Relationship Between Patient And Physician

Katz states, “the conviction that physicians should decide what is best for their patients, and, therefore, that the authority and power to do so should remain bested in them, continued to have deep hold on the practices of the medical profession “(214).

Team work is very important, having a positive team environment would make the job easier, more enjoyable and better for the patient. Also, having a good relationship with physicians is extremely important. Having multiple people in a team is helpful because they will help you develop a care plan that would benefit the patient.

The concept of paternalism involves the notion that one person, generally a person in a position of authority, has the right to intervene and override the autonomy of another person. In terms of historical context, medicine is one area in which paternalism has occurred frequently. Throughout the ages, physicians and doctors have been placed in a position of authority in which they acted upon the bodies of their patients without those patients’ full knowledge or understanding. However, there has been a distinct shift in modern times regarding paternalism. With the publication of The Silent World of Doctor and Patient, Jay Katz advocated for a new attention to be given to the autonomous control of the patient. Katz noted that historically speaking,

“The only appropriate and realistic model of the Dr.‐patient relationship is paternalism. Doctors are the medical experts; most patients have little, if any, reliable medical knowledge; implicit trust in one’s physician is essential to the healing process; and doctors have the responsibility for our health and therefore have the duty to make all the important medical decisions.” Critically assess that claim.

The patient's idea of the physician is in contrast to the narcissistic patient's contempt, and disregard for the physician, who is keeping a sense of superiority over illness. Only the most senior physician in

First, disclosure of information to the patient will sometimes increase the likelihood of depression and physical deterioration, or result in the choice of medically inoptimal treatment. Second, disclosure of information is therefore sometimes likely to be detrimental to the patient’s health, and perhaps hasten his death. Third, health and prolonged life can be assumed to have priority among preferences for patients who place themselves under physicians’ care. Fourth, Worsening health or hastening death can therefore be assumed to be contrary to patients’ own true value orderings. Lastly, paternalism is therefore justified: doctor may sometimes override patients’ prima facie rights to information about their risks and treatments or about their own conditions in order to prevent harm (Vaughn, 96.)

In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare

The healthcare industry has taken the stance that every patient has a right to be informed before making health care decisions. The end of the last century saw the development of a healthcare model centered on the patient’s autonomy and choice. This was in attempt to do away with the paternalistic and authoritarian manner that had previously characterized medicine. Paternalism is the substitution of one individual’s judgment (in this instance being a public health professional) in place of another’s decision-making abilities, for the purpose of promoting that individual’s welfare. The new relationship between healthcare providers and a patient is treated as a type of contract that is invalid without the patient’s consent (Showalter, 2004). As Dr. Jane Orient explained, since the Nuremburg Trials consent has been treated as an absolute necessity before any and all medical procedures. She believes that 3rd party encroachments, in this case the government, on the doctor-patient relationship are both dangerous and undemocratic. She claims that they put the doctor in a situation of having to harm their patient and therefore break their Hippocratic Oath to follow public health policy. Dr. Orient also discusses how this medical model is reminiscent of a Socialist State, one that would disvalue the individual in order to

Many physicians feels and demontrates frustration on the changes and lost control of the practice of medicine to business interests. Accustomed to having the authority to make decisisons about the best care for their patients, they are now questioned and scrutized on the treatments they provide for and care for their patients.

In our society and classrooms, more often than not, it is argued that when a physician and their patient have a paternalistic relationship, it is deemed unacceptable and needs to be addressed. However, Komrad argues that a paternalistic relationship can actually be a beneficial factor between a physician and their patient. Komrad creates the concept of a limited paternalism where it “preserves an individual’s freedom as much as possible in the hope of eventually broadening it” (42). One of the main components of this paternalism is acknowledging that from the very beginning of a physician-patient relationship, it is an asymmetrical relationship because of the patient’s already diminished autonomy. A patient has an automatic diminished autonomy

Principle 1.1.6 Quality suggest that a physician must take action to participate in improving the quality of health care. This is compromised due to a physician deeming the health of a VIP patient more important than of a regular patient. Principle 1.1.7 Physician Exercise of Conscience is also compromised, by treating those a higher status could bring forth consequences of a physician’s personal integrity, as well as cause the physician emotional and maybe even moral distress when making certain medical decisions. Furthermore Principle 10.3 Peers as Patients proposes that a when a physical is present with the opportunity to care for a fellow physician he or she must follow the same guidelines and protocols while treating their peers as treating any other patient. While treating someone of a higher caliber, the pressure to impress or appease this person may result in special privileges, or a swayed medical diagnosis due to

A common idea, which I believe to be a misconception, is that the role of the physician is strictly medical in nature. Instead, I believe that along with providing healthcare, physicians also provide structure and safety to society. I believe physicians not only help patients treat physical symptoms but also act as role models to patients suffering from a lack of confidence, problematic mental health, and decreased energy levels. This allows people to perform their best in all aspects of life whether it be their occupation, relationships, and/or hobbies. Overall, when people feel their best, the community on a whole begins to improve. Also, physicians should be non-biased to provide the highest quality of medical care to patients of various

What intrigues me most about this profession is the intricate bond with the patient community. The bond I shared with my physical therapist was unlike any other physician-patient relationship. Not only was he personable, relatable and supportive, but the atmosphere was positive and enjoyable. I strive to be that for my patients, a balance between friend and therapist, teammate and cheerleader, to drive my patients to work harder. I cannot promise this journey will be easy, but I know every painful stretch and exercise will be worthwhile.

D-The patient arrived on time for his appointment to meet with this writer. The patient immediately discussed some issues with his employment situation and housing. According to the patient, he is currently not living in his current apartment due to mice infestation. The patient was clearly upset that his landlord is not doing anything to address the matter. Furthermore, the patient is planning to call the Health Department and at this time, searching for another apartment. In the meantime, the patient is currently staying with his girlfriend, but then discussed some of the issues within the relationship as the patient been in the relationship with his girlfriend off and on. This writer validated the patient's feelings and also, support.

Within their paper, Childress and Siegler expand upon five models of physician-patient relationships that are omnipresent within the healthcare setting: Paternalism, Partnership, Friendship, Contract, and Technical Assistance (Childress and Siegler 74). By using these models, physicians often use these social frameworks to “appeal to ethical principles related to informed consent or shared decision-making or, at a deeper level, [the] goal of respecting patient autonomy” (Schwartz 2011). While the substantial purpose of using these models is to help alleviate the excruciating effects of disease, there are drawbacks to these models where efforts to respect patient autonomy may aggravate a patients’ suffering, specifically paternalism. Advocates