Dec 2nd Concordance And Shared Decision-Making Analysis

One of the conflicts that arise in health-care from a conflict perspective is the focus of the provider and is the provider functioning as a scientist or a care giver. Are there objective versus subjective concerns for the patient and is the health care provider treating the disease or is the provider treating the person? The conflict that arises between health-care provider and patient is vastly influenced by the patient’s cultural and social beliefs.

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).

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

Therefore, although I do not wish for my effectiveness to be judged based on the factors that Dr. Ofri discusses in Finding a Quality Doctor like blood pressure rates, or diabetes rate, practicing in a hospital means I likely will to some degree (Ofri). On the other hand, one of the principle factors of running a business is keeping their consumers happy. Therefore, within my practice, I will rely heavily on patient reviews, of which I will have them complete after each visit. I work best by hearing others’ critiques me thus; a patient’s voice will be imperative in my practice to help me make a better experience for them. Another factor to ensuring maximal patient satisfaction in a perfect world, is making sure that my patients’ have a significant ability to choose their course of care. Patient satisfaction and choice are factors that has repeatedly come up in my experience within New Visions, abroad, and at Bellevue. In our society, birth is often highly medicalized, filled with intervention. If it is taking too long for a mother to become fully dilated, then doctors are quick to prescribe Pitocin. If there is the slightest sign of danger, then doctors push for a C-section. In high school, I remember learning from my New Visions preceptor that nearly one in

But the patients are the ones to go in there and say something is wrong but there is actually nothing wrong with them. Some doctors do not care enough to see if what the patient was complaining about was true. Some patients will do anything to get the prescription drugs that they need. In the rest of this paper i will describe both sides the doctors and the patients.

Once reading this essay will encouraged appreciate the significance of how healthcare admin remain with some problematic discussions, when it comes to the superiority of care. As well as how it may affect everyone the healthcare ring. Shortly after that will be three topics that will be discussed. That will tell of ways of enlightening the quality of health. There will also be some disagreements along the way.

The essay aim to explore the relevant objective on how effective theoretical concepts underpin is used to evaluate shared decision making and complying with local, national and professional guidelines in practice. A critical overview explanation will be used to establish a systematic comprehensive assessment, which is the initial stage to identify the care needs related to Mr Thompson's type 2 diabetes and hypertension condition. It is essential to provide a baseline information supporting every aspect entailing Mr Thompson’s complex needs. This includes, planning, intervention and outcome responding to the NHS Outcomes Framework (2015/16) domain 2, which stated the enhancement of the quality of his life with coping and taking responsibility of his own health care that may contributes to a speedy recovery.

Both has a love for running and literature. The doctor took extra time with Miller during rounds also discussing literature to distract him from his painful osteosarcoma, a cancer growth on the patient’s femur. During Miller’s chemo therapy treatment under a very intense drug that lowers white blood count to fight infection, he started running a low fever. The doctor examined the patient to find the source of the fever but due to the doctors affection towards Miller he cut his routine examination short and instead rushed him straight to the sterile ICU environment. The doctor soon found out that Miller had an abscess on his left buttock that was not examined previously. The doctor knew instantaneously that his affection for Miller got in the way of correct diagnosis of the fever and abscess. Since he was hoping that the patient did not have an infection he cut the examination short and didn’t want to see him in pain for long, which according to Croskerry is an “affective error.” In this case emotions clouded logic and the doctor’s ability to make the proper decisions in the treatment plan for Brad Miller. From each case we have seen the cognitive dimension of clinical decision making as a vastly important aspect of the medical profession that makes the difference in saving lives. It is important that the mental processes of representativeness heuristic, availability heuristic,

Hello Karyl, thank you for sharing with your thoughtful ideas, I totally agree with you with the three key concepts in the book you point out. On the one hand, Efficient communication is the key to understanding patients as well as get ideal outcomes from the patients. On the other hand, every healthcare provider along with the patients have the same goal for medicine treatment and therapy. All people evolved in the healthcare team should aware of this goal, and try their best to achieve this goal. Actually I really love the third point, which is that we should treat the patients differently according to their background and health conditions. Personally I am very fond of precision medicine, or called personalized medicine. Practitioners who

Leonard et al (as cited by World Health Organisation, 2009) reports that breakdowns in communication are the primary causes of inadvertent patient harm. In terms of system or process, communication is a general term that refers to the transmission of information from one entity to another (Fryer, 2013). In health care, communication is a key component to ensure patient safety. Pezzolesi et al (2013) highlights that the impact of a sub-optimal clinical handover can have serious consequences for both staff and patients. The impact for patients can mean an unclear diagnosis, delay or altered treatment plan and recurrent medication errors. The impact on staff can include; feeling emotionally distressed, feeling powerless as a result of clinical uncertainity as a result of clear instructions of treatment plans. This highlights the importance of an optimal handover in order to ensure patient safety and continuity of care. In 2008 an analysis of 2455 sentinel incidences were reported to the Joint Commission for Hospital Accreditation in the USA uncovered that the 70%

A: I believe the only way to deliver and maintain a high level of patient care, while keeping our patients happy, is to ensure that every patient is actively involved in their own care. Keeping them involved means they know what’s going on, so they know when to ask questions and what questions to ask, and they know what’s expected of them. As soon as we completed these 30 admissions, I created and handed out patient satisfaction surveys to each existing patients and new patients to know did they experience anything differently from past 3 months and how we was their admission process?. Every one of the satisfaction

Thank you for sharing your clinical experience and your biases with regard to diagnostic reasoning that has affected patient intervention. You’ve mentioned in your post some of the advantages with shared decision making. I came across an article by Dierckx, Deveugele, Roosen, & Devisch stating that, patients “prefer to be involved during decision making” (2013, p. 1329). However, about a third of therapists “assumed” that patients prefer to let the therapists decide on their behalf in their plan of care. (Dierckx et al, 2013, p. 1327) One of the advantages for shared decision-making is patient satisfaction because they play an active role in their plan of care which makes them motivated to participate and achieve their goals in

Quality patient care is extremely important throughout the health care community. While caring for each patient, they should have a sense of feeling welcomed and involved in making decisions revolving around their treatment. Every patient is different, each will require an alternative method of care. While quality care playing a passive role in health care not only should the patients receive this care, but physicians, nurses, caretakers and many other modalities of health care should be fully prepared to meet each patient’s needs with the care they deserve.

.The issues discussed in this research are relevant between a patient and a doctor during the initial consultation, not because activities outside the consultation are of lesser importance but because they are informed by the consultation.

The apparatus of healthcare goes far beyond the doctor, nurses, and whole array of medical personnel that contribute to treating and curing patients. This system requires a multidisciplinary approach of healing, not just in the physical aspects. Therefore, this approach may require proper communication and trust between the patients and the doctor. Without them, successful treatment is difficult. However, the role patients play is crucial to gaining a better understanding of how this system works and whether it is effective. It is important to establish the expected norm of relations between patients and doctors in western medicine; when a patient visits the hospital, they are usually seen as unknowledgeable about the inner workings of