Overall, medical practice is carried out when physicians identify health concerns, e.g., diseases, mental disorders, and physical injuries, and provide treatments for patients in order to properly cure them of their maladies. Medical practice should be based on science—specifically, scientific research focused on discovering medical treatments—, ethical considerations regarding the wellbeing of patients that limit science, and intuition. However, because science is limited by ethical considerations and scientific evidence is sometimes unavailable, then the most important basis should be physicians’ intuition influenced by their past medical experience. On the whole, science plays a major role in the realm of medicine, as it is the foundation for the creation of new treatments and advancement of the medical field’s healing capability. Science is defined as field of knowledge based on discovering the truth about nature through formulating hypotheses and conducting research in an objective manner (Ehrenreich 19-20).
Statement of Author’s Central Purpose The author ultimately does a profound job in being multidimensional in its approach and coadunate the fundamentals of scientific basis of healthcare and make it more grounded in spiritual, religious, and ethical values. The medicine of a person is more of a philosophy or an quintessential approach which involves a person perception and attitude to entail that a person thinking has a significant influence on a person’s spiritual and psychosocial aspects of daily routine patient care that involves national health services. The author wants to bring together core sciences, faith, traditions, personhood that involves many faiths, spirituality, mental health issues, general practice issue, public health, home care for the elderly. The author does a compelling job in in using science and faith in approaching healthcare. It forces healthcare administrators to look beyond their narrow thinking.
Reasoning is a key component in understanding medicine. It impacts the decision-making strategies used by doctors in their chosen medical field daily, whether it be routine check-ups, surgeries or serious accidents. Decision making is influenced by how people get to grips with the decision that they are being faced with and how they seek advice to help in that decision. In clinical reasoning the deciding factor is making the best choice; the best treatment for a patient, finding out the correct diagnosis and so on. (Higgs, p.93, 2008) Whereas in diagnostic reasoning doctors much determine what the best diagnoses may be, what is the most like diagnoses based on the knowledge that has been provided by test results and a patient’s medical history.
Diagnostic decision making in medicine involves a cognitive process. As a clinician/physician, their main task is to make sure to give reasoned decisions about their patients based on the available information. They start with internalizing sets of data and observation gathered from the patient, and then producing decisions and series of options. Most data are obtained from the history and physical examinations of the patients, usually these are efficients for making a diagnosis, but often, more information is required. In some cases, an urgent decision must be made, these processes need to fit sets of observations into a specific category (Al-Sayyari, 2007).
Which later will aide in finding a treatment for the patient. The medical model is concerned with nature, causes, and movement of diseases and trauma. Also, eliminating or containing the effect of diseases thought the manipulation of the alteration of the body structure. So as an OT you able to utilized this model to better care for your client. For example, if a client needs therapy by an occupational therapy for a hand injury, it is the occupational therapy responsibility to draw on the related knowledge from the medical model to best treat that client.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients?
We like to think of medicine as a vast sea of knowledge, a science of certainty and applied research intended to heal and cure. Patients visit their doctors expecting to be diagnosed, prescribed, and treated. For several patients, this optimistic outlook is in fact the order of things. But, for many others, medicine is an experimental endeavor and very human in nature. Atul Gawande, in his collection of essays entitled Complications: A Surgeon’s Notes on an Imperfect Science, sheds light on this view of medicine as a field of possibilities and dead ends, improvements and failures.
Introduction Clinical trial is a gateway to become proved practical medical treatment, so it requires accuracy and validity of the outcomes. Placebo control trials are therefore employed in clinical trials as nearly half of academic physicians have answered in a questionnaire that they had used a placebo in their clinical trials (Sherman and Hickner, 2007). To have the higher scientific validity of results on the clinical trials require that prospective, carefully selected subjects and endpoints, a control group, randomly allocated subjects into a treatment group and a control group, blinded both subject groups and investigators, sufficient sample size, and an approved independent ethics committee and monitoring by data safety and monitor board to have stronger the scientific validity on the clinical trials (Brody, 1997). The use of placebos will enable to have more scientifically reliable outcome. However, unnecessarily or ineffectiveness of placebo use is also claimed therefore considering appropriate conditions and suitable cases would be needed for placebo use.
This generates important issues concerning the participation of these patients in research especially under the light of the ethical principle of autonomy. There are a number of cases when this position is relevant: research involving health risks for the patient, minimal benefits compared with the risks, or the use of placebo. The second view advocates the merits of research: AD research cannot be done without AD patients in all the stages of their disease. This is an indubitable fact, because how else can one track the development of the disease (especially the characteristic biological changes)? By invoking the argument of scientific progress and the possibility of finding a cure, the participation of Alzheimer’s disease patients in research is no longer a matter of possibility but of absolute necessity.
So knowing and understanding their advantages and drawbacks are very important to coming to a conclusion on which one better fits your life. One major divergence of both medical processes is their approach to diagnosing their patients. Alternative medicine sees the body in relation to its environment. Any unwanted function, disease, or pain is caused by an imbalance between body and surroundings. The main goal is to focus on helping or healing the body as a whole and focusing on curing or helping a specific part or element of the body.