How should we define a patient’s outcome? Should we determine whether a patient’s outcome is positive or negative through the fact that the or she live or die from the treatment?
For the last 40 years, Western medicines has been drawn its bioethics through the four principles: autonomy, non-malfeasance, beneficence, and justices. In other words, a medical provider has to respect a patient’s decision, while also making sure he or she receives the most benefits and the least harms from the medical treatment. While Western medicine has developed with four sets of principles to treating a patient’s diseases, Western medicine is systemically flawed by not recognizing a patient as a person manifest with a cultural identity. The current system
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To begin with, Western Medicine’s inattention to cultural attention takes away one of the basic sense of healing, communication through the clinical encounter. According to Kirmayer, “ A clinical encounter must recognize relevant cultural differences, negotiate common ground in terms of problem definition and potential solutions, accommodate differences that are associated with good clinical outcomes, and manage irresolvable differences. It has become a tendency for western medicine providers to view patient’s outcome as positive when the patient lives and negative when the patient die or continues to suffer after treatment. In order to get a patient’s outcome, western medical providers require patients to sign an informed consent of treatment. This act of
My patient past surgical history is prime example of using "Western" medicine interventions to treat acute or chronic illness. She has a history of tonsillectomy, adenoidectomy, and cesarean sections. When asked do she have any beliefs or practices relating to fertility, she answered " I don’t believe in birth control because children are a gift from god". I continued the conversation by asking how do she celebrate pregnancy and she stated " my sister and mother throws a big baby shower for me every time I'm getting ready to deliver". When asked about any nutritional pattern or need she would like to share, she ended our time together by saying rice is their staple
In his article “Whose Body Is It, Anyway?”—appearing in the New Yorker in October 1994—Dr. Atul Gawande highlights the complexities of the doctor-patient relationship vis-à-vis patient autonomy and decision-making. Dr. Gawande explains that a respect for patient autonomy (i.e., allowing patients to choose between courses of treatment, therefore directly influencing their health outcome) is the “new normal” for medical practitioners. However, Gawande also contends that there are times when patients are better served by a voluntary relinquishment of that autonomy.
Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed
In addition, relying on a doctor who does not share the same beliefs as one does can become fearful. Trusting the doctor for full treatment is necessary but when from a different cultural background it can prevent them on trusting them. According to a research article, Cross- Cultural Medicine a Decade Later, clearly states “when the basic belief structure of biomedicine and another set of health beliefs differs radically, problems and frustrations almost inevitably arise” (Barker, 1992, p.249). The central purpose of the research was to show whether or not health beliefs between patient and doctor differs will they find it difficult to interpret the symptoms and treatment variations to accommodate their beliefs. However, the doctor having faith in one’s health beliefs can sometimes be beneficial for the patients because they’ll be fully understood and not misjudged as being crazy. As stated by the author, for the article Chinese Health Beliefs of Older Chinese in Canada, “the findings support the previous prescriptive knowledge about Chinese health beliefs and illustrate the intergroup socio-cultural diversity that health practitioners should acknowledge in their practice” (Lai, 2009, 38). Like the Chinese, Hmong’s too first go to their shaman for traditional treatment rather than going to the doctor; to them an illness and their healing is more of a spiritual thing that
The findings of this survey showed that 73.6% agreed with the use of traditional medicines for health maintenance, 79.2% agreed for benign illness, such as colds or sprained ankles, and 90.3% agreed for palliative care (Zubek, 1994, p. 1926). Where they disagreed the most was with the use of traditional healing in the intensive care units, only 16.9% agreed with the use of this treatment for serious illness, such as cardiac or respiratory compromise, whether in the hospital (21.2% agreed) or as outpatients (26.4% agreed). Nearly half (48.6%) agreed with using traditional medicines for chronic illnesses, such as non-insulin dependent diabetes or Parkinson's disease (Zubek, 1994, p. 1926). One instance where physicians were unwilling to allow their patients to use Native medicine was while the patient is in the hospital, because the physician could be held legally responsible for any treatment administered while admitted under their care. There is also the problem of differentiating between legitimate Native healing practitioners and those who would take advantage of anyone not aware of the proper rituals and techniques that need to be performed (Zubek, 1994, p. 1929). This could be overcome by having a formalized licensing organization such as is used by Western practitioners (i.e. American Society of Clinical Pathology [ASCP]). That poses another problem though, as to whether traditionalists would be willing to have such an organization.
Asian cultures have a very strong family bond and this is very important to them and often surpasses that of an individual. The older family members are rarely questioned and therefore they are often the decision makers and will decide for themselves after being made to go to a hospital that they do not want treatment and all health care providers must respect this decision and be culturally competent in handling the situation. One must not make a patient or family feel bad due to their cultural decisions. We must look at our own beliefs as nurses in order to know what our beliefs are in order to understand those of our patients.
From the dawn of time healing has been influenced by many different issues, such as religion, politics of the time, different philosophies, and vested interest such as money. There had been conflicts between Eastern and Western medicine for a long time. Eastern medicine is viewed by many people in the West as having no validity and makes little sense to those who view the body in parts and pieces. Eastern medicine has long viewed the body as mind, body and spirit as one entity. To understand the ideas of each Eastern and Western medicine its history has to be taken into consideration
When the average American catches a cold, they head to their doctor who assesses their condition and prescribes medication to help alleviate their symptoms. The patient then heads to the pharmacy, gets their medicine, starts a course of treatment, and eventually feels better. That is the average cycle of treatment in our society. Someone suffering from a headache will take a painkiller; for a cough, cough syrup; and for a stuffy nose, a decongestant. In the western part of the world, illness is treated with medicine, or more specifically, scientific medicine. At the core of modern western medicine is Germ Theory, which states that certain microorganisms can cause disease (Ritter & Graham, 2017). If someone
Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should elicit the patient’s perception of the illness and any alternative therapies he or she is undergoing as well as facilitate a mutually acceptable treatment plan. Patients should understand instructions from their physicians and be able to repeat them in their own words. To protect the patient’s confidentiality, it is best to avoid using the patient’s family and friends as interpreters. Potential cultural conflicts between a physician and patient include differing
What cultural considerations must you think about? (Did the group describe cultural considerations relevant to treating the particular patient?) (3 points)
One of the conflicts that arise in health-care from a conflict perspective is the focus of the provider and is the provider functioning as a scientist or a care giver. Are there objective versus subjective concerns for the patient and is the health care provider treating the disease or is the provider treating the person? The conflict that arises between health-care provider and patient is vastly influenced by the patient’s cultural and social beliefs.
In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is
The complex structure and foreign nature of Tibetan medicine makes it difficult to relate its practices to Western medicine, making it difficult to determine the clinical efficacy of Eastern medical practice. Several clinical analysis studies have recently been performed in order to determine the efficacy of the “holistic” practices of Eastern cultures. Whether the studies show Eastern or Western practices to be more effective, I believe that the most effective treatment should be a combination of both practices.
There are many cultures out in the world today that practice beliefs different than those in the United States. America is based off Western Culture and traditional medicine practices which focus on preventative and curative medicine. Most cultures around the world practice folk medicine, which focus more on the person as a whole with remedies and ceremonies rather than medicine and treatment. Even though each one believes in a different practice, all medical professionals should have the knowledge and awareness of each culture’s health beliefs to properly treat their patients in a respectful and kind
There are four commonly accepted principles of bioethics. The first is the principle of respect for autonomy. Respect for autonomy is a respect for the client to make informed and intentional decisions, provided that the client is judged to be capable of doing so. This principle is the base for the practice of informed consent as well as the right to accept or refuse treatment. The client is to be able to make a rational, informed decision, without any external factors influencing any decisions. This principle may cause what the health care professional perceives to be harm, but to the client, like a muslim client refusing to have a xenotransplantation from a pig, accepting the treatment would cause him to suffer