Along the lines of the health/doctor practices these days, our culture encourages patients to find a doctor who understands their needs best, and seek out treatment that best suits them. The patients are now better at advocating for themselves. They are more critical of their options. They have the resources to make better-educated choices and, in turn, they know to make their preferences known when they seek medical help. However, communication skills aren't all these physicians need to deliver good care because some worry that in all the doctor-switching, the benefits of long-term relationships between providers and patients are being lost. Dr. Sainani, my primary doctor, usually advises me to lose weight because he says I’m obese. Not in …show more content…
So, my doctor always have many recommendations, which means he usually gives me some type of regimen to follow once I get home, but that’s a whole-nother story.(smile) I’m sure that non-compliance with advice/awareness and/or treatment recommendations is probably the top complaint doctors have about most patients. But, I think, compliance these days can be a lot more complex than just remembering to take a pill because doctors are sending patients (including me) home with long lists of self-care tasks. Nonetheless, maintaining healthier life styles can be difficult to manage and/or, in some cases, for patients to afford. Though, compliance doesn't certainly mean following the doctor's instructions diligently, but some patients don't follow treatment programs because they are unorganized, and others might fail to comply because they've experienced severe side effects and don't fully understand what they're supposed to do, and/or found the treatment wasn't working. So, I feel that doctors need to make it safe for patients to bring up these sort of things. Perhaps that's why patients are thinking only of their own conditions, whereas doctors are thinking of the overall effectiveness with all of their patients, including those with chronic conditions that are difficult to diagnose and treat, such as Myasthenia Gravis which is an immune disorder (which my mother has), headaches, neck and back
I think it’s a part of the doctors’ responsibility to keep a good professional relationship with one’s patients. Collins states “those who do not want to know, and who if they were told would be injured by it; those who are wholly incapable of receiving the truth.” (pg.193). Going back to the client relationship models Collins believes that doctors should use a parent model on their patients. The parent model is when doctors have more experience and knowledge that they use to make decisions without telling the patients about their own health as if they were a child. This model and view basically strips the patient from autonomy and the choice of making his or her own decisions. In a whole, this premise is wrong because patients should have the right to make their own decisions when it comes to their own health.
Currently, most people generally accept a doctor’s word as truth and do not question him or her. When it comes to the medical field, patients can often feel overwhelmed by all the confusing medical terms being thrown at them, so they tend to sit back and do as the doctor says. Healthcare professionals sometimes take advantage of this fact and withhold important information from their patients. For instance, a study conducted by Lisa Lezzoni, MD, and her peers states that more than half of physicians lied to their patients about their diagnosis to put a more positive spin on it (Lezzoni, Rao, DesRoches, Vogeli, and Campbell). Healthcare professionals should disclose to the patient any information pertaining to the patient.
2) Asking the individual if they have worked with a RD in the past and asking about their experience will give us an insight on their initial perception of the session and counseling. If the patient has had a previous experience working with an RD, their previous perception of the visit might have an influence on the patients willingness to commit to the nutrition counseling. A study conducted on patient satisfaction concluded that low patient-physician social concordance was associated with less positive
Some of the factors that patients do not adhere to when their healthcare provider tells them too is due to patients being too busy. Often times life is very busy as we all know this but forgetting to take of yourself can have detrimental effects to your health. Some people think they can get better on their own without the help of a doctor so they feel like they will be fine or able to handle any health complication on their own. Another reason is that often people do not understand or they forget what the doctor is telling them about their prescribed treatment regimens and other patients decide to simply not follow it. As stated in the article by Sklar, Min Sen Oh & & Chuen Li, 2008 “Poor communication with healthcare providers was also likely to cause a negative effect on patient’s compliance (Bartlett et al 1984; Apter et al 1998)”. Miscommunication between a doctor and patient is at the root of most adherence problems. Often times patients leave their doctors office not knowing or having the slightest clue to what they should be doing. Instead of asking for help or clarity they just leave. Communication needs to be clear and effective for both the patient and the doctor. Non-adherence is wide spread when it comes to patients not adhering to what professionals tell them. Many patients will have significant risks because they forget,
Hi Constance, this appears to be a straw man argument, or an argument to refute an argument not advanced by an opponent. In other words, is the feeling you’ve failed as a parent because you have a gay child really that prevalent in our society? Personally, I don’t know because I don’t have a gay child, but my intuition tells me I would feel disappointed; not for me, but for my child because their life might be more difficult since it’s outside the norm. Moreover, I assume this is probably the more common reaction, versus a feeling of guilt (i.e. codependence), which is an understandable sentiment. Having several close gay friends throughout my life, I’ve never understood why people are so sensitive about it. It doesn’t bother me in any way
The topic of the lecture was turning points – moments in the presenters’ lives that led to a significant change. Dr. Cunningham and Dr. Powers’ objective was to teach students how to navigate the obstacles turning points might present. Both speakers emphasized that flexibility is the key to maneuvering through those decisive moments. However, they failed to clearly articulate how flexibility actually works.
Patient Adherence: There is no known cure for chronic disease, the progressive nature of chronic disease the patient and family must adjust to continual treatment changes, and the chronic disease continues throughout the patient’s lifetime developmental and lifestyle changes often influence or pose additional challenges to the person with a chronic
Negative reinforcement by instilling fear to comply is unethical and if a patient refuses treatment after information giving this must be accepted (Haynes et al. 2002:2881). Documentation is a vital tool to protect health professionals in this situation (Loveridge 2005:19). The promotion of concordance must be within a framework of health promotion as medication compliance is a learned response in health management and self-efficacy (Embrey 2006:510).
A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this
There are a number of key elements that help to provide a framework that enhances truthful communication. Firstly, there is the need to develop open and honest communication from the very beginning of the patient-health professional relationship. Secondly, the health professional needs to use patient penchant as a “weigh” by asking them what they wish to know, how much they wish to know, and determining what they already know. In other words, it is a responsibility of the health professional to get a ‘feel’ for the situation, including the patients’ perception of the situation (Ashcroft, Dawson & Drape 2007).
In recent times, in the field of health communication, a shift in beliefs has become apparent. Many feel that the physician-centered approach is no longer the best way to manage the interaction between patients and doctors. A new collaborative approach has been adopted by many. This collaborative approach is more of a partnership between the patient and doctor. More communicating by the patient, and more listening by the doctor. When the doctor and patient speak to one another, they speak to each other as peers sharing ideas,
As depicted in scenario one the client will have to comply with monthly blood work and medication refills appointments. While on the other hand, in scenario two, the client will have to comply with daily visits to the clinic to ensure compliance is met. These challenges are faced on a daily basis in public health. A study done by Lorent, Choun, Malhotra, Koeut, Thai, Khun, Colebunders and Lynen (2015) found that patient lack of compliance is due to an acceptance of the diagnosis and fear of the medications side effects. Therefore, it is important that community nurse provide teaching that can ally their fears about diseases in the
Doctors think that they have the right not to tell the truth to their patients because of their paternalistic view. They point at patients’ misunderstanding of diagnosis because of the esoteric information and patients’ lacking of making best choices due to their illnesses or medicine to support this view. Although these are true, doctors just think for one side and they generalize it. To go into further detail, knowing the truth is a
Non-compliance is expressed as the failure or refusal to comply. In this instance, it is used to reference a “patient who elicits through their behavior— the inability of taking medication, following a diet, executing lifestyle changes—or not corresponding with agreed recommendations from a health care provider” (McIntyre, 2016). Non-compliant behavior is actually believed to be an epidemic and is likely one of the most common causes of treatment failure for chronic conditions as it hinders the doctor’s ability to provide optimal care” (McIntyre, 2016). Patient education can
This raises some important moral questions. Should a doctor reveal all possible cures to her patients even if she doesn't agree with them? Who should decide which treatment to pursue? Most American physicians would say that physicians are not responsible for giving a patient all treatment options and that the patient himself is ultimately in charge of choosing which treatment he wants. After all, a patient can choose to go to an acupuncturist, or an osteopath, or an M.D. While this is theoretically true, this is not the whole story, and there are some major complications. First, most people still regard their M.D. as the first line of defense with a particular ailment. M.D.'s are federally licensed to practice medicine while most alternative forms of medicine can be practiced by anyone with little education. Even the few forms of alternative medicine that do require licensure require far less education than M.D.'s. In addition, most alternative practitioners are only skilled in treating known diseases and are not fully capable of identifying diseases from their symptoms. For this reason most patients will still seek the advice of an M.D. in order to identify their illness, and only later go to another practitioner.