Dr/Patient Relationship Physicians play many roles in society – ranging from family doctors to political activists. However, the primary objective of a healer and/or physician is to provide quality care that serves the patient’s best interests. As our life expectancy grows higher, physicians play an ever more important role in society for our public well-being. In this class, we have already read numerous articles that chronicle the challenges and controversies that are associated with this difficult job. Unfortunately, the readings have generally discouraged me from pursuing a career in the medical field. The most notable discouragement for me to pursue a medical profession is the steady growth of distrust and suspicion within society …show more content…
Past physicians carried a certain authority over the treatment given to patients, however, due to medical progressivism, patients are given more rights to determine the treatments they can accept. Although these steps are certainly in the right direction, there has been a certain ethical dilemma as many doctors are forced to accept patient demands even when it is not the best course of action (Gawande 216). It is easy for us to affirm certain platitudes about patient interests being first in healthcare, but it is also important to investigate the specific nuances of patient care. In many situations, the patient truly is not well versed enough to make decisions about their care (227). While sometimes patients may truly be thankful for a physician’s intervention, any autonomous decision by physicians creates a dangerous precedent for doctor intervention in patient care. However that isn’t the only problem with taking care of patients. Having numerous patients means that physicians must constantly respect and understand many patients from varying backgrounds. Although this seems to be common sense, doctors often have trouble constantly chronicling and treating all of their patients effectively (Groopman 80). Although it is important for a doctor to respect each and every patient, I do not believe that I am capable of constant …show more content…
There seems to be a certain systemic disconnect between medical professionals and pharmaceuticals. This disconnect has decreased doctor autonomy as society has increasingly scrutinized doctor and pharma relations. This has made the implementation of new medical advances more difficult. Additionally, being a doctor also means to accept almost impossible expectations. Doctors are expected to never make mistakes for days at a time while also always putting the patient’s personal requests first. Furthermore, underneath all these challenges is more doubt and uncertainty due to the lack of scientific assurance towards patient treatment. I have no doubt that there are a few people out there who are able to meet all of these expectations, but I personally do not have the ability to shoulder all of these
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Waitzkin, Howard. At the Front Lines of Medicine How the Health Care System Alienates Doctors and Mistreats Patients--and What We Can Do About It. New York: Rowman & Littlefield,, 2001. Print.
In his book The Silent World of Doctor and Patient, author Jay Katz describes the history of how physicians view the patient’s role in medical decision making. Particularly, within chapter one, “Physicians and Patients: A History of Silence,” Katz sheds light on the relationship between physicians and their patients and the scope of the physician’s authority.
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
There are many ethical issues that arise in the Karen Ann Quinlan case. First, there is the ethical right that each person has to receive or refuse medical treatment. But this can ethically problematic because some would see death as an intrinsic evil; therefore choosing death would be unethical. This, however, can be categorized as part of the larger issue of patient autonomy, the patient's right to live and abide by their own personal choices (Garrett 29). Recent thought has affirmed the idea of patient autonomy in medicine, now making it a central dogma of the American medical practice. In this case, patient autonomy is threatened because the patient is not able to communicate their desires for treatment. The physician cannot ask, and therefore cannot know, if the patient would want to continue treatment or withdraw treatment. In this case, the Karen was deemed incompetent...
It has been said by many experts that there has been a surplus of physicians in the past, but that there will soon be a shortage of physicians. This shortage will have been instigated by many factors, and is predicted to have various effects on society, both immediate and long term. There have been proposed solutions to this shortage, but there is a fine balance to be found with these many solutions and factors. However, once this balance is found, the long-term mending of the physician shortage may begin.
Melvin Kooner, an anthropologist who entered medical school in his mid-thirties, characterizes physicians as “tough, brilliant, knowledgeable, hardworking, and hard on themselves.” (Kooner, 1998, pg. 374) Many personal conversations with medical students, residents, and attending physicians from a variety of specialties confirm Kooner’s assessment. Doctors work hard, work long hours, deal regularly with life-and-death situations, and make substantial personal sacrifices to practice in their field. These attributes of medical practice can provide a great deal of satisfaction to the aspiring or practicing physician, but can also be a source of professional and personal distress. Burnout or the experience of long-term emotional and physical exhaustion may result from an inability to cope with the demands of work-related responsibilities and personal obligations. If untreated, burnout may lead to more serious consequences such as depression and suicide.
According to the Hippocratic Oath, which every physician must take, each physician is expected to deliver the form of care which she considers most beneficial to a patient's health. There are a few minor stipulations guiding treatment by a physician, but for the most part, doctors have much liberty in choosing a regimen for a particular patient. If we look only at the Hippocratic Oath as the governing body of a physician's actions, then we must admit that no doctor is obligated to broaden his views and seed treatments with which he is not already familiar. However, every year doctors are required to fulfill certain requirements in continuing educatio...
The purpose f this paper is to answer the following question- where does patient autonomy leave off and professional expertise begin in the practice of medicine? Also, a brief personal analysis about the differences between doctors encouraging patients to question their judgment and doctors who believe that such deference is “pandering.”
Autonomy is very important in healthcare today. Patient autonomy and professional autonomy are two things to be considered in the medical profession. Patient autonomy is the right of the patient to make decisions regarding their own healthcare. Professional autonomy on the other hand is the right of the healthcare provider to turn down treatments that are unrelated to the condition of the patient and/or a concern for safety. Taking into consideration Rule Utilitarianism, Kant’s Deontology, Virtue Ethics and the Feminist Theory of power relationships, Dr. Brown should not renew Mr. Noble’s prescription for tranquillizers until there is evident proof that it is treating his condition.
With the explosive growth in the 1990s of managed care that were sold by health insurance companies, physicians were suddenly renamed “providers.” That began the deprofessionalization of medicine, and within a short time patient became “consumers” (The New York Times). The shifts in American medicine are clearly leading to physicians' losing power, which results in deprofessionalization. The subsequent deprofessionalization of physicians should not surprise Americans. Although many people spend time and effort evaluating the present state of medicine, they fail to integrate an important piece of information: physicians and sociologists predicted all of today's events more than ten years ago (Hensel, 1988).
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.
In this book, Riska and Wegar give insight into why many believe that women physicians will never be true equals in the American medical profession. They back many of their ideas up with personal experiences, hard facts and data. They discuss the idea of a ‘glass ceiling’ in which women are kept out of the top positions because of sexism. This book really helps research the ideas about women’s equality and the hardships that they have faced as they have developed in this career field. Not only does it tie in with the history, but it gives good evidence to support why it was so hard. Later on in the book, the authors also discussed women physicians as being the possible new force in today’s medicine. They talk about how women are now being overrepresented in comparison to males in some areas of the field. This book provides evidence of women’s suffrage in the field, but also how they are persevering and overcoming their
Peplau's theories has laid the foundations for all who wants to build a relationship and can be seen as a guide to help with any interventions with patients. The nurse-patient relationship has been defined as an on going relationship whilst that patient needed that care. The relationship between nurse and the patient must have honesty, humility and is based on a partnership which is negotiated between them both (Peterson and Bredow 2009). Peplau (1991) describes nursing as an interpersonal process between the nurse and the client, it aims to help identify the clients problems and how to relate to them. A therapeutic relationship is a trusting relationship which is made up of 2 or more people which contribute and help towards the care of the patient (Forster 2001). To build up this trust there must be good communication between both parties. Nursing is a communicative intervention and is founded on effective communication (Nursing Planet 2011). For a relationship to build there must be a lot of time spent between two parties. A nurse-patient relationship must have time to develop so that they can be able to identify illness and ways to help meet their needs. The nurse spends more time with a patient than a doctor, and therefore has more opportunity not only to observe but also talk with and come to know the patient (Barker 2009). For a relationship to build there has to be great contributions from both Nurse and Patient, from having regular and private interaction, to be honest and congruent, to let the patient set the pace, to listen to the patients concerns and to promote the patients comfort whilst in the meeting with them. The development of the nurse-patient relationship in Mental Health is the heart to any treatment approache...