Non-Truths of Medicine
Would you want to know if your doctor or physician wasn 't being completely honest with you? Surprisingly, in 1961, only 10% of physicians believed that they should inform a patient when they had a terminal illness. By 1979, 97% felt that it was necessary to disclose all known medical information to their patients. Though, this doesn 't prove to be accurate in today 's times. Although 79% of people interviewed on a phone survey said they trust their doctors fully, one- third of physicians agree that they do not need to let their patients know of serious medical errors and two-fifths of doctors did not agree that they should share their relationships with drug companies with their patients. There are several other
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Aside from being scared to tell the truth, some doctors believe that harsh prognoses can lead to severe anxiety and depression in their patients. Also, that the depression could become severe enough to cause an early death or to cause the patient to give up on life. Accordingly, 50% of terminal patients are expected to become extremely sad after diagnosis. This should be expected at the first stage of healing. However, follow up research proves almost all anxiety will reduce in those patients after they have had time to accept their illness.
When doctors hide the truth from their patients, their anxiety is expected to exceed the anxiety they would have if they were to know exactly what was going on. If they aren 't told, they may feel that they cannot trust their doctor or feel skeptical of what they are being told, which can cause an even greater problem.
Placebos are another lie also used by doctors and physicians. In fact, 97% of doctors admit to prescribing one or more patients a placebo and 77% say that they do it at least once a week. Doctors use them for reasons such as to calm the patient, keep them from asking for a treatment or medicine, or to treat complaints that have no diagnosis. According to the World Research Foundation, placebos work about thirty percent
As I grew older, the need for me to attend these visits were increased due to my proficiency in English. Fortunately, there was now a translator between my parents and the physician, however the authenticity of the translation was skeptical. This is a common issue among the children of non-English speaking families who are unable to successfully relay issues regarding health and finances from the healthcare provider themselves. Due to the complexity of the conditions and the emotional burden that it may contain, I often found myself struggling to relay these messages to my family. There were times where I found myself sugarcoating the diagnoses given by the physician because I did not understand the severity and because I did not want it to impact my family. Once I became a teenager, I realized withholding pertinent information was actually doing more harm than good.
The ethical conflict presented at Paradise Hills Medical Center (PHPM) was about truth telling. The factors that contributed to the ethical conflict were: (i) patients were labeled as “terminal”, so the physicians felt it was going to be counterproductive to patients’ health to know about the medical error. (ii) Physicians were more worried about the consequences that the oncology program would have than the right of the patient to know about the possible implications of radiation overdosing.
After understanding the ethical theories and principle, the reason of ethical dilemmas in truth telling should be know first. Truth telling means do not tell lie and do not hide information. From a study by Fielding, Wong and Ko (1998), most of patients actually know the name of cancer. However, the nature of cancer i.e. benign or malignance was not known. Besides, only a few patients discuss with prognosis. Family members even received more information than patients. The ethical dilemma is when, how and how much to tell cancer patients about their diagnosis and prognosis. It seems that doctors’ attitudes towards truth telling to cancer patients are mainly balance between autonomy and nonmaleficence. The reasons of non-disclosure towards cancer
Proponents of placebo-prescribing argue that clinicians “can use non-deceptive means to promote a positive placebo response in their patients” (Brody, 1982, 112). However, some proponents also argue that
Goldman brings up a more controversial situation in which the physician effectively deceives the patient by withholding information pertaining to the patients’ medical condition from the patient himself. He maintains that the right to be told the truth is not innate, and just as in the case of coercion, it must be determined whether the information might be detrimental to the patients’ health directly or whether it might affect
How important is it for you to keep your medical records private? Many people don't realize
Susan Goold an MD and Mack Lipkin also an MD both state that this way of communication is the “keystone of care.” They both believe the crucial component between the patient and doctor is for the patient to trust their doctor to disclose private information. You can show trust through communication by assuring and communicating to the patient that their information is confidential. The relationship therefore honestly determines the quality and extensiveness of information obtained and understood by each the doctor and patient. This communication is a two-way transaction that is needed to be understood in both ways and situations.
(2) There is no reason to justify withholding anyone’s medical diagnosis form them, it is not justified morally and ethically. It is unethical and immoral especially from a doctor’s standpoint because his/her oath is to protect and treat no matter what the
Being honest with your patient is part of the foundation of developing a relationship with the patient. The term for that honesty is Veracity. Veracity defined is the duty to tell the truth and avoid deception. In “The Doctor” Dr. Jack McKee, the doctor the movie is based on, lies to a fellow patient named June while in the waiting room. June has a grade four brain tumor and Dr. McKee told her that his father had a patient with the same diagnosis recover. This was not only a blatant lie but it was also a breach of veracity. His reasoning for lying to June was to try and make her feel better about her diagnosis but in doing so he gave her false hope. If Dr. McKee had been her doctor at
My whole decision is based on the principle of confidentiality. When working in a medical profession it becomes imperative to maintain confidentiality all across the board no matter what situation you are placed at any given time. When
Patient’s perspective a different from the provider. For instance, something that can be viewed as a mistake to a patient could simply be a reaction to related treatment. According, to Kavaler and Alexander (2014), “what may be constructed by a clinician as an anticipated potential side effect or adverse reactions may be perceived by the patient as an error”. The disadvantage of having these error occur and doctors being silent cause’s patients level of trust to decrease. Oftentimes, individual feel that doctors keep the severity of mistakes and error creating a negative level of trust. These terms lead to organizations having to disclosure regulations to address and maintain ethical boundaries towards reaching the overall mission between
For centuries, physicians believed that disclosure of the terminal nature of an illness would cause the patient's condition to decline (Krisman-Scott, 2000). However, Kubler-Ross and Glaser and Strauss methodically studied dying patients and found that while the patient's first reaction to a terminal diagnosis is adverse, it later shifts to a more positive view. Additionally, Feifel's 1960's study of 60 dying patients found that 82% would like to be made aware about their health information and diagnosis (Krisman-Scott, 2000).
Equally important, other people are not fooled this and are often aware of the fact that doctors can do whatever they please to your body and can possibly stow away your records; similar to how they treated Henrietta Lacks
There should always be a mutual respect in the physician-patient health based relationship. Working together offers the opportunity to significantly enhance the patient's health status and quality of life. This duo alliance involves important and specific physician obligations (cite). In Chapter 5 of Medical Law and Ethics it states (pg 101), “The physician–patient relationship is one of a few topics that are vital in the healthcare field. This relationship influences the entire healthcare team as a whole. All healthcare professionals who interact with the patient must understand their responsibilities to both the patient and the physician. The patient’s right to confidentiality must always be the single most important aspect within their bonding relationship” (Cite). The guaranteed bond of trust between the physician and the patient is essential to the therapeutic and diagnostic process. It forms the basis for the physician-patient relationship. In order for the physician to make accurate diagnoses and provide optimal treatment recommendations, the patient must be able to communicate all relevant information about an illness or injury (cite). Physicians are compelled to refrain from disclosing confidential information. This duty is based on accepted codes of professional ethics, which
Not only is it a doctor's obligation to treat a patient the right way, but they need to keep them informed on their health, what prescription they need, etc. Letting their patients know everything about their health is an expectation so people can prepare for what's coming a them , how to take care of themselves , what to do and what not to do. For example, once a patient knows that they would