Running head: LADDER OF INFERANCE 1 Susan Valliere Ladder of Inference, a Case Study Southern New Hampshire University LADDER OF INFERANCE 2 Abstract The case study given is a classic case where a patient’s belief, (real, false interpretation of facts) influences their behavior and is a barrier to receiving quality and/or appropriate care. The ladder of influence and its steps will show how ones “beliefs, accurate or not, affect quality of care received, and the importance of health care providers to dispel any misconceptions a patient may possibly have. The subject in this case study “Mia” jumped to the wrong conclusions. This short paper will use the …show more content…
She heard the head nurse say “I don 't know why her parents bring her here... We can 't meet her needs and we are short-staffed.” She didn’t hear the rest of the conversation, not that it would matter too much. Considering all other factors, she was already predisposed to feeling like a burden no one can or is willing to handle. Even the healthiest well-adjusted child with strong family ties teen is apt to pull the negative out of any conversation. Starting out with that statement was irresponsible of the head nurse, why would “Mia” listen any further? She was probably embarrassed and distraught to focus on the rest of conversation or situation. The sixth is developing beliefs based on these “conclusions”. Her conclusions were based on all the above factors. She should LADDER OF INFERANCE 5 of thought it through more but considering the circumstances and being “let down” by the adults in her life , it was an easy conclusion to make. Because of this one acts based on these conclusions (top of ladder) which is usually very flawed since it may not be fact based. What’s worse is the beliefs get even further from the truth as the beliefs as it creates a vicious circle. Such in this case she feels like a burden and not worth the effort, which lead her to refusing care altogether. True, is she focused more on the true facts, and not assumptions, and false conclusions things might have been
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.
but she still has an agenda hidden the evidence that she chooses to use to support the
Atul Gawande in his article “When the Doctor Makes Mistakes” exposes the mystery, uncertainty and fallibility of medicine in true stories that involve real patients. In a society where attorneys protect hospitals and physicians from zealous trials from clients following medical errors, doctors make mistakes is a testimony that Gawande a representative of other doctors speak openly about failures within the medical fields. In this article, Gawande exposes those errors with an intention of showing the entire society and specifically those within the medicine field that when errors are hidden, learning is squelched and those within the system are provided with an opportunity to continue committing the same errors. What you find when you critically analyse Gawande, “When Doctors Make Mistakes essay is how messy and uncertain medicine turns out to be. Throughout the entire article you experience the havoc within the medicine field as the inexperienced doctor misapplies a central line in a patient.
There are beliefs and assumptions that can hinder the ability of physicians to build proper relationships with the patient. For me personally, the belies that I hold that may influence my ability to build proper relationships with the patient is control. I believe in shared control rather than doctor control when interacting with the patient.
As a scientist and medical professional, I try to make decisions based on logic and evidence. However, many people make decisions, especially important ones about things like healthcare, based upon religious or cultural beliefs and practices. While I have always respected different cultures, it can be difficult to witness such critical conclusions being reached based more upon these tenets than upon scientific evidence.
In this manner, the changeless patient issue makes moral difficulties for human services experts and healing center overseers as they endeavor to accommodate contending commitments. Patient self-respect and decision may be bolstered and proceeded with inpatient hospitalization if that what the patient desires. On the other hand, human services experts and healing facility directors have an obligation to be great stewards of social insurance resources. Health care experts may trust that keeping patients in the healing facility when intense care is no longer medically important damages their expert uprightness (Bruce,
Rather each patient has his or her own set of values and beliefs, and that is what should be responsible for driving their care. Variability in healthcare quality has long existed due to a disparity between evidenced based guidelines and actual care provided. However, this rule offers a shift that allows variation to exist, while still providing high quality care. Not every patient has significant social needs that require addressing. And for those that do, these needs often differ from person to person. That is not to say that standardized processes should not be put in place to identify and intervene on high risk patients. However, it does mean that these processes should be flexible enough to address patients’ needs in a meaningful and effective way.
She makes a strong point because she is a Hospital ethicist. The only weak point was that she didn’t ask the parents how they felt and their point of view. She should have ask so it would make her argument
How should the nurse respond to the mother’s feelings of guilt? How should the nurse respond to the mother’s comments related to having difficulty looking at Tracy?
group has traditions and ways of belief that affect their decisions on how they treat illness,
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.
Common sense is decision making that comes naturally from previous experiences. Beliefs and common sense work together when it comes to individuals having to make decisions in regards to political, religious, and health beliefs. When these ideas are heavily grounded it is extremely difficult to contradict original beliefs. This can become a challenge when patients have specific ideas about how “healthy” they are or what treatment is “best” for them. As health psychologists we are forced to expand their view of health and find enough evidence in the attempt to shift ideas that may be detrimental to their health.
The company has a number of design considerations to ensure that all people involved in the design benefit including the environment:
Lying in medicine seems to be a requirement for doctors because they think that truthful information can hurt patients (Bok 222). According to doctors, while they are telling the truth, patients may have a heart attack or their psychological mechanism might be alleged. Furthermore, death comes more quickly. However, these are so rare and considering these universal is an overgeneralization. In addition, doctors consider their patient as a child and see them like a blind, suffering and passive toy (M.Smith and M.Weil 22); hence, doctors think that they can make choices for their patients without telling the truth to patients. However, this opinion just shows doctors’ paternalistic view (Bok 227).
Living in a dorm room is full of distractions. You have roommates doing whatever they want, friends barging in whenever they feel like, noises all over the place that you can't control, a constant party invite you feel like you have to go to and just a million other things that always seem more fun than studying. But when you're commuting, you don't have to deal with these distractions. You can go home to your comfy bed and do your homework in silence. I know a lot of my friends who lived at the school felt pressured to go to every party, which really put a dent in their schoolwork as a commuter, you don't have parties going on in your house every night, so you can just