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The doctor-patient relationship is one of many debates and change over the years. The reason it is so debatable, is that many people have different views on what this actual relationship should be, and how certain situations may cause questions in this relationship. Such questions could be, do I really want my doctor to make decisions for me, or I know my body the best, why should I not be able to make these decisions on my own, maybe a mixture of both. Either way this subject can be debatable on how the doctors and patients should go about these relationships. There are two models, in particular, out of four that have been deemed the models that doctors and patients should go by. These two, main models are, the interpretive model and the deliberative model.
The first model is the interpretative model, which in the doctor-patient relationship, is when a doctor reveals all medical information to the patient, then helps find out the patient’s values and desire, and finally the doctor counsels the patient into making a decision based on what is medically available and what the patient has for values and desires. In the article “Four Models of the Physician-Patient Relationship”, by Ezekiel J. Emanuel, MD, PhD, and Linda L. Emanuel, MD, PhD, which is an article stating four models of the patient and doctor relationship, and it describes these models, while also debating which model is best, the authors state that this model is like the Informative model which is when a doctor gives all the information to the patient and lets them decide what is best, except the doctor assist the patient on making a decision base on their values and desires. The authors go on to state that this model is based on the fact that the patient’s values ...
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...ns that if you are leaning one way they may just tell you how they feel and go in the direction you want, not argue until you change your mind.
To summarize this all up, the doctor-patient relationship is a complicated one. Many different outcomes of a case can come from the way a doctor acts in it. To say one model is better than the other, is really based on a patient’s personal preference. I feel the deliberative model is the best model, however, just because I feel this way does not mean that someone else does not feel the interpretative model is better.
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3. Gawande.'2002.'“Whose'Body'Is'it,'Anyway?”'Complications:0A0Surgeon's0Notes0
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One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
Goldman presents the patient’s ranking value as fixed and decided with no ability to change. In actuality, a patient’s ranking of different values can change depending on the circumstances. It is clear that when a patient goes to visit the doctor, they are ranking their health over other concepts because, at that point in time, their health has become their primary concern and they want to preserve it so they can continue to enjoy their other liberties.
Patient autonomy was the predominant concern during the time of publication of both Ezekiel and Linda Emanuel, and Edmund D. Pellegrino and David C. Thomasma's texts. During that time, the paternalistic model, in which a doctor uses their skills to understand the disease and choose a best course of action for the patient to take, had been replaced by the informative model, one which centered around patient autonomy. The latter model featured a relationship where the control over medical decisions was solely given to the patient and the doctor was reduced to a technical expert. Pellegrino and Thomasma and the Emanuel’s found that the shift from one extreme, the paternalistic model, to the other, the informative model, did not adequately move towards an ideal model. The problem with the informative model, according to the Emanuel’s, is that the autonomy described is simple, which means the model “presupposes that p...
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
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... event arises and it was due to lack of assessment of genuine comprehension. I think the best system of obtain consent would incorporate a regulated system that accommodated each institution and their requirements, but also equally weighed the importance of true understanding of facts and realization of the patient’s capacity to make decisions. But even if this was established as standard practice, there would still be the issue of how the assessment is made and how accurate it is due to other influences i.e. current injury status or medications needed for full psychological and or conceptual functioning. There could also be an issue of how to regulate such a subjective issue; each physician is going to have different ethical views and this will inevitably influence how he/she assess the patient and their ability to make the best decisions concerning their health.
This paper will examine This paper will examine the Confidentiality and Doctor Patient Relationship .In the rules of law and ethics that information between the doctor and patient should stray confidential the physician should not leak confidential information that the patient did not want this information revealed to others, confidential between the patient and the doctor is very important. It is based on trust and if these are the information were not protected will cease to trust in the doctor-patient relationship would be diminished. Patients should be informed about the information being held about to them, why and how they may be shared, and who may be shared with
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
Based on the understanding of what it takes to be a patient. The medical model and parson are both at an agreement. According to Parson “the ‘obligation to “want to get well” …. And to seek professional help and social support: to actively seek professional help, to trust the physician and to follow medical advice. The doctor-patient relationship is set up to enable
He believed that the patient was, above all, the most important aspect involved in the healing process. With the rise in the number of patients under a physician’s care and the stringent rules by which each doctor must abide, many doctor’s are finding that they are unable to devote ample time to become acquainted with their patients (spiralnotebook, pg 1). Furthermore, as newly acquired information regarding illnesses becomes available on the internet, patients are seeking the advice of multiple physicians (Changing, pg 3). These differences between patients and their physicians, as well as numerous others, have caused rifts in the patient-doctor relationship. Half a century ago, a doctor’s patients relied solely on their doctor for information and advice regarding how to treat a specific disease.
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.
...ns. Patients should not be so medically ill that they are unable to make this decision. Patients should be fully conscious and understand the implications of their decision. Everything should be documented possibly even videotaped that way the doctor doesn’t lose their job, receive a lawsuit or worst jail!
Doctors can only do so much; in order to be healthy one has to work along with their doctor by keeping up with preventative methods to help one’s health opposed to taking several pills per day for heart disease while continuously eating poorly. However, this partnership between patient and doctor must be met with tedious planning taking the patient’s whole lifestyle into prospective, from their religious to personal beliefs. Pride must be set aside by both partners, as they make negotiable compromises before consigning on this health plan. Doctor Danielle Ofri; writes in her article ‘Doctor Priorities vs. Patient Priorities’ that doctors view a patient’s medical condition ...
The doctor patient relationship is an important connection. Doctor-patient confidentiality is based on the idea that a person should not care for medical treatment because they fear the state will share with others.