The Patient Relation Between Doctor And Patient

There are many social factors that can impact on the Doctor Patient relationships everything from race to gender. To break it down and find five, I started with Doctors personal views he is under pressure to be ethical when he may not entirely be accepting of a person’s beliefs or sexuality. For instance a doctor may be homophobic and have a patient attend surgery asking for advice on practicing safe sex and being HIV aware. Following on from this may be a patients confidence in doctors due to race for example a person who has racist issues would not feel comfortable attending a foreign doctors surgery. To find a third I would have to say gender being a female I tend to talk easier to a female doctor, which persists problems as my female doctor only works three days a week so I put off going to see the male doctor so therefore remain ill longer. My fourth factor is age, as the doctor could be old and the patient adolescent. This would impact on different generations living different lifestyles and changing societies. “Adolescence is indeed a tempestuous period”, (Thorne, B & Lambers.1998). Finally I find language barriers a major social factor as if you can’t understand what your doctor is saying to you it has complications in treatment and there is not always a translator available.

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

You need to be able to maintain good confidentiality. Confidentiality is really important within the health and social care settings because it’s their personal information that you have of them and should be taken in account. The information includes their past history and present such as choices and preferences, medical history, family, work etc. it’s important that you do not share their information to others as it can be a big risk for them and their family. However confidentiality is important as it can help you to identify the medical history of that person and how you help their health and well-being.

A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this

4.) double check you have the correct patient by having them say their name ,date of birth and possibly other basic information to prevent reveal of private health information

Confidentiality is considered a core value or principal in the medical practice. Confidentiality is a right that all people have within the medical field. This is the requirement of health care providers to keep a person’s information exclusive unless the patient or the person consents in the form of a release to share that information with other people that practice. Usually the consent is given when a doctor wants to consult with a different doctor for example. In this case it would be for the betterment of the person.

They have a duty and a legal responsibility to give the whole truth, receive informed consent, and be bound by primary duty. Each patient has the right to exercise control over his or her own body. The need to receive all the information available is extremely important to be fully informed of their current state and know all the options they have, this way they are able to be in agreement with their physician and give them the proper permission for what they are asking of them. The only way for this to happen is to have the patient be fully informed by having the physician give the whole truth. The physician is an expert and needs to be able to explain all the information to the patient since the patient is in an inferior position than the physician. The patient relies on them to give them the whole truth and provide alternative courses of action in a neutral fashion. The physician is also bound by primary duty to the patient which means that they cannot put anyone else’s good over the good of their

Everything discussed between a doctor and patient has to be confidential. This means whatever the patient tells the GP, the GP is then not allowed to go and discuss this with other people. If a GP was to break this right then they are disrespecting the rights of the patient and there could be consequences for the GP. However sometimes it is difficult for a GP to keep that confidentiality if he thinks the patient is in any danger, for example a GP has been told in confidence by a vulnerable elderly women that her carer has hit her, the GP would either try and persuade his patient to tell someone about the incident or he could contact social services to make a safeguarding referral. Doctors should respect the patients wishes and keep the confidentiality

If the doctor won’t pass any information to patient’s carers and families they won’t be in the loop. So if the person is confused they can’t ask them to repeat the information for them and they would feel helpless. In turn this means if the patients have got personal things to say about the carer the carer won’t find out and get hurt with emotional pain. Overall the advantage outweigh the disadvantage, the doctors should protect both individuals and should talk to the carer if the patient can’t make decisions for themselves and disoriented. Further on if the patients says hurtful things about the carer the doctor should NOT discuss that matter with the carer as it would cause further distress for them. When a doctor discuss what happens at the appointments it helps the cares how they can help the patient such as has the patient might need to take a medication the carer know when to take the medication how much and when. This would support the individual knowing the carer is there to help and this would help the carer to feel supported and very

“Professional integrity derives its substance from the fundamental goals or mission of the profession” (Wakin, 1996, para. 15). Meaning to say, individuals seek for a professional’s valued and ethical advice to which the professional holds their responsibility to maintain and exceeds the level of their expertise. For example, a general practitioner will treat a variety of patients, from all different walks of life with a plethora of different problems. It is their duty to diagnose and treat the patient to the best of their professional ability without prejudice. Another aspect of their duties is the principle of patient confidentiality. Medical professionals are legally bound to not divulge any information provided to them by their patients.

The social interaction is an integral part of everyday life of each individual, which is learned from the early childhood and is innate in its nature. It includes the social exchange of information, the ability to communicate, decide, and take responsibility for one’s action. The routine work of healthcare professionals includes the information exchange on an everyday basis. The excellent knowledge of primary disciplines necessary for the practice is crucial for the healthcare professional; however, one can encounter the difficulties without the deeper understanding of ethical principles of communication in the healthcare environment. The book “Health Professional and Patient Interaction”” by R. Purtilo, A. Haddad, and R. Doherty introduces the readers with the basic ethical principles and behaviors in the healthcare setting. The key points that the healthcare professional has to practice to achieve success and harmonic professional relationship with the patient are: respect in all circumstances, the ability to listen, the readiness for challenges, and care with empathy to the patient situation beyond any limits.

If an adolescent male patient is uncomfortable with a female physician examining him, then the physician should ask the medical assistant if a male to assist the situation. The medical assistant will help get the patient comfortable with the situation if a presence of a male is overseeing the examination. Another option can be to have another physician examine the patient. However, as a physician with courtesy, this preparation will set as soon as the patient enters the room. The patient will get a sense of consideration and be comfortable, which allows the physician -patient relationship to start out good.

But a good doctor should make sure his patient is confident and can speak what he feels without feeling intimidated. A patient asking help from a physician may feel vulnerable as they do not have much control on their body and feel defeated. The doctor should give the patient enough opportunity to express that their dignity remain unattacked. As churchill explain why he thinks it is crucial to have a “patient-centered care”, he mentions most time the health care providers “speaks to formal obligations and professional standards rather than patient experiences.” The whole treatment process is “centered on the agency of the clinician rather than the frame of the patient, and both speak in an idiom that is largely foreign to the patients’ lives.” A good health care provider would confirm that the patient understands what is happening and if they feel comfortable with approaching towards the treatment and if so what kind of treatment they would prefer. It 's human nature that we want to be remembered and we want people to remember us as a great being. Just like Broyard mentions, "what would please me most would be a doctor who enjoyed me. I want to be a good story for him, to give him some of

There are a number of key elements that help to provide a framework that enhances truthful communication. Firstly, there is the need to develop open and honest communication from the very beginning of the patient-health professional relationship. Secondly, the health professional needs to use patient penchant as a “weigh” by asking them what they wish to know, how much they wish to know, and determining what they already know. In other words, it is a responsibility of the health professional to get a ‘feel’ for the situation, including the patients’ perception of the situation (Ashcroft, Dawson & Drape 2007).

The doctor-patient relationship always has been and will remain an essential basis of care, in which high quality information is gathered and procedures are made as well as provided. This relationship is a critical foundation to medical ethics that all doctors should attempt to follow and live by. Patients must also have confidence in their physicians to trust the solutions and work around created to counter act certain illnesses and disease. Doctor-patient relationships can directly be observed in both the stories and poems of Dr. William Carlos Williams as well as in the clinical tales of Dr. Oliver Sacks. Both of these doctors have very similar and diverse relationships with multiple patients