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Communication in the clinical setting
Professional communication skills healthcare
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Recommended: Communication in the clinical setting
Communicating with someone who has a life-altering illness is not an easy task. A person needs to have compassion, patience, and listening skills. I have seen firsthand how a caring healthcare provider and having an attitude of optimism can prolong a person’s life. Illness can be characterized as acute, chronic, and life-altering (Tamparo). Acute is when a patient experiences severe symptoms for a short amount of time. Acute illnesses are not life-altering unless they are not treated. If left untreated, it may then lead into a chronic illness. A chronic illness is when the symptoms go on for a long period of time. Some examples are: arthritis, multiple sclerosis, emphysema, and chronic obstructive pulmonary disease. Chronic illnesses …show more content…
They are scared. Dealing with health insurance is very frustrating when someone is ill. Show compassion, and if needed, help the patient with their questions regarding insurance This group does not need extra stress of physicians telling them that their health insurance does not cover certain treatments and or medications. Physicians should try to connect with the patient and be sensitive to the hardships faced by those with long-term illnesses (Kowalczyk).
The lack of communication between patient and physician is a difficulty that this group experiences. The patient may be in denial, angry, and or frustrated and may not be able to communicate their feelings to the physician. It is important that the physician and team be aware of the body language. The physician needs to take the time to listen, and ask open-ended questions so the patient can reveal what is going on with them. Being supportive, sensitive, and nice will go a long way with this
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When my mother was diagnosed with Rheumatoid arthritis, our family life was never the same. My mother was in horrific pain all of the time. Being in that much pain caused her to lash out at the family which placed an enormous amount of stress on everyone. No one wanted to be around her. Looking back on that time, I can see why she was so angry and depressed. She was not able to cope with how much her life had been altered and the resources were not available to help her with everyday tasks. At that time, physicians prescribed cortisone for the pain and suggested Ben Gay for the relief of joint pain. Anti-depressants or anti-anxiety medications would have helped her cope with all of the changes happening to her and the family. Physicians not only need to treat the patient with the life-altering illness but the patient’s emotional health as well. Over the years, my mother has learned how to cope with her illness and now accepts the fact that she will not be able to walk again. In her culture, religion plays a big part in her life and because of it; she has lots of faith and hope. With all of the trials and tribulations that she has endured, she is not bitter and is one of the most positive people I
Charalambous, A. (2010). Good communication in end of life care. Journal of Community Nursing, 24(6), 12-14. Retrieved from EBSCOhost.
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
Thanks in part to the scientific and technological advances of todays’ society, enhanced medicinal treatment options are helping people battle illnesses and diseases and live longer than ever before. Despite these advances, however, many people with life threatening illnesses have needs and concerns that are unidentified and therefore unmet at the end of life, notes Arnold, Artin, Griffith, Person and Graham (2006, p. 62). They further noted that when these needs and concerns remain unmet, due in part to the failure of providers to correctly evaluate these needs, as well as the patients’ reluctance to discuss them (p. 63, as originally noted by Heaven & Maguire, 1997), a patient’s quality of life may be adversely affected. According to Bosma et al. (2010, p. 84), “Many generalist social work skills regarding counseling, family systems, community resources, and psychosocial assessments are relevant to working with patients and families with terminal illness”, thereby placing social workers in the distinctive position of being able to support and assist clients with end of life decisions and care planning needs. In fact, they further noted that at some point, “most social work practitioners will encounter adults, children, and families who are facing progressive life limiting illness, dying, death, or bereavement” (p. 79).
Treating the biological side of a terminal illness involves a spectrum of possible care that patient can pursue.
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
The Public Health Imperative measures the quality of life of an individual during times of severe chronic illness. This health imperative is characterized by: the potential to prevent suffering caused by the illness, major impact, and high burden. In the recent past is has become evident that care for older people, who have potential to become terminally ill, must be focused on. The types of patients may also lose the capability to make some of their most important decisions which include actions made by health professionals that are related to their end of life situation. Luckily actions were made to identify certain priorities pertaining to the public health and end of life issues. These priorities were established by the National Association of Chronic Disease Directors and the Healthy Aging Program at the Centers for Disease Control and Prevention. These end of life health priorities which address short-term, medium-term and long-term needs are also called advanced care planning. It can be concluded that communication between professionals and among families about the patient can enhance the effectiveness of advanced care planning.
Chronic illness or chronic condition is a long lasting or persistent disease or condition in a person’s health. A chronic illness can affect anyone’s life at any time. A person’s life can be affected greatly in many ways by a chronic illness. A person may be affected physically, their independence may be taken away, they may feel tired and/or in pain due to a chronic illness they may be suffering from. Financial problems may occur due to the high medical costs treating the chronic illness, someone could lose their, job, their appearance may be affected, and a person may experience confusion. If a chronic illness unexpectedly approaches someone’s life, a person may feel overwhelmingly confused. This confusion may come, because they don’t understand why they now have this illness. This confusion is primarily seen in children. Since chronic illness affects lives so greatly, a person may start to feel anger, stress, or anxiety because of the interruption of the chronic illness in a person’s life.
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
Moving forward, people should be able to be put out of their misery of their terminal illness. This is something that without a doubt will tear a person to shreds. This type of news, “can trigger feelings of depression, in both patient and loved one. These feelings can be severe or mild and can often be just one of the stages that a person goes through when learning of catastrophic news” (Terminal Illness). Some terminal illnesses this time is also very stressful with decisions that one can make. Although depending on what the patient has, the illness can be brutal and
When you live with a chronic illness, you already have enough on your plate. Dealing with muscle aches, fatigue, joint pain, headaches, mood swings, and brain fog is difficult enough without adding even more stress.
Her warm smile, caring nature, and outgoing attitude would never make you think that she has been fighting against chronic illness for over two decades. In school she acts as a mentor helping other students, and oftentimes the only time that her illness comes up in conversation is when classmates go out together and eat, because Cindy can only eat certain foods. Although she never lets her diseases rule her life, and always remains positive, she recalls the person she used to be, someone with energy and drive, in her mind she is still that same person, but that isn’t who she gets to be anymore. She doesn’t talk much about her childhood, only alluding that it wasn’t the most positive one. Before her diagnosis she recalls being scared to death, having anxiety because she was sure her diagnosis would be cancer, and knowing that there was no way she could die because she couldn’t stand the thought of leaving her daughter behind. Cindy began to feel as if she was in denial. Every day she had so little energy that even getting out of bed and to the bathroom in the morning sapped most of her energy. Meanwhile she had to still take care of her nine month old daughter because her husband refused to stay home and help. Her daily struggle with energy, joint pain, and malnourishment continued on until her daughter was three. Since she was so sure her symptoms were the
A long-term health condition can also be referred to as a ‘chronic illness’ and it can be used to define recurring conditions such as asthma, arthritis, and diabetes.
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...