Classic interactions between patients and doctors rely heavily on medical competence. The doctor, the supposed superior in the arrangement, acts as a symbol for scientific proficiency while the patient exists as a sponge. While extensive knowledge is nonnegotiable in the field, empathy is a key component in ensuring proper diagnoses and sustaining healthy, impartial interactions. Margaret Edson 's play W;t employs dialogue and discontinuous juxtaposition in order to draw attention to the inevitable disconnect between patients and providers, which endangers successful medical engagement and outcomes. Proper communication is critical in fostering interpersonal connections. This is particularly essential in medicine, as patients and providers often communicate with strictly bureaucratic terms. Dr. Kelekian and Vivian address each other with not only impersonal terms, but truly contradictory titles: “Doctor” and “Miss” respectively (7). The professionalism in “doctor” and the informality in “Miss” juxtaposes the two characters’ affluence, suggesting that the patient is subservient to the dominant medical professional. This power dynamic sets the stage for disproportionate, inequitable dialogue. Consequentially, this very dynamic indicates a hierarchical structure that reduces Kelekian’s empathy as he does not address Vivian with her proper title, “Professor”. Rather, she is reduced to a generalized “Miss”, clumping her and all other patients with that title into the same
There are many social factors that can impact on the Doctor Patient relationships everything from race to gender. To break it down and find five, I started with Doctors personal views he is under pressure to be ethical when he may not entirely be accepting of a person’s beliefs or sexuality. For instance a doctor may be homophobic and have a patient attend surgery asking for advice on practicing safe sex and being HIV aware. Following on from this may be a patients confidence in doctors due to race for example a person who has racist issues would not feel comfortable attending a foreign doctors surgery. To find a third I would have to say gender being a female I tend to talk easier to a female doctor, which persists problems as my female doctor only works three days a week so I put off going to see the male doctor so therefore remain ill longer. My fourth factor is age, as the doctor could be old and the patient adolescent. This would impact on different generations living different lifestyles and changing societies. “Adolescence is indeed a tempestuous period”, (Thorne, B & Lambers.1998). Finally I find language barriers a major social factor as if you can’t understand what your doctor is saying to you it has complications in treatment and there is not always a translator available.
A patient signed an arbitration agreement before he say the doctor for his surgery and the surgery went bad and the patient filed for compensation due to effects from the wrong doings of the doctor. The court ruled that the arbitration agreement could not be upheld. This case shows what could result in someone not being able to read legal papers before they sign or not knowing they have the right to not sign said paperwork. The majority opinion for this case is correct. the wording on the arbitration agreement was one reason as well as the fact that a doctor-patient relationship was present when Mr. King signed said agreement. Also, there are many cases that help to support the majority opinion.
The play Wit by Margot Edson was an astonishing film that really shows the many ways ill patients feel towards their doctors and how doctors feel about their patients. Just like the book On death and dying by Elisabeth Kubler it explains how humans are becoming less human. For example, the film illustrates how they asked the professor how she was doing when clearly she was going through withdraws or was in that much pain that she could not answer back. The professor went through eight chemo therapy sessions to fight her ovary cancer, but instead of giving her emotional support they told her she was strong enough, and to try to fight through their new research. I’m not sure how that makes me feel it’s so horrible to think that doctors can possibly
In the medical world, physician-patient interactions are vital to the development of relationships between physicians and patients. For this paper, I observed a Pediatrician’s interaction with three very different patients. Even within Pediatrics, doctors see children of many different ages and have to adjust their communication methods and skills depending on specific situations. In this paper, I shall be discussing 3 of the interactions that I observed, which included a regular checkup for an 18 month baby, a yearly checkup for an 8 year old boy, and a sick 11 year old boy. From these experiences, which I shall describe more in detail throughout this paper, I learned that the majority of the concepts that we explored this year through this class play major roles in affecting physician-patient encounters in the real world and that each and every patient encounter is unique, because physicians tailor their skills and behavior based on the context and situation of the interaction.
Doctors are perceived as selfless, altruistic, and amicable saviors which convinces the general public that doctors should be trusted. As Lee observed, the narrator warns his readers of the danger that can come along with blind trust. “The warning implied in the story of a doctor’s exploitation of professional privileges is for his patients to protect themselves” (Axelrod, 466) In the beginning, the doctor-narrator showed characteristics of wanting to help and represented himself as trustworthy to the young girl in order to gain her cooperation. His thoughts suggested good intentions as well, "I'm here to look at her throat at the chance that she might have diphtheria and possibly die of it" (Axelrod, 502). However, many would argue that the doctor came off as pretentious because he brushed off all signs of courtesy made by the parents. Interestingly, the parents were not bothered by the doctor’s discount and proceeded to assist
Luckily, narrative skills can be trained. Several attempts have been made to teach young practitioners how to empathize with patients without missing scientific knowledge and technicalities. Empathy is normally experienced, but it is also a matter of predisposition, and exposure to sensitive narratives. “Literature seminars and reading groups have become commonplace in medical schools and hospitals” , such that students can be emotionally prepared to break the usual detachment in favour of human interaction whenever needed. The possibility to train empathy is not new at all. Many scholars are advocates for a cult of storytelling (or simply literature): among them, the philosopher Martha Nussbaum, who looks at classics to draw inspiration for moral reasoning.
Braš, M., V. Đorđević & M. Janjanin (2013) Person-centered pain management - science and art. Croatian Medical Journal, 54, 296-300.
Narratives are the main way humans communicate with each other. In the process of communicating, we begin to tell a narrative through the way words are combined to create meanings. Through this process, our imagination is created based on the author’s style of narration. We use narratives as a way to understand each other and also connect on an emotional level. Just like other career fields, the medical field begins to tell their stories through narratives. Most importantly in this field of study, doctors are able to establish an ongoing dialogue with their patients which helps them to figure out the issue at hand through the way the narrative is being told, and also the doctor totally manipulates the narrative of the patient. The narrative of medicine allow us to dive into deeper meanings and makes us question our “Origin and Destinies” (Charon). These narratives communicated through the doctor and the patient might not `necessarily have a resolution depending on the illness diagnosed. That being said, one can look at the medical field as we do a narrative. In the same way we analyze stories, we can analyze the plot structure and codes of particular fields, one of the most valuable being the medical field. The three genres of the narrative of medicine are patient’s stories, physician to physician stories and the physician to patient encounter. They operate differently depending on the perspective in which the
I completed the requirements of the Continuing Education Program in Spanish/English Medical Interpret (40 hours / 4.0 Continuing Education Units) at the University of Georgia. I employ the skills that I learned in the program to streamline the flow of communication between providers and patients at Clarkston Community Health Center (CCHC), a volunteer-run Sunday health clinic. Thanks to my experiences, I have a more realistic understanding of the physician-patient relationship: a multifaceted bond in which language as well as socioeconomic status, cultural differences, and educational background significantly influence the quality of communication. I plan to implement the lessons that I learned as a medical interpreter in my following years
There are many concepts that appear in Margaret Edson’s play, W;t that also appear in the classroom textbook, Communicating in Health, by Athena du Pre. Throughout pages nineteen through thirty-one of Edson’s W;t, important concepts that appear include transactional communication, physician centered interview, motivational interviewing, patient centered interview, health history form, self-advocacy, and teamwork.
Personal discussions with patients are the most effective. One on one face to face communication is the best way of communicating. Patients get a better understanding and can also see your concern and see your effort to make them well and comfortable. Face to face communication gives them a chance to get a better understanding about certain medications and why they are taking the medication. However there are many other ways to effective communicate as well such as a phone call and email. Phone call is most reliable when the patient visits regular. Email is a quick and simple way of sending health care information to an individual patient. Email also have certain exception, you can use it to show tell about normal test result or to remind
I 've been involved with my physician for a couple of months now. There are a lot of factors which make the relationship wrong - mostly on his side: a huge age gap, his marriage & family, the fact that he 's a doctor. He also knows my father, who is a fellow doctor, and the relationship started right when I practically committed suicide. It might be a stupid question, but did he take advantage? I am fully in my right mind and did not feel abused in any way, but I suppose psychology would show that there must be some part of me that was taken advantage of. We started the relationship and after a few days, it dwindled. Now I feel abandoned and used.
Although certainly not more important than others in the community, doctors guided by medical professionalism are pledged to give the gift of empathy to their fellow human beings. This can be as simple as listening to their patient’s emotional issues and helping to alleviate them if possible. Guided by their extensive training, doctors provide valuable expertise to their community even at this basic level. Of course, doctors do not operate in the vacuum of patient care and the overall health of society depends on forces outside the examination room. For this reason, they must be an active participant in their community as well.
In this case study, there are two problems which caused confusion between the mother of a young boy who was sick and the Doctor. These include language barrier and understanding field expressions (the mother of the sick child did not understand the meaning of the expressions used in the health field). For example, when the doctor stated that, “we’ll try something a little different”, he was not telling her to stop giving the sick child the medication which was recommended for him. Thus, this caused miscommunication between them.
Communication is a substantial contributing factor in providing high-quality healthcare. The relationship between patients and their medical professional is solely dependent on communication. Unfortunately, miscommunication has become increasingly prevalent in healthcare services. Compared to urban cities, the medical services available in rural areas are limited. Indigenous Australians form a greater fraction of the total population in remote regions, therefore are direct recipients of poor healthcare service. This inequality of healthcare has led to the mortality rate of Indigenous Australians to be significantly higher than non-Indigenous people.1 In particular, this healthcare indifference is seen to have a greater impact on the older generation of indigenous Australians. The use of communication skills such as active listening and the application of simple language can assist in preventing miscommunication, which overall is advantageous for the patient, healthcare professional and workplace.