain on their own or wait until it passes. However, today’s Americans are more autonomous and take the alternative route: self-diagnosis. With the advancement of technology, a simple search on healthcare websites like WebMD or a quick post on social media can offer immediate answers to the ill’s symptoms and treatment options. Since WebMD’s creation in 1996, self-diagnosing has become increasingly popular during these two decades. In a 2013 research done by Pew Research Center's Internet & American Life Project, 59% of people search
Parker el al’s assured that bedside reporting was less effectual as it was often a narration of fact rather than analysis of patient’s condition (J.Parker & G.Gardener, 1992). In consonance to Laws and Amato there are disadvantages to switching bedside reporting which built-in discretion, conversation of perceptive topics like test results and innovative diagnoses and issues with non-compliant or tricky patients. An additional apprehension is the report will be extended due to patient enquiry or interactions with receiving nurse (Laws & S.Amato,