Introduction This essay will analyse the doctor-patient interview in Appendix B, paying attention to the topic and turn taking, structure, the co-operative principle, modality, question forms, back-channelling and semantics. Analysis of these features will provide evidence for the tension and misunderstandings in the discourse. Topic and Turn taking The topic of the discourse is lead mainly by the doctor in the beginning but there is a struggle for topic and turn taking (Yule 2006) from the middle to the end. The doctor first loses some control in line 13 when the patient misreads the doctor’s intention when he asks about her headaches (line 12) and begins talking about the personal social aspect of their life, when the doctor is clearly …show more content…
The interview initially seems to follow the initiation, response, follow up model (Sinclair and Coulthard: 1975). However, as the interview progresses, the interview appears to break down, especially between lines 17-22 where the doctor does speaks over the patient cutting of the patient’s response, does not give any feedback and simply proceeds to the next question. From lines 22-24, there is more of a reluctance of the patient to elaborate and only gives 1 word answers, perhaps as a result of the doctor’s previous interruptions. The doctor does not provide any feedback, and as above, simply asks the next question. The breakdown of the IRF structure makes the interview appear more stilted and impersonal, perhaps not leaving the patient at ease. Modality At lines 31-33, the interview takes a worse turn. The doctor uses deontic modality (Palmer 1986) when he tells the patient that she ‘can’t drink that for any reason’ (line 31-32). The doctor takes advantage of their higher social power to command the patient that she cannot do something. This is a face-threatening act (Yule 2006) to the patient’s negative face (Yule 2006) which means that it can be interpreted as impoliteness on the doctor’s
In her personal essay, Dr. Grant writes that she learned that most cases involving her patients should not be only handled from a doctor’s point of view but also from personal experience that can help her relate to each patient regardless of their background; Dr. Grant was taught this lesson when she came face to face with a unique patient. Throughout her essay, Dr. Grant writes about how she came to contact with a patient she had nicknamed Mr. G. According to Dr. Grant, “Mr. G is the personification of the irate, belligerent patient that you always dread dealing with because he is usually implacable” (181). It is evident that Dr. Grant lets her position as a doctor greatly impact her judgement placed on her patients, this is supported as she nicknamed the current patient Mr.G . To deal with Mr. G, Dr. Grant resorts to using all the skills she
Bearing undergoes a series of examinations, she comes across Dr. Jason Posner, who is a former student of Dr. Bearing’s. Dr. Posner, much like Dr. Bearing, is a complete scholar, motivated solely by the possibility of discovery. One can immediately tell from his interactions with Dr. Bearing, that Dr. Posner is not exactly the most hospitable physician. He asks Dr. Bearing how she is feeling today but he asks not because he is genuinely interested in her answer, but because by doing so he satisfies the need to empathize. In one particular scene, Dr. Posner is preforming a pelvic exam on Dr. Bearing and lets out an alarming gasp when feeling her tumor. He does nothing to console or comfort Dr. Bearing and upon finishing the exam, he leaves quickly and abruptly. This tense and uncomfortable situation is quickly contrasted with Nurse Susie Mohanan’s response. In this terribly awkward moment, Susie offers Dr. Bearing a tissue and sympathizes with her simply by being there. The contrast between Dr. Posner and Susie in regards to the way in which they treat Dr. Bearing is strikingly different. This juxtaposition is further exemplified when Dr. Bearing becomes ill from all numerous rounds of intensive chemotherapy treatments. Dr. Posner insensitively diagnoses Dr. Bearing with fever and neutropenia, but at the same time vehemently refuses to lower her treatment doses. Susie tries to argue that Dr. Bearing’s quality of life is clearing suffering, but Dr. Posner will have none
In the vignette, the relationship between the physician and patient was authoritarian, and there was no patient-physician relationship to truly understand the concerns and the impact of his illness on the patient’s life. It almost seems that the physician did not take the patient’s concerns seriously. In addition, as his symptoms were worsening, although he consulted other physicians and he received contradictory answers, thus confusing the patient and decreasing the trust in the physician’s abilities. A patient centered relationship allows patient to build trust in the provider. I think that if the physician were more empathetic to the patient, the patient would not have had to look for answers to his questions in medical texts and other physicians. In fact, if there were open communication, maybe the doctors would have been able to find the injury and provide the necessary treatments, before it was too late.
Communication is the most important tool to being a good health provider. This assignment analyses an interview between a student from Perth Institute of Business and Technology, who acts as a health care professional and another student who takes up the role of a patient. The areas of communication focused in this analysis are interviewing skills, listening skills and questioning skills. There are examples provided for each aspect followed by suggestions and recommendations for future practices. However, the information in this assignment is fictitious.
4)Diabetes Self-Management Questionnaire (DSMQ) (AndreasSchmitt,AnnikaGahr,Norbert Hermanns, Bernhard Kulzer,Jorg Huber and Thomas Haak 2013,Health and Quality of Life Outcomes).
...to doctor affected her relationship with her dad. They got closer and she was surprise that when her dad heard the news from his doctor, they didn’t have to tie him down in fact of his aggressive behavior “I sat beside him. This was my father” (Olds 440). She was expecting her dad to act crazy since she had always known him as an aggressive person but she did not get that from him. However, his attitude changed instantly and starts and the way her daughter viewed him as an alcoholic changed her perception of her dad.
Emily is a neonatal intensive care unit (NICU) nurse of 11 years. Emily routinely provides care for babies as small as 800 grams (about 1 and ¾ pounds), babies born with drug addictions, and the routine twins and triplets born as a result of fertility medications and assisted reproductive technologies (ART). As a strong Christian woman, Emily wasn't sure she could fulfill the tasks required of her when she first came on. Nor did she think she could cope with the occasional “expiration” of a young life. However, after more than a decade, Emily continues to provide exemplary care to babies, and parents alike, in the first few weeks and months of life. Throughout her decade long career, Emily has seen much change and continues to see the landscape transform within her small part of the nursing community.
The doctor contains his professionalism, but as it goes on, pieces of frustrated irregularities begin to surface. As the doctor learns that the parents say no, that the girl says she doesn’t have a sore throat, he purs...
The movie “The Doctor” is a good example of how communications in the health field work to benefit not only the patient, but the doctor too. In this movie, the main character, also known as Jack McKee, is a heart surgeon. The movie begins by showing how McKee’s attitude towards his patients tends to be inappropriate. Jack jokes about his patients and laughs at their concerns. His home life is also a struggle; his relationships with his wife and son are falling apart. The movie takes a turn when Jack becomes suddenly ill. He begins coughing up blood. He meets with a specialist by the name of Lesley. Tests reveal that Jack has a serious tumor on his vocal cords. He has now become the patient. He begins treatment but the results are not what they expect. Along the way, he befriends a brain tumor patient by the name of June. She will teach Jack how to empathize. He will learn how to feel and communicate not only with his wife and son, but for his patients as well.
Interviewees Similarities One interesting similarity about the interviews is that all of them decided to go to school to become medical assistants, because it took less time than to go for a bachelor’s degree. “Many people who graduate from such programs struggle to find work. Those who do find work often make little money — too little to repay their debts from the program” (Carey, 2014). Some of the people attracted to becoming medical assistants are people with low income and no knowledge of the resources out there to get scholarships to go to universities. Once medical assistants find a job in the medical field; they gain knowledge in the world of medicine.
The first part of the history-taking process is creating an appropriate environment. Ideally, the interview takes place in an area that is safe, accessible, and free from distractions and interruptions. During this initial process, the interviewer introduces themselves and states their purpose and obtains consent to proceed with the health history interview. Additionally, the initial part of the interview is the time to establish the patient’s identity, age, and preferred way of being addressed. A relationship built on trust and respect for the patient’s privacy is necessary to developing a good rapport. It is important to remain unbiased and professional and furthermore, to treat the client with dignity. After introductions are made, the patient should be given time to tell their story in their own words. Active listening is a must during this interaction and involves both verba...
Medicine, medical supplies, and medical treatment are multi-billion dollar industries crucial to the wellbeing of the public. Doctors and other members of the health-care industry do their best to provide excellent care for the nation’s sick and injured, while scientists and researchers work to develop new drugs and technologies to fight disease. We often view medical care as a basic human right; something that all persons, rich or poor, should have access to in times of need. But despite our notions of what healthcare should be, those who make a living in this industry, specifically owners of firms, must contend with the same economic questions facing businesses in any industry. To learn more about this vast service industry, I interviewed Dr. Martin Slez, a dentist/oral surgeon and owner of a medical practice that provides both general care and specialized treatments for oral diseases. Of the topics discussed, firm goals, pricing, costs, and technology stood out as particularly interesting and unique facets of the organization, as they differed considerably from those in other industries.
To enumerate, we begin by viewing the doctor confronting the spouse while introducing himself using verbal and non-verbal cues to comfort the already anxious spouse. He uses his hands and greeting to catch her attention, the doctor then begins by informing the spouse about the surgery he performed on her husband the day before. This is part of the opening and feet forward stages of the Interpersonal Process in where the Doctor has introduced himself to make the spouse feel comfortable and brought up the subject of the husband's surgery before taking her to a more private room to disclose the unfortunate
It highlighted the fact that many patients feel like they will irritate the clinicians by engaging, they have a desire to be a ‘good’ patient who doesn’t ask too many questions and that they prefer to leave the decision into a person who has knowledge about their condition {14}. Nurses would, therefore, need to create an environment where the patient feels comfortable and confident to ask any questions they want, they can do this by assuring the patient that it is okay for them to have questions and inform their patient that they are there for
It is important that the patient does most of the talking throughout the interview, so that the doctor can elicit all of the information about the patient’s illness.... ... middle of paper ... ... A. (1981) The 'Standard' of Physician – Patient Communication.