Placebo Effect In Health Care

The placebo effect has been affecting people for hundreds of years. In the 1940s sugar pills were sold in doctors’ catalogs specifically for the purpose of prescribing them to psychiatric patients. Today, over 60% of doctors admit to prescribing placebos to their patients, although there is an unwritten rule among doctors in the United States that placebos should no longer be given to patients. Some even do it on a regular basis because they believe the effect a fake drug has on the brain is more effective for its price than the real medication or treatment. In the documentary, Placebo: Cracking the Code, viewers see a few different perspective of the placebo effect. They hear from doctors, patients, and researchers to more fully understand the ins and outs of the placebo effect. These different viewpoints serve as an effective way to bring light the producers’ purpose: to show just helpful and sometimes harmful placebo drugs can be.

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

Certainly there are a lot of cultural and ethical barriers affecting people behavior in taking their medication. As for Matthew, being an American Indian male has already been exposed to their traditional remedy. So having that in mind I will think that the provider needs to be cultural sensitive and try to work with him. The use of appropriate techniques

On one hand, to involve the patient in decision-making, to act out of beneficence toward the patient and to have employed effective treatment options before considering placebo-prescribing is to respect patient autonomy and maintain the patient’s dignity. On the other hand, a consequential argument exists about the overall possible benefit of placebo-prescribing in clinical practice, if its use is effective. However, as I have said implicitly, the ends do not justify the means. Pure placebo-prescribing should only be done in limited cases where tests were ordered to try to rule out possible illnesses, where other acceptable alternative treatments were employed and where open communication and shared decision-making takes between the clinician and

It is know that the patient’s community or cultural group can have significant impact on a person’s health. Therefore, health care practitioners are faced with more challenges that include outside sources and they need to be willing to change their treatments to address the other sources.

doi:10.1177/1363461512444673 Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251. Lemieux-Charles, L., & McGuire, W. L. (2006).

Placebos have been used in clinical trials since the eighteenth century but did not become a research topic until the late twentieth century (van Haselen, 2013). Most often when using placebos in clinical trials it is to determine whether or not the active agent has more effect on a patient than the placebo by providing each to the same number of recipients. The trials are almost always double blinded, this means that both person giving the drug and the person receiving it are unaware whether or not it is active so that good care and relationships must be present in the recipients at all times (Tavel, 2014). Ovosi, Ibrahim, & Bello-Ovosi (2017) declared “The choice between placebo and active controls in clinical trials affects the quality of the result as well as the ethical and scientific acceptability by both the public and regulatory bodies. It has, therefore, continued to generate discuss among researchers” (para. 3). This goes against the autonomy of a patient which is the right for a person to

Racial and ethnic disparities can be a touchy subject when talking among many circle of people, even so with some Caucasian sub-group.US Census reported that 1 in 4 Americans are of a race other than white; 1 in 3 children are African American, Hispanic, or Asian; and 1 in 10 people are of foreign-born. When majority dictated make all decisions and the minorities does not have any power. This cultural diversity can have inferences with our health care. Ethnic culture affects our beliefs, health, illness, and medications, as well as how we interact with our healthcare providers, and even how we comply with our prescribed medications, as well as mental health status (Cultural diversity and Medication Safety , 2003).

Imagine going to the doctor and being given medication to heal your pain. Now how would you feel if after taking the medication and feeling better you came to find out you were given a placebo? This may sound upsetting to some, however, “ a recent survey of U.S. internists and rheumatologists found that some 50% regular prescribe placebos.” A placebo is defined as a false treatment without any significant chemical properties or active ingredient. The use of placebos as a primary form of treatment with any pathology is not happening anytime soon, but their positive impact and usefulness in the medical field is becoming hard to deny. In the article, “The Magic of the Placebo”, author David Bjerklie attempts to explain the growing change in

There are multiple key components to providing a comprehensive cultural assessment. The first to consider is the patient’s biocultural variations and cultural aspects of the incidence of disease. A patient’s identified culture, ethnicity, and race can make a person more susceptible to certain diseases (Andrews & Boyle, 2016). The second component is communication. A patient’s preferred language should be identified, as well as his or her style of non-verbal language, and if an interpreter is needed (Andrews & Boyle, 2016). Third, the patient’s cultural affiliations should be identified. It is important to ask what culture the patient identifies with, and where the patient has lived throughout his or her life (Andrews & Boyle, 2016). The fourth concept is cultural sanctions and restrictions. This is information on the patient’s

Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.

The placebo effect is often thought of as an act of fooling the mind into perceiving a benefit that has no physical basis. This depiction of the mind as a naïve and foolish organ may be incomplete and ill-representative of the mind's abilities. Indeed, the mind may orchestrate a physical response in the body based on its

By examining some of the most popular, enduring alternative medical systems, one can begin to see some general trends of the systems, understand some recurring flaws, and understand the attraction and usefulness of alternative medicine in today's health care system. However, alternative medicine remains controversial. Whether it can be supported scientifically or not, alternative medicine may be useful to encourage both physical and mental well-being via a placebo effect. For this reason, alternative medicine must be considered by physicians as a complement to modern medicine.

These therapies have proved to be of much benefit in supporting the normal healing course of the body. Even though there are many modern alternative remedies, with different beliefs, all of them operate under some common principles. One of these principles is that the body has the capacity to heal naturally and maintain stability (Paquette, 2000). The other one is that adverse health conditions can occur as a result of factors emanating from mind, emotions and the body. Alternative medicine, according to Goldberg, Trivieri and Anderson, (2002), focuses on determining the chief cause of a particular condition, and dealing with the whole person rather that concentrating on symptoms. If a person pays close attention to his/her health he/she can contribute to his/her wellbeing. Alternative medicine holds firmly to the principle that one treatment cannot be used for all people even though they may be suffering from the same condition. Each and every person as per alternative medicine has distinct bodily, mind and spiritual make up (Goldberg, Trivieri and Anderson, 2002).

Every culture has its own views of health care, diseases, and medical interventions. The way people of a given culture view health care affects how they handle themselves when they fall ill. For instance, the Asian culture believes that illnesses are caused by supernatural phenomena, which should be diagnosed and treated by means of spiritual healing or traditional herbs. Physicians and other medical practitioners should try to understand the cultural beliefs of their patients to handle them appropriately.