The importance of effective communication within Doctor- Patient relationships. Upon setting out on this placement, it was my intention to study the communication methods and the effectiveness of such by doctors within the multidisciplinary team in order to prepare this assignment. Whilst on placement I was assigned to an On Call Registrar assigned to many consultants at the time. This wasn’t particularly ideal as continued contact with patients was not available to me, however there was one patient I recall whom I gained a lot of insight from. We were called to the extension ward of A&E where we were presented with a young woman, 19 years of age. She had been sent across from her GP with severe posterior flank pain. A urine test was …show more content…
We later found out that a urine sample had in fact been obtained at the GP surgery earlier that day, which the patient had falsely claimed it had not. What stood out about this situation to me was that this patient had withheld this vital information from the registrar. It could not be said whether this had been intentional by the patient, however it was decided not to discuss it further with the patient, as this may have hindered the trust and rapport that had already been built. It may have been due to a breakdown in communication between the patient and her GP, but because of the nature of the role in which the registrar had acquired the final outcome of this case, it was not witnessed. Upon our withdrawal from this patient and A&E department it was felt that the patient felt a lot happier and more at ease with the care that she had been given so far and what was planned for her. We felt confident in our discussions, that we made the right choice and that this was the right course of action for this particular patient. Initially my feelings regarding this incident were quite harsh and somewhat irrational. My only thoughts were why had this patient lied and concluded that she may be amplifying her symptoms or potentially attention seeking. However, this did not affect my treatment towards this patient and she received the investigation and treatment she needed in which to recover as instructed by the registrar. Soon after this
Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during
Within a health care setting communication is a necessity. This communication not only includes the need for professional communication but also the way in which information is shared to the patient and to other healthcare workers. Another important aspect of health care worker such as a nurse is the effectiveness off a handover. Within the video, Effective Communication in nursing these three aspects of communication (Professional communication, provision of information and handover) were seen and will be analysed further, within this essay. These will be analysed through the three aspects, the care of the patient, the image of the individual nurse and the health outcomes of the patient. All of these three aspects of communication are vitally important to the overall patient needs.
As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.
In this essay I will be analysing effective communication and reflecting on a personal situation that demonstrates this within a health and social care setting. There are many different types of communication, verbal, non-verbal, formal, informal, written and it can be shown through your tone of voice, thorough your facial expression, as well as the through your body language. The official definition of communication according to Oxford Learning Dictionary is, “the activity or process of expressing ideas and feelings or of giving people information” and I will be using the Gibbs reflective tool (1988) and its 6 stages as the frame work to break down the incident I was involved in and compare it to the
And if that does not satisfy the situation calling social service to investigate would be the next best possible action. The interview said; “They will inform the management by complaining as there is an open disclosure policy; if something goes wrong; and patient isn’t satisfied they could sue them. Which can indicated that the patients can file a case against facility if they feel that they two advised actions have not satisfied the negligence of the workplace. The most important key in deciding the best action to take for this case would be the patient’s satisfaction and finding justice for the suffering received.
UCLA is a prestigious and well-known hospital for misunderstandings to be happening. If Resident Vellios did not know the answered, he should had asked for help or said I cannot answer these questions, but the treating physician can. I find it very unprofessional, and immature of his part saying, things that were not even true, and writing them on a medical record. He dealt with the situation
On Wednesday, April 19, 2017 at approximately 9:15 am Investigator Cindy Hercules and I Obtained the following statement from the complainant patient Phyllis Burrell - Karriem.
The only goal of this meeting is to disclose the event and answer any questions the patient and/or family may have. The physician will describe what actions the hospital has taken in response to this event, any future actions that will take place, and what policies were reviewed while investigating this error. The physician and designated hospital staff member will also disclose contact information for future communications with the patient and/or family members. It is the physician’s discretion to initiate future communications and face to face meetings with the patient and/or family
I do not have a written account of the scrub nurses or other Operating Room staff testimony as to what actually happened in this Operating Room. It would be speculation on my part to assume the worst of the physician without having all the details before me.
Later that day, the CRNA came back to check on Mary. The ICU nurse taking care of Mary noted that the CRNA was not acting right and that her speech was slurred. The ICU nurse called the Nursing Supervisor, who notified the head of medical staff of the inappropriate behavior of the CRNA. The CRNA was escorted by security and a drug test in addition to a blood alcohol level was obtained. The drug test came back positive for opiates and several other drugs. The CRNA was put on immediate administrative leave and her practice was suspended. In reviewing the case, the surgeon admitted that during the colonoscopy, Mary probably received the colon perforation from thrashing around during the procedure due to inadequate
RT informed writer that she had an appointment on 5/9/16 with the nurse for a genetic testing but she wasn't able to come into the office because RT claimed that was not feeling well. RT stated that she had "body pain"; Therefore RT showed up today 5/10/16 to meet with RN Chandani and to meet with CM Sanny. Due to the fact that Sanny was absent, writer was told by Supervisor Marly Jourdain to meet with RT. Writer did inquire about RT's health and how she was feeling and RT ensured writer that she is feeling much better but still feel a "little drowsy". However, RT said that she is taking her medication and eating well. RT communicated well and was thankful to writer for meeting with her.
Anna is a fifty five year old homeless, unemployed woman who was admitted to the Emergency Room (ER) at Victoria Hospital in London, Ontario for pelvic pain and postmenopausal bleeding. During the nurse’s head-to-toe assessment it was found that the patient also had presenting abdominal distention, prompting her physician to order an X-Ray to determine if a gastrointestinal issue caused this distention. Once this was ruled out, Anna’s physicians continued to search for the underlying cause of her abdominal distention, in addition to her other admitting symptoms. As a result, Anna was admitted to the hospital as an inpatient on the Acute Medicine Unit. The day following admission, Anna went for further testing to hopefully discover the cause of her symptoms. The first test completed was an
I 've been involved with my physician for a couple of months now. There are a lot of factors which make the relationship wrong - mostly on his side: a huge age gap, his marriage & family, the fact that he 's a doctor. He also knows my father, who is a fellow doctor, and the relationship started right when I practically committed suicide. It might be a stupid question, but did he take advantage? I am fully in my right mind and did not feel abused in any way, but I suppose psychology would show that there must be some part of me that was taken advantage of. We started the relationship and after a few days, it dwindled. Now I feel abandoned and used.
Yeo (2010) point out that the possibility to retain some information from patients has been ordered for long in Australian law, as in other countries for the benefit of the patient. This has now been combined with the greater autonomy acknowledged to the patient in many jurisdictions. Although a clinical approach reveals that loyalty should guide the patient-physician relationship, there are still some situations in which information consent and truth telling may be controversial: in some circumstances, the physician should or may not tell the truth. The case at hand poses a dilemma regarding the right to know (Cherry & Jacob 2008).
When I arrived to the ER I was paired with the nurse Megan. Since the ER used team nursing you had more than one nurse taking care of a patient. So for my first patient she had Megan doing her history and setting up her fluids. And by the end of the day the other nurse did her discharge. The first patient was L.C., 46 years old who was admitted to the ER with dizziness, complaints of being cold, head pain, and her boyfriend abusing her. Patient looked as if she was intoxicated. She knew the hospital, the president, but, not the year since she said that it was 2016. The patient was going in and out of consciousness for about an hour. After that hour when she was fully awake the patient was uncontrollably weeping. The only vital sign that was