This incident happens in Social Security Hospital Lahore on my clinical day on 20th Feb 2014 in medical ward. A 58yrs old lady was sitting on the bed no 08. She was looking very tense and worried. She presented with complaint of chest burning and pain, her medical diagnose was Gastroesopheagel reflux disease (is a condition in which the stomach contents leak backwards from the stomach into the esophagus). She came here after getting treatment from different hospitals. This hospital was of her last hope. At 9am consultant came and checked her and discharged her for endoscopy (Endoscopy is a nonsurgical procedure used to examine a person's digestive tract) which she already had. Doctor in charge of that patient did not properly communicate to the patient why he wanted repetition of the test. That test was expensive and patient was poor. She cannot afford such expensive test again. The patient and her family members were very worried and tense. Even the nurse on duty misbehaved them and did not listen them when the patient and her family member asked for help.
I feel very bad as no one educate and counsell the patient that why she had to repeat the same test. She was thinking that her disease is cureless and doctors want to let her out. I feel sympathy for the patient and her family members as they were very innocent and uneducated. . They were belong to a very poor family and did not afford more expensive test.
Communicating effectively with patients and families is a keystone of providing quality health care. Patients, who understand their providers are not accepting their health problems, do not understand their treatment option feel increas...
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...ot only the psychological, but also socio-cultural, environmental and politico-economic features of a disease and its treatment and its impact on patients and their families. (McCabe & Timmins, 2006).
If a patient does not understand the implications of her diagnosis and prevention or treatment
plans, an untoward event may occur. The same is true if the treating physician does not understand the patient or the cultural context within which
the patient receives critical information. In fact, communication breakdowns, between care providers and patient is the root cause of this incidence.
Frank, J., & Frank, J. (1991). Persuasion and healing a comparative study of psychotherapy (3rded.).Baltimore: John Hopkins University Press.
McCabe, C., & Timmins,F.(2006).Communication Skills for Nursing Practice. Palgrav: MacMillan.
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
... cultural barriers to care. Journal of General Internal Medicine, 18(1), 44-52. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1494812/
The receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while. Additionally, she was unable to focus on Ms. Patient and got distracted when another patient asked for indications. The receptionist clearly indicated unprofessionalism when she was unable to provide adequate information for the patient when she was disoriented. Also, the receptionist did not have any manners when she failed to excuse herself when another patient wanted to speak with her. Ms. Patient stated that she felt extremely vulnerable and lost when no one was able to help her understand what was going on. Therefore, the healthcare team in this case was unsuccessful in providing a caring and helpful environment for the
Communication encompasses a wide range of processes such as the exchange of information, listening, posing of questions (Fleischer et al., 2009) or use of body language. In a healthcare environment where there are constant interactions among nurses, doctors, patients and other health professionals, professional and effective communication is important in ensuring high quality healthcare standards and meeting the individual needs of patients.
programs, particularly with treatment initiation and retention. Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goat of the clinician should be to uncover social cultural issues that will affect acceptance, retention, and ultimately, treatment outcome". (Patrick Abbott, MD and Duane M. Chase. n.d para,
On my third day of clinical course I had an African America patient age 72, female, a retired high school teacher who was admitted for an Acute Diverticulitis with Perforation. She is diabetic and had a medical and surgical history of diverticulitis, High Cholesterol, Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Hysterectomy, and Scoliosis. She has been on clear liquid diet since she was admitted then she was Nothing by Mouth NPO for the CT scan for that day. When I got the assignment that I was going to be taking care of a patient with an acute diverticulitis, the first thing on my mind was that she will be in a severe abdominal pain, high fever due to infection because my aunty had same disease. To my surprise, she claimed a 0 /10 on a 0-10 pain scale. Her blood sugar and vital signs were normal except for respiratory that was 22. All her laboratory test results were normal including WBC. Patient concern was that she couldn’t have a bowel movement. She was medicated on Colace- a stool softener, morphine for pain, sulfran for nausea, and azactam an antibiotics.
Understanding that all patients needed to be treated justly and given the opportunity to make decisions in their care is important. Not causing harm and preventing them from harm is also the duty of health care workers. These ethical principles are essential to keep in mind with interdisciplinary communication. Ineffective communication has been associated with medical errors, patient harm, and increase length of stay. Failure to communicate properly has been associated with 79% of sentinel events (Dingley, Daugherty, Derieg & Persing, 2008). Good communication has been shown to improve patient satisfaction, increase in patient safety, as well as a decrease in health care costs (Paget et al.,
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
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...
At the time, I was unable to mentally get past the fact that she was refusing blood products to potentially save her life. This was information that I did not know the answer to. I immediately called the doctor to see if there was we could do to help her. The doctor discussed with the patient if she was willing to receive intravenous iron. Intravenous iron has been shown to be helpful for patients in restoring red blood cell and hemoglobin levels. However, the effects are not immediate (Posluszny & Napolitano, 2014). I continued to do more research and found that by educating this patient on her diet as well as safety precautions to take when ambulating were other ways in which I could help this patient recover.
...d care has potential for better patient outcomes as well as benefit for health care professionals. With improved provider-patient communication, each could potentially teach the other what it means to be sick, what treatments are religiously or culturally endorsed or otherwise, what factors impact decision making and who makes the decisions. Providers certainly have the need and the capability to enhance their abilities to question patients respectfully and non-judgmentally, while patients can beencouraged to better explain their concerns without hesitation or reservations.
Communication involves relaying information from an individual to another through the use of verbal and nonverbal techniques. Many factors affect the effectiveness of information relay. It involves evaluating verbal aspects such as tone of voice, the emotional content being communicated, the timing and rapport of the interaction with patients, and nonverbal techniques such as facial expressions, time invested. It is necessary for productive and satisfactory work environment, improved patient outcomes, and settling conflicts. The purpose of this paper is to identify issues with ineffective communication and ways to improve proper communication throughout the a hospital’s interdisciplinary team and patients.
University of Phoenix. (2014). Syllabus. Retrieved from University of Phoenix, HCS/320 Health Care Communication Strategies website.
Healthcare professionals require effective communication skills in order to communicate with the varied range of patients they deal with in health and social care settings. ‘Effective communication skills are key in health and social care because they help you to establish and develop relationships with colleagues, management and families. Communication is the simplest way to really get a sense of how a person is coping and what steps you need to take to improve their health and wellbeing’ (Stonebridge College 2016).