Reflection: My Smelling Mouth Problem By Igoni Barrett

The movie “The Doctor” is a good example of how communications in the health field work to benefit not only the patient, but the doctor too. In this movie, the main character, also known as Jack McKee, is a heart surgeon. The movie begins by showing how McKee’s attitude towards his patients tends to be inappropriate. Jack jokes about his patients and laughs at their concerns. His home life is also a struggle; his relationships with his wife and son are falling apart. The movie takes a turn when Jack becomes suddenly ill. He begins coughing up blood. He meets with a specialist by the name of Lesley. Tests reveal that Jack has a serious tumor on his vocal cords. He has now become the patient. He begins treatment but the results

This is the other story in the collection, which is told in the second person and it is considered the more powerful one by many reviewers. This story looks back eighteen years to an incident in the narrator’s childhood, one which has had a major impact on her whole life. The narrator reflects on the last summer before everything changed – her parents divorced, she never returned to Nigeria or saw her father’s family again. The memory begins eighteen years earlier in Nigeria at grandmamma’s place where the American-Nigerian narrator, her older brother Nonso and her cousin Dozie were all staying. Grandmamma favoured Nonso as the eldest grandson and the only one to carry the ‘Nnabuisi name’

As I grew older, the need for me to attend these visits were increased due to my proficiency in English. Fortunately, there was now a translator between my parents and the physician, however the authenticity of the translation was skeptical. This is a common issue among the children of non-English speaking families who are unable to successfully relay issues regarding health and finances from the healthcare provider themselves. Due to the complexity of the conditions and the emotional burden that it may contain, I often found myself struggling to relay these messages to my family. There were times where I found myself sugarcoating the diagnoses given by the physician because I did not understand the severity and because I did not want it to impact my family. Once I became a teenager, I realized withholding pertinent information was actually doing more harm than good.

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).

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.

Investigating problems on both the doctors and patients side during the interaction at any medical appointment is key when interpreting statistics that relate to this matter. These aspects will be further explored later in this paper. The general consensus from many articles and studies indicate that miscommunication is a massive problem that impacts many individuals who die each year from miscommunication. Furthermore, each article shows a different perspective on where this error comes from and where, both doctor and patient, go wrong and what they can both do to improve the communication between them. Another aspect that must also be incorporated into this argument is that communication is not all verbal and that non-verbal communication can be just as effective or ineffective when it comes to dealing with other medical personnel or patients. The 7% rule coined by Albert Mehrabian in his book “Silent Messages” states that “93% of communication is non-verbal, with 55% being body language and 38% being tone of voice; leaving only 7% of communication being verbal.” (“Silent Messages” Albert Mehrabian), and that ineffective or bad non-verbal communication can be just as detrimental during an interaction as verbal communication. Unfortunately, for doctors, the precision of the execution in this small 7% of communication is crucial when explaining challenging

We hold these truths to be axiomatic: that all students, no matter their background, ethnicity, or rank, are created equal in status and in identity; no student is higher than the other. Each student is equipped with secure and unalienable Rights; that among these rights are Respect, Rightful Identity, and Freedom of Speech. We also believe that rules are formed to protect these certain rights and that the power of these rules comes from the power of the students; whenever any part of the rule fails to protect these rights, it is the right of the students to change it and to form a new rule that follows such principles which organizes its powers to end in Security and Happiness. Fair judgment, as a matter of fact, will ordain to say that long prevailing consequences should not be changed because of trivial, temporary, or fleeting reasons; and, in fact, history proves that students are more likely to suffer the bullying,

Canada is a multicultural country. Healthcare providers, therefore, face certain challenges associated with this. The CMA Code of Ethics recommends that “physicians provide patients with whatever information that will, from the patient's perspective, have a bearing on medical care decision-making and communicate that information in a way that is comprehensible to the patient.” [1]. This statement has a very important message, which implies that the truth telling is not a mandatory burden that every patient must endure but rather a stage-like process delivered by a healthcare provider and guided by the patient.

The purpose of effective communication in healthcare is to provide first-class medical care, minimal to no medical errors and have precision; and without it there is room for medical errors, poor patient care and an ineffective team that produces undesired outcome. In the professional and patient relationship, the lack of good communication causes the patient to be apprehensive in asking questions, to worry about being bothersome because they feel other patients are sicker, and there is an assumption that the patient does not have any concerns. There are barriers to communication that include only one between the sender and receiver of the message understands the message, cultural differences, and lack of education. In sending the message it is essential that the message is received with clarity, it is concise and complete. If the patient has a language barrier, it can be masked by the patient not responding to information and it is detected as a result of poor or no compliance. In literacy concerns, all information should be presented on a 5th grade level to aid in the comprehension of the information. The care of the patient should be patient/family centered which helps in detecting any language, cultural or literacy barriers (Schyve, 2007). For example, a 46 year old single male patient that is functionally literate is admitted with a diagnosis of acute angina. During the

Effective communication is a two-way process of not only relaying the correct information but receiving and understanding the correct information (Tay, Ang, & Hegney, 2012). The number of persons with limited English proficiency (LEP) in the United States has increased by 80% in the past 16 years accounting for 25.2 million people or 9% of the total population (Gil, Hooke, & Niess, 2016). This presents a communication challenge for the healthcare provider when the LEP patient presents for medical care. Communication barriers can interfere

Instead of trying to hear the reason for the student’s opposition on changing the desk arrangement, the director continues her talking after asking the question how about changing the desk arrangement. The director’s reaction of refusing the hear the student’s idea and listing all the benefits that the students can get from changing the desk arrangement, creates situational irony, because people normally would expect someone to listen to the others after asking the question. This irony then suggests that the director in fact had no intent to consider the students opinions and the director’s dogmatic decision

It tells about a Nigerian boy who lives with a family who often speaks their native languages; both of which, he is not familiar with. The narrator states

Lucille Lange, a school administrator from Bogota explains: “Students are leaning to think independently and need to realize that the right to express themselves comes with responsibility and consequences.” (2011). Students opportunity of free expression, their personality, and individualism is unable to develop to its fullest capacity.

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).

This is because the majority of the patients do not understand the language doctors’ use. For example, when the doctor stated that, when the doctor told the mother of the child that, they would try something different in the four days’ time. He did not tell her to stop giving the child the medication recommended for him. Instead, he wanted her to continue giving the medication until that four day time while they monitor his situation. I wish the doctor had used simple language like continue giving him the medication while we are monitoring his situation then we shall try something little different if the situation persists. This would have been easy for the mother of the child to understand. Thus, doctors should avoid using complicated language while communicating to patients.