The author explains how randomized clinical trials put physicians in ethically intolerable positions of choosing between the good of the patient and that of society. A kantian argument is formed when the author explains how the physician has the duty to tell the truth and not use the patient as a mere means to satisfy the needs of a majority. The well being of the patient is far more important than that of the society when it comes to treatment by personal physician, the Author suggests that there should be alternatives to randomized clinical trials to deal with observer bias and patient selection. The overall message of the article stresses the importance of a patient’s well being over the well being of a society because the physician has the duty to help the patient improve his/her health. Article two entitled “Clinical trials: are they ethical?” is written by Eugene Passamani discusses the importance of randomized clinical trials.
Even if we hold such conversations, would people be less passive, dare to seek the truth in their health and speak of what is significant in their lives? Medicine has ironically brought older adults closer to health institutions, where they see these homes as odious and see themselves as abandoned. If I must be scrupulous, it would be having to postulate concrete examples on the environment and resources for the older adults, perhaps through nationwide initiative or authorize advance medical directives compulsory. Most crucially, to instill the philosophy of assisted care in a positive light and not as alienation. With that, it could lessen the negative connotations on how the elders perceive themselves in the assisted
The truly collaborative relationship model between doctor and patient has so far been elusive. In Susan Levin’s paper, The Doctor-Patient Tie in Plato’s Laws: A Backdrop for Reflection, the author critiques two models proposed by Ezekiel and Linda Emanuel, and Edmund D. Pellegrino and David C. Thomasma. On review, both come close to striking the perfect balance, but ultimately fail. Their failures lie in the possibility for their models to become paternalistic which is thought of as a flawed model. In the paper, Levin proposes an approach of her own which adopt concepts from Plato’s Laws.
Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client. According to Jeremy Safran and Christopher Muran (2000), psychiatric research shows that the quality of the therapeutic alliance is the most important factor in determining the therapist's success. “Some therapists are consistently more helpful than others; differences in therapist ability seem to be more important than therapeutic modality, and the more helpful therapists appear better able to facilitate the development of a therapeutic alliance” (Safran & Muran, 2000). However, the main problem is that it is difficult to teach the skills necessary for the creation of a therapeutic alliance. In fact, psychotherapy research stresses the importance of the development of human qualities in the therapist.
Believing that patients will misunderstand the diagnosis, or assuming that they won’t want to know are not valid reasons for keeping information from the person. Communication is important in a medical setting, and is especially important when talking about the health of an individual. With relevant, appropriate and humanistic communication, telling a patient their diagnosis can and should be done in a caring way.
First off, I would like to recommend a better patient to healthcare worker ratio. The patient stress the importance of healthcare workers spending quality time with the patients. I find that by improving the ratios so that the demand for help and the supply would be a good balance for healthcare workers to spend/give each patient the care that they need. This is also beneficial for the healthcare workers because they’ll get to know that patient more, they’ll have the chance to actually hear what the patient wants, and it’ll help prevent burnout. This is beneficial for the facility overall because having healthy workers would mean that they can provide better services to the patients.
A practice commonly used in the medical field, “benevolent deception” is the act of physicians suppressing information about diagnoses in hopes of not causing patients emotional turmoil (Skloot 63). Benevolent deception is a contentious subject because when used, the bioethical principles of respect for autonomy and beneficence can conflict with each other. Respect for autonomy is when physicians acknowledge their patients’ abilities to make voluntary decisions on their own regarding their health care (McCormick 4). Meanwhile, beneficence is the duty of doctors to be of a benefit to patients, while also taking measures to prevent and remove harm from them (McCormick 5). When giving patients diagnoses, physicians need to follow these doctrines by creating a balance between telling the truth and providing hope, which is why some may mistakenly turn to benevolent deception as the answer.
In Jacquelyn Small’s book “Becoming Naturally Therapeutic: A Return to the True Essence of Helping,” I explored what it takes to be a genuinely helpful counselor. Although I do not intend to pursue a career in counseling, her book touches on various topics that may be used by all individuals. Small provides her readers with a check-list of characteristic ranging from empathy to respect to self-actualization that are virtually essential to becoming therapeutic. The book begins by stating that “ordinary people” offer better therapeutic help than professionals. In a sense, this fact was surprising because you would think that trained professional would be better equipped to counsel people.
Another example of civility would be the IV therapist explaining what he was doing to the patient. According to the American Academy of Orthopedic Surgeons (AAOS), description of the procedure allows the patient to actively involve in the decision-making process. ("Importance of Good Communication in the Physician-Patient Relationship Information Statement - AAOS," 2011).In addition, using the patient-focused communication skills, such as: treating the patient as an individual, rather than a disease or a condition, respecting his or her culture and beliefs, etc., increases confidence and trust of the patient towards the care
Gawande gives light to the fact that because of pharmaceuticals and modern technologies, people in their last stages of life often focus on hope, rather than recognizing the bitter reality. Also, Gawande describes the importance of different care facilities, such as hospice, and their role in helping the critically ill. Unfortunately, it often seems that the focus is not on the ill and their wishes, but rather the