The For The Emergency Room, Dr. Howard Burstein At Dana Farber

Marcus Engel emphasized on communication and empathy when dealing with patients in his book, I’m Here: Compassionate Communication in Patient Care. As he struggled to cope with his hospital stay, certain health care providers helped him improve his mental and physical health. He wrote about the doctors, nurses, and other health care providers he met. In his book he mentioned how the behavior and tone of health care providers impacted him. He touched on various topics such as patient privacy, care, and interaction.

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

Every one of us has relied on a medical professional at least a few times in our lives. When we get seriously ill, or suffer a serious injury, we put our health in the hands of doctors, nurses, and pharmacists, fully expecting to be treated with a certain degree of professionalism and safety. Unfortunately, sometimes the expected care is not given, or not given to the extent which the ailment requires. In these situations, we can feel blindsided, confused, even taken advantage of.

Especially since she was just trying to know that her husband would not be hurt by mowing the lawn. Based on what I have learned thus far in the class, I know that no matter how ridiculous the concern may sound I need to respect the patient and allow them to voice their concern. I would have listen to the wife of the patient and would have reassured her that while I know that she is worried about her husband he should be okay to mow the lawn and then I would have ended the conversation by letting the patient’s wife know that if she or her husband have any other worries or questions that they could contact me. The ethical lesson that is to be learned from Dr. McKee’s unethical error is that patients and their family members need to be treated with dignity because they are trusting the physician with their life and that should not be taken for granted.

1. The physician in this video went against the patient's wishes. The nurses in the clip followed the physician's orders and participated in the resuscitation. What professional roles and/or attributes that we discussed in class did they ignore and how should they have responded in this situation? Describe specific examples of professional communication techniques they could have used.

It is preferable if you are always visible when approaching a patient. Always follow the correct procedures, and never carry out any procedure you have not been trained to do and do not use equipment you have had no training on.

I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

And the fact he deemed it unnecessary to speak to the patient is a huge violation of the doctrine of consent and portrayed him to be an insufficient health leader by not following the guidelines put forth in all hospitals to abide by to ensure it’s best to the patients. His incompliant ways can affect the future of the hospital putting in jeopardy many jobs and lives.

The duties I complete as a medical assistant give me a unique opportunity to learn and be immersed in medicine as a member of practice’s health care team. I take every opportunity I get to shadow Dr. Bell and take the time to actively learn from him. He continuously goes out of his way to utilize teachable moments to help me learn more about medicine and the factors surrounding it, such as the complex relationship between insurance providers and healthcare professionals. He is always receptive of any questions I may have about exams, procedures, and treatments and routinely asks my

Standing near the door instead of coming closer to her patient, she immediately began the interview. Without making any eye contact, she dived into a task-oriented approach by reading questions right off the chart in her hands. Throughout the

On many occasions, I have seen situations in which effective communication involving the professional healthcare team played a vital role in the positive outcome of patient care. On the other hand, there have been miscommunication between the healthcare team resulting in situations that could have been tragic to the patient.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD). Londborg was no stranger to the hospital and was known fairly well by faculty members. Londborg paid a visit to the Emergency Room at the hospital complaining of wheezing and breathing complications. The physician that examined Mr. Londborg yielded his symptoms as an acute worsening of