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REFLECTION - EARLY PATIENT CONTACT - JC1 PORTFOLIO ASSIGNMENT
On Tuesday November 15th 2016, I had met a patient named E.K. at the GP’s office. E.K. is a 77 year old Irish woman living in Dublin. Throughout her life, E.K. had been through a lot of unfortunate medical events. At an early age she was diagnosed as blind and went to a school for the blind. She went to college, worked in a factory and eventually had a daughter who had given her two grandchildren. A few years ago EK, had gotten into an accident on the bus where she had fallen and fracture her hip. She had many infections and had arthritis but currently she is easily coping with it. Blindness and a hip replacement is not her main worry in life. About one year ago, E.K. suddenly
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From E.K’s experience, it’s evident that patients hold high importance of a physicians patience, communication & listening to them. Queen’s University, School of Medicine CanMEDS framework is organized around communication, collaboration, health advocation and professionalism(1). A concept from the doctor-patient relationship lecture on ethics with regards to E.K.’s experience is compassion and care. Compassion and care is one of the components of medical professionalism. Care is an emotional commitment to act on behalf of a person with a significant relationship(2). As a doctor you are focused on the patient, where your attitude towards anothers welfare and an emotional response of sympathy towards another’s suffering …show more content…
Conclusion
Based on your analysis, summarize what you have learned from this patient experience.
In conclusion, based on E.K’s experiences, I have learnt the importance of patience, compassion and listening. A doctor must take time for their patients and listen to every word that they have to say and to not rush an appointment. A doctor must also help build a good relationship with their patient so that they can be encouraged to communicate all of their thoughts and feelings so that the right course of action for their health can occur. I believe that a good patient-doctor relationship can aid in the level of accuracy of the appointments evaluation
6. Action
The medical values learned in chapter 11 are, emotional detachment, professional socialization, clinical experience, mastering uncertainty, mechanistic model, intervention, and emphasis on acute and rare illnesses. The three that I mainly care about are, emotional detachment, mastering uncertainty, and clinical experience. Emotional detachment is a very important medical value because this can strongly affect not only the patient but the doctor as well. The doctor is supposed to sustain emotional detachment from patients. (Weitz 276). A doctor should try and keep their distance because their emotion can strongly affect the patient. How a doctor reacts or approaches a situation will show how they are with emotional detachment. Mastering
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
“The Doctor” presented interesting and emotional concepts accurately representing the philosophies and behaviors of many medical professionals. Perhaps its viewing would be beneficial by members of our medical community, and provide a framework to the personalization of patient care.
Patients deserve the full attention of their doctor. (Wilkinson) One of the things that is distracting health care professionals from paying attention to their patients is technology. Physicians can get so caught up with filling out forms and answering calls that they aren’t giving enough time to their patient. (Britt) A harmless solution to this problem is just asking the person to wait a few minutes, so the doctor can finish up what they’re doing and then be able to devote their full attention to the patient. There needs to be a balance between giving someone very little time and wasting too much time on one person. That’s why doctors not only need to focus but also remain in control. Often patients will ramble on about their problem even after the doctor has figured out what’s wrong. For a case like that, every doctor should have something prepared to say in order to go treat other patients.
Patient’s experience with the healthcare team to the standards of patient centered care, there are some parallels and differences. In Barry and Edgman-Levitan’s text Shared Decision making: The Pinnacle of Patient Centered Care, it explained how the patient centered care is divided into three broad areas. One of the areas discussed about information, communication and education. It stated that “Adequate information must be shared with the patients and this would include clinical management…This is very relevant in understanding the concept of self-care and individual health promotion..” Barry& Edgman-Levitan (2012). In Ms. Patient’s case, the doctor was able to explain thoroughly to the patient and her parents about her current health condition and idea of scoliosis so the patient can have a better idea about self-care while reassuring her parents. Therefore, the doctor successfully shared adequate information about the patient’s condition so she can better understand how to manage herself effectively. Another example from one of the broad areas was idea of integration and coordination of care, “patients feel vulnerable when they are faced with illnesses and they feel the need for competent and caring healthcare personnel.” Barry& Edgman-Levitan (2012). In this case, both the doctor and the nurse proved themselves as part of a caring healthcare personnel when they tried to have a casual conversation with the patient in the beginning and asking her
It is quite obvious that morals, ethics and common courtesy are not enough to encourage the respect of patients in the educational atmosphere, as is seen in the story. I believe it is the responsibility of the medical school to encourage their teachers to demonstrate ways to connect with patients rather than just teaching the anatomy of health care. Teachers are supposed to be role models for students and if they are not taught to treat patients with respect, the only way they can learn that kind of skill is the hard way; through the loss of patients because of their feelings of irrelevancy at the doctor’s office, or through the complaints of people who are unsatisfied with their quality of health care.
In the medical community there appears to be a divide between disease-centered care and patient-centered care. Both Charon and Garden, readily acknowledge this. Charon explains how although doctors can boast in their “impressive technical progress,” and “their ability to eradicate once fatal infections,” doctors often lack the abilities to recognize the pain of their patients and to extend empathy (3). Charon further adds that “medicine practiced without a genuine and obligating awareness of what patients go through [empathy] may fulfill its technical goals, but it is an empty medicine, or, at best, half a medicine” (5). Often, doctors fail to remember that their patients are more than just a person with cancer or a congenital heart defect — they are human, a whole person with dreams, aspirations, and fears. According to Charon, “scientifically competent medicine alone cannot help a patient grapple w...
Professionalism is an adherence to a set of values comprising both a formally agreed-upon code of conduct and the informal expectations of colleagues, clients and society. The key values include acting in a patient's interest, responsiveness to the health needs of society, maintaining the highest standards of excellence in the practice of medicine and in the generation and dissemination of knowledge. In addition to medical knowledge and skills, medical professionals should present psychosocial and humanistic qualities such as caring, empathy, humility and compassion, as well as social responsibility and sensitivity to people's culture and beliefs. All these qualities are expected of members of highly trained professions.
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
The purpose of this essay is to demonstrate the importance of social science and ethics in medical education and medical practice. This will be achieved by addressing four main headings: social construction of medical and ...
I was able to gather the wealth of knowledge that Lisa Sanders communicates in “Every patient tells a story”. This knowledge I speak about is beyond just “book knowledge” it is wisdom expressed in the words and through the eyes of the medical professionals and their patients. Even though this book had many lessons to offer, the key recurring theme/lesson/concept that is constantly communicated is the importance of a properly executed diagnosis. In the vivid description of the pain and suffering experienced by the patient, Cryst...
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.
Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.
The ideal of compassion can be applied to the professional life in many ways, such as leadership, relationships, job fulfillment and performance. The ethics of compassion in
Doctors can pursue many career paths, including private practice, university-hospital work, or a job with a health maintenance organization. The first lets the physician be his own boss. The second offers him the opportunity to divide his work between treatment, research and instruction, in varying proportions. The third means he work for a large corporation, which provides him with patients and handles most of the administrative and business tasks that physicians in private practice have to handle on their own. Doctors can also work in inner-city clinics or in rural areas, where shortages of doctors exist. Doctors can be general practitioners or they can specialize in internal medicine, cardiology, endocrinology, neurology, oncology, sports medicine, or one of the many other specialties. Medicine is a very rewarding profession, but it is hard work. Doctors are often exhilarated when they know they have helped someone get well and devastated when they lose a patient. It is a job that can prey upon a physician physically and mentally. Since the average patient is not a doctor, physicians must not only be able to communicate difficult, often painful information to those in their care, but also they must learn how to interpret their patients' needs. They must relate to their patients as people and not reduce them to just the illness that needs to be treated. One element of this is collaborating with their patients to determine the best course of treatment for them as individuals. This requires patience, empathy, and compassion. "Compassion," said one doctor, "is absolutely necessary."