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Doctor-patient empathy
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Good afternoon, everyone. My presentation is entitled “Indoctrinating the Jasons of Medicine,” which means I will focus on the desensitization of the medical field.
My synopsis of W;t by Margaret Edson focuses on addressing the research-oriented mindset of the medical staff Vivian encounters during her hospital stay. When considering W;t as an honest reflection of medical treatment, Vivian is reduced to the common patient entirely dependent on medical staff, Jason is a knowledgeable doctor until his social skills are considered, and Susie embodies the goals of empathy training.
The research question I derived from this work was, “What problems does the desensitization of medical staff to their patients present to patient treatment, and what
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In the article, “Should We Train Doctors for Empathy” by Jill Suttie, Suttie recalls her apathetic diagnosis of hip surgery, leading her to choose a different orthopedist. However, empathy is not just a marketable attribute for patient appeal; empathy is also a treatment separate from medications. The article “Empathy: Lost or Found in Medical Education?” by Sonal Singh provides an anecdote on how an elderly patient only recovered from her isolated hospitalization anxiety when Singh comforted her regularly. In addition to their uncaring attitude, medical staff also disregard patient wishes. As quoted in the article “When Doctors Ignore 'Do Not Resuscitate' Orders” by Daniel Summers, which is of particular relevance to Jason, over 88 percent of doctors reported choosing a DNR advance directive. Yet Summers, a medical employee himself, explains that despite this shared desire with patients, most doctors still attempt to prolong …show more content…
To clarify the goals of empathy training, as quoted in Singh, empathy involves cognition to understand and communicate that your patient’s mindset is distinct from your own, whereas sympathy lets your patient’s mindset influence you. One approach to developing empathy, as detailed in the article “Narrative Medicine: Every Patient Has a Story” by Kim Krisberg, aims to enhance students’ focus on patient stories. According to Krisberg, this is done by increasing humanities studies during medical school to enhance articulation to patients. A drawback is that humanities requirements are added to an already lengthy education and further postpone career initiation. And of course, as Edson demonstrated with Jason, literary studies could also enhance a research-oriented mindset rather than providing a more humanistic perspective.
Another approach would be Empathetics, which is detailed on their own webpage. Empathetics combines online learning of handling patients’ situations empathetically and as well as live training of teamwork (Empathetics). In comparison to narrative medicine, Empathetics provides more guidance to develop communication skills. Unlike narrative medicine’s individual focus, Empathetics also utilizes peer
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
The one example of this that I found most relevant in the book is the situation of Armando. Armando was shot and the bullet lodged in the spinal canal. It caused enough damage to make him a paraplegic, but not enough to kill him. The ethics committee had decided that it was best to encompass a DNR because he had no health insurance, and his quality of life was not what it was before. When the doctors went to approve this with Armando, he denied the DNR and said that he wanted what ever was necessary to be done to him to save his life (Belkin p. 58-59). This made Cindy worried for the cost of keeping him alive was substantial. All the doctors and caretakers believed that he should be placed under DNR, however that was not what Armando wanted. The doctors believed that was the wrong decision. This correlates to what the quote was from the book on page 70; doctors can tend to be narrow-minded when it comes to the care of a patient. They believe that their course of action is the best and do not agree if the patient wants something different. This I have found is also true in my own personal experience with doctors. For example, when I was about 17 my wisdom teeth were growing in. I was in terrible pan from two of my wisdom teeth being impacted. My
People trust doctors to save lives. Everyday millions of Americans swallow pills prescribed by doctors to alleviate painful symptoms of conditions they may have. Others entrust their lives to doctors, with full trust that the doctors have the patient’s best interests in mind. In cases such as the Tuskegee Syphilis Experiment, the Crownsville Hospital of the Negro Insane, and Joseph Mengele’s Research, doctors did not take care of the patients but instead focused on their self-interest. Rebecca Skloot, in her contemporary nonfiction novel The Immortal Life of Henrietta Lacks, uses logos to reveal corruption in the medical field in order to protect individuals in the future.
This quote centers Henrietta Lacks’ story around the same questions that have driven the Doctoring course: What does it mean to care for others? And how do we ensure that we care for our patients first as people, rather than as a disease? In many ways, Henrietta Lacks’ story is a textbook case in how not to be a good physician. In examining and learning from her story through the lens of Doctoring, we can inform our own practice and
This requires respect and compassion and prioritizing their comfort and values. I believe that as future physicians, we must be open to the different identities and perspectives of each individual in order to try to understand their beliefs and concerns. This level of empathy allows us to connect with patients on a deeper level and treat them with better quality care. Given this, I was immediately drawn to Georgetown’s Literature and Medicine program. Having taken a similarly named course during my undergraduate career, I recognize how literature, fiction or non-fiction, can create a compelling narrative that draws us into the mind of the writer and the characters. Medically related narratives raise issues that we will be confronted with later on in our careers, such as the respective responsibilities of the patient and physician, the role of medical ethics, and the value of compassion and empathy. This program will help me to become a more reflective and empathetic individual that places the beliefs and comfort of the patient at the forefront of my professional practice, and can competently cater to the needs of a diverse
Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part.
Empathy is used to create change in the world by reaching out to the emotions of people and attending to them. It is used to help others learn and decide on matters that would not be reasonable without feelings attached to them. Empathy helps bring together communities that would have long ago drifted apart, but instead welcomed all who were different. Empathy is the ability to understand and share the feelings of another. This attribute of human-beings really allows us to not only attend to situations as if they were our own, but it allows us to feel most of what others feel because humans are very much alike in some ways. In many of the articles and novels that we have read this quarter, characters from different pieces of context have portrayed empathy whether it was toward
This internal conflict is a result of the mistakes a physician makes, and the ability to move on from it is regarded as almost unreachable. For example, in the essay, “When Doctors Make Mistakes”, Gawande is standing over his patient Louise Williams, viewing her “lips blue, her throat swollen, bloody, and suddenly closed passage” (73). The imagery of the patient’s lifeless body gives a larger meaning to the doctor’s daily preoccupations. Gawande’s use of morbid language helps the reader identify that death is, unfortunately, a facet of a physician’s career. However, Gawande does not leave the reader to ponder of what emotions went through him after witnessing the loss of his patient. He writes, “Perhaps a backup suction device should always be at hand, and better light more easily available. Perhaps the institutions could have trained me better for such crises” (“When Doctors Make Mistakes” 73). The repetition of “perhaps” only epitomizes the inability to move on from making a mistake. However, this repetitive language also demonstrates the ends a doctor will meet to save a patient’s life (73). Therefore, it is not the doctor, but medicine itself that can be seen as the gateway from life to death or vice versa. Although the limitations of medicine can allow for the death of a patient to occur, a doctor will still experience emotional turmoil after losing someone he was trying to
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
In the medical field, there are many ethical dilemmas that a person could face. One of the major dilemmas in the medical field comes from being a doctor. While attending to a patient/ client the doctor may not know the best treatment or course of action to take because of the many options there could be. The values and beliefs of a doctor can’t interfere with the treatment of a patient/client. Their job is to be honest, benevolent, respectful, and to maintain confidentiality of the patient/client.
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Doctors must be thoughtful about the self-fulfilling prophecy. This can be defined as, “positive and negative expectations [which] can evoke cognitive and behavioral processes, which in turn can make the expectation true,” (Wurm, et al., 2013, p. 1088). Since a doctor is seen as a mentor, this will influence the patient by setting them up for a positive or negative experience. Self-fulfilling prophecy is reflected in the actions of the doctor including the way they treat the patient, how they talk to them, their attitude, and much more. For example, I had a really bad experience with an anesthesiologist. I have a history of becoming severely ill under the influence of anesthetics as my mother told him this, he pretended not to care and acted as if he knew better. He always had a negative attitude ever since he walked into the room. Therefore, he took no action prevent my illness before the surgery and sure enough, as soon as I woke up I became ill and was sick for a week afterwards. This just goes to show how this particular anesthesiologist followed the self-fulfilling prophecy by treating me negatively and acting negatively, to produce an undesired outcome. Another way medical professionals impact patients is shown by the amount of time one give to see and diagnose the patient. One report shows that a primary doctor will typically allot 15 minutes per
It is about the personal understanding and treatment of the patient as an individual, interpreting the situation from their perspective. Gain a complete understanding grounded in professional and research-based knowledge of clinical practice; personal reflection and a consciousness of the patient’s attitudes, beliefs and behaviours. (Olckers, Gibbs & Duncan 2007: 2-3) Empathy involves gaining insight into patients’ backgrounds, core values, relationships and medical history through dialogue. Chochinov 2007: 1877 - 1877. Reflective Dimension:..