Complex Issues And Informed Decision Making

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

To have quality of care within the health care system, effective communication is needed. Barriers arise when effective communication is not meet, patients with limited English proficiency are at risk for misdiagnosis, poor treatment decisions, trust between provider and patient is not there, and patients to not adhere to treatment plans and follow up if they do not understand what they need to do (Regenstein, Mead, Muessig, & Huang, 2009).

“The only appropriate and realistic model of the Dr.‐patient relationship is paternalism. Doctors are the medical experts; most patients have little, if any, reliable medical knowledge; implicit trust in one’s physician is essential to the healing process; and doctors have the responsibility for our health and therefore have the duty to make all the important medical decisions.” Critically assess that claim.

Good communication between physician and patient is vital for a patient to make an informed choice regarding their care.

Effective communication is one of the utmost characteristics of a high-quality health care model that responds to the existing needs of the general population. However, communication may sometimes be taken for granted and therefore fail to relay important information between health care providers within the interprofessional team. In today’s health care setting, communication is particularly challenging due to the limited time constrain in the workplace. In spite of the utilization of existing charts and documentation, errors are made. In this paper, a real life clinical scenario is discussed which involved a breakdown of

Unsuccessful patient transitions of care resulting in negative outcomes is a challenging clinical problem. The perception of a medical condition and how serious it can be can differ from person to person. Adequate education and intervention given at the appropriate time can make all of the difference when it comes to interpreting and receiving a clear understanding of the treatment plan. The consequences of not following a treatment plan properly causes patients to return to the hospital emergency room with complications, which can ultimately result in being readmitted for the same diagnosis. These readmissions, which are virtually preventable, can cost patients and insurance companies

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

At the point when patients experience harm whether from the movement of the patient's medical condition or from a few events identified with their health care delivery , they have to know. At the point when things have gone uniquely in contrast to expected, a large portion of the patients need information about what's the issue with him/her. In the event that oversights were made, they additionally need a statement of regret, and affirmation that stepes are being taken

The organizations processes consist of documenting patient visits on paper, writing paper prescriptions, and writing hand-written referrals. The staff engaged verbal doctor/nurse communications for follow up treatment. The problem with verbal communication surfaces when a doctor/nurse forget, which patient chart to

If a patient is afraid of blanking out when in the exam room, that patient can show up to their doctor appointment with questions and/or concerns written down on a piece of paper. The physician’s role in promoting patient-centered care differs from that of the patient and the leader in management. The role of the physician is to listen always, act when possible and educate when needed. The physician provides patient-centered care by listening to the concerns of their patient and understanding the patient’s narrative as to why that patient is there that day. After providing the treatment options that are available for their patient, the physician should listen to see what the patient’s preference is for treatment and to see if the patient understood what was said about their condition and treatment options available (if treatment is appropriate). If the patient does not understand a point made at any time, the physician should take the time to educate the patient. Based on the physician’s encounter with the patient, the physician should use their best medical judgment in deciding how to act. This action may be prescribing the patient with a medication, a procedure, or by not having to act at all. When care is needed, “simple and inexpensive interventions” should be used if possible (Lancet, 2017, 3). The goal of patient-center care (as I argue), is to promote trust, honesty and transparency within the doctor-patient relationship and to provide appropriate care when necessary. Physicians, patients and leaders within organizations all play a vital role in creating patient-centered

Shared decision making should involve both health professionals and patients in discussions about their care. “While health professionals hold the expert clinical and technical knowledge, patients are experts about their own lives and treatment objectives, and also what is important to them when making decisions. (Lally, Macphail, Palmer, Blair and Thomsom, 2011).

Clinical reasoning can be best described by the process of collecting indications, processing, understand the problem or situation, plan and implement interventions, asses outcomes and learn reflect on the whole process (del Bueno, 2005). Positive outcomes of this process can be determined by an individual’s preconceptions, attitude, perspective and willingness (mentally and physically) (McCarthy, 2003). In a report by the clinical excellence commission of NSW Health they conclude that there are three explanations for negative patient outcomes in which are failure to correctly diagnose, failure to adequately implement appropriate treatment and inability to manage complications. In this essay the author will outline a situation in which they were involved in explaining the background of the situation, factors which influenced a clinical decision to be made whilst describing the clinical decision making process.

Malissa Brown: Yes, Malissa communication does a play a big role in the medical field; it would be almost impossible to continue patients’ needs and to run a health facility without it. You provided a great example, when stated “When there is a lack of communication on a regular term symptoms can be ignored or unattended to. One concern with communication is the fact that patients describe symptom in a different manner compared to care providers”. With this being said communicating in a clear manner and asking about the patients medication in a simple term will help avoid error. Do you think miscommunication happens to a lot of patients when they seek their health care provider?

Shared or patient-centered decision-making, the process by which a health care provider communicates to the patient personalized information about options, outcomes, probabilities, and uncertainties of available options while the patient communicates any questions or concerns they have (Dy and Purnell, 2012). The provider needs to show trustworthiness towards their patient in order to make correct decisions together for the patient. To be trustworthy, it is influenced by the length of nature of provider-patient relationships, continuity of care, patient perceptions, and expectations, and satisfaction (Dy and Purnell, 2012). Competent decision-making by the providers requires patient-specific information and the health provider 's prior medical knowledge and clinical. It is vital for health

In collaborative medical communication, doctors talk to their patients as if they are peers. The patients are involved in every process; they communicate openly to discuss the patients’ health issues and concerns, and come to mutually satisfying decisions (p. 50). In traditional, provider-centered model of medical communication, there is a high power gap between providers and patients (p.50). The decision is usually decided by the doctors as it was generally understood that since they knew better, it was better to let them decided everything.