Doctor-patient communication: doctor’s responsibility
Razi has pointed out several aspects of doctor-patient communication: doctor’s behavior towards patient, doctor’s attitude towards patient, professional conscience, feeling of professional responsibility, no physical, mental or materialistic abuse. In the 23rd volume of al-Havi, where a number of criteria are pinpointed in selecting physician candidates. Those related to appearance are:
A doctor is supposed to have good looks. His face, hair, body and clothes should be clean and desirable. He is expected to be cheerful and glib; avoid angry looks and making hasty decisions; not to be seeking luxury; have a mild tone and set a good example of good deeds and behavior. He needs to be kind and
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Similarly, for the treatment to be done in the best and safest way possible there are certain duties expected from patients too. They include: patient’s intimacy with doctor so as to open his heart andaccept the medical procedures some of which might sound inherently undesirable. Razi put forth several real-life clinical instances of the hazards of inadequate patient-doctor intimacy. It could cause the concealment of patient’s secrets, increasing pain and even death. With this regard Razi narrated an …show more content…
The requirements Razi mentioned for patients correspond to many duties considered in many nations as a patient’s. American Medical Association has also assumed such duties for patients. Razi emphasized on showing good temper, mild behavior and intimacy towards one’s doctor. He even advised people to see their doctor as a close friend. He viewed this to be essential for achieving an accurate and effective diagnosis. However a growth of medical ethical issues and introduction of patient’s rights was accompanied by a wring conception that such duties were in contrast to patient’s autonomy (Meyer, 1992: 541). Razi’s insistence on doctor-patient intimacy and contriving of certain duties for each to improve this relationship is important since besides therapeutic effects they help a better and more precise cognition of most diseases. This is an achievement observed in many of Razi’s works, his introduction and cognition of many
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
Atul Gawande is not only our resident surgeon; he’s also a patient himself. He’s anxious before performing a surgery, he dwells on mistakes, and he has emotions: he’s human and he understands us. However, he does not appear to share concerns with his patients initially. Gawande experiences a long, drawn-out development from a young medical student to the doctor he is today. This process of identifying with patients is evident in his anthology of essays Complications: A Surgeon’s Notes on an Imperfect Science. Dr. Gawande appears to emphasize the value of making mistakes, and how it is a core component of his daily life as a physician. His mistakes are dependent on the “good choices or bad choices” he makes, and regardless
“A healthcare provider’s bedside manner encompasses their medical knowledge, personality, and ability to understand the patient and communicate their concern for them.” (Britt). Although some individuals don’t see the importance of communication and emotional connection with patients in the medical field, doctors who have problems properly interacting with their patients will have a lower chance of success in healing them. Doctors receive so much education but are never taught proper bedside manners, which is the way that physicians interact with patients. In order to ensure a patient’s comfort, psychological well-being, and physical health, a physician must truly understand their patient.
3. Honor: doctors ought to act decently. They ought to approach their patients with deference, and ought not enter into questionable relations with them; and
Doctors are well respected within the realm of American society and are perceived with the highest regard as a profession. According to Gallup’s Honesty and Ethics in Profession polls, 67% of respondents believe that “the honesty and ethical standards” of medical doctors were “very high.” Furthermore, 88% of respondents polled by Harris Polls considered doctors to either “hold some” or a “great deal of prestige”. Consequently, these overwhelmingly positive views of the medical profession insinuate a myth of infallibility that envelops the physicians and the science they practice. Atul Gawande, in Complications: A Surgeon’s Notes on an Imperfect Science, provides an extensive view of the medical profession from both sides of the operating table
In conclusion, every patient is worried about their rights to care but not so much are focused on the rights of the physicians providing the care. It is hard to establish a respectable practice if you are required to perform care for instances in which you object or do not want to be a part of. This detracts from the ethical background of practice and procedure every physician should hold to the highest standard.
The movie “The Doctor” is a good example of how communications in the health field work to benefit not only the patient, but the doctor too. In this movie, the main character, also known as Jack McKee, is a heart surgeon. The movie begins by showing how McKee’s attitude towards his patients tends to be inappropriate. Jack jokes about his patients and laughs at their concerns. His home life is also a struggle; his relationships with his wife and son are falling apart. The movie takes a turn when Jack becomes suddenly ill. He begins coughing up blood. He meets with a specialist by the name of Lesley. Tests reveal that Jack has a serious tumor on his vocal cords. He has now become the patient. He begins treatment but the results are not what they expect. Along the way, he befriends a brain tumor patient by the name of June. She will teach Jack how to empathize. He will learn how to feel and communicate not only with his wife and son, but for his patients as well.
Majoring in medicine is one of the most intellectually challenging things that I’ve ever been a part of. When faced with task to do a research paper depicting a problem in your major, well because the medical field is so broad so I found a topic that is almost never talked about. “Love and Medicine”, I chose this topic because it deals with physicians being more than “friendly” with their patients as unethical as this may seem it happens almost. The relationship between a patient and a doctor should be extremely platonic; doctors should always know his or her boundaries, display a level of professionalism, and show as much humility in their job as possible.
The medical visit denotes a special relationship between the doctor and patient where they both have an important role in the office. An idealized two-way relationship shows that the doctor and patient bond and work together to ameliorate the patient’s health. As patients we respect our physicians and the power they hold in relation to our health. We approach doctors for advice and medical help and trust their words and guidance; yet, some doctors do reciprocate the same respect. Lastly referring to the “Sore Shoulder” clip as an example, the doctor interrupts neglects and is brief with the woman. Visits to the doctor’s office are mundane because we know what to expect as patients: we go to the office for medical advice and help and receive treatment for them. But when we examine these visits to the doctor, we notice that is far from a normal routine.
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.
Does your head hurt, does your body ache, and how are your bowl movements? After a head to toe assessments, touching and prodding, the physician writes up a prescription and explains in a medical jargon the treatment plan. As the short consultation comes to a close, it’s wrapped up with the routine “Please schedule an appointment if there are no signs of improvement”. This specific experience often leaves the patient feeling the “medical gaze” of the physicians. Defined by good and good, the medical gaze is the physicians mentality of objectifying their patient to nothing more than a biological entity. Therefore it is believed that the medical gaze moves away from compassionate and empathetic care, thus leaving patients feeling disconnected from their physicians. In order to understand how the medical gaze has stemmed into patient care, I begin with observations of a Grand Round, lectures for the progress of continuing medical education of physicians. There are expectations of physicians to be informed of cutting edge medical procedures and biotechnology since it can result in a less aggressive and more efficient treatment plan of patients. As I witness the resident physician’s maturation of medical competence in during a Surgical Grand Round at UC Irvine Medical Center, it has shifted the paradigm of the medical gaze and explains how competence is a form of compassion and empathy in patient care.
“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.
Healthcare professionals in the medical office should be friendly and open. Patients entering the medical office should be greeted immediately with a smile and having a gentle touch also let the patient know you care. “Healthcare professionals in a medical office are held to a higher standard than most professions because they are dealing with the dignity of patients and the ability to be healed” (Wolff). Educating the staff to be professional in the medical office represents the office as being excellent in patient care. Patient-centered care success is required by the whole office which is treatment and patient experience, from the time they enter the office until they leave.
The main purpose of the medical interview is to collect historical information that can be used to make a diagnosis of the disease and to understand the patient’s problem. (Henderson, 11) This is the beginning of the physician – patient relationship. The interview generally begins by the doctor greeting the patient, introducing himself/herself, and defines his/her professional role. Common courtesy dictates that the physician learns the patient’s name and refers to them with the proper title. Last name is proper for adults, while the use of the first name is comforting to children.
Consequently, it can be assumed that doctors might tend to avoid such a confession in order to maintain their image of being a “good doctor” (J.Shahidi). Not being a good doctor may eventually lead to doctor’s loss of business and as a result physicians may tend to hide the truth even if it opposes patient autonomy