William-Your Questionnaire

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

As I grew older, the need for me to attend these visits were increased due to my proficiency in English. Fortunately, there was now a translator between my parents and the physician, however the authenticity of the translation was skeptical. This is a common issue among the children of non-English speaking families who are unable to successfully relay issues regarding health and finances from the healthcare provider themselves. Due to the complexity of the conditions and the emotional burden that it may contain, I often found myself struggling to relay these messages to my family. There were times where I found myself sugarcoating the diagnoses given by the physician because I did not understand the severity and because I did not want it to impact my family. Once I became a teenager, I realized withholding pertinent information was actually doing more harm than good.

A. Minor Point 1: Many patients can’t decide for themselves and it is not fair for family members to decide for them.

2. What additional questions should you ask regarding this patient’s chief reason for seeking care?

To have quality of care within the health care system, effective communication is needed. Barriers arise when effective communication is not meet, patients with limited English proficiency are at risk for misdiagnosis, poor treatment decisions, trust between provider and patient is not there, and patients to not adhere to treatment plans and follow up if they do not understand what they need to do (Regenstein, Mead, Muessig, & Huang, 2009).

Rarely any physician intends to harm patients when he or she provides treatment to them. Patients see physicians and specialists in full faith that they will get help with a condition. What complicates the patient-doctor relationship is that the outcome of each patient’s treatment is different because of individual health conditions and the course of treatment chosen by the doctor. Problems arise when a patient is not satisfied with care provided by the doctor or in extreme cases when a patient dies. Since most of the time it is hard to clearly determine whether the outcome was solely a result of the course of treatment chosen by the doctor or whether other factors played a role too, quite often patients take their

Discuss what is required to disclose patient information to family members, friends, and when ordered by courts or government

“What stage is the cancer in?” I asked, supposing I should give the doctor a good first impression with professionality. It was my first day interning at Lopburi Cancer Hospital in Thailand. In my memory, being diagnosed with cancer itself meant death and being able to live longer was all that matters in cancer treatment. However, the doctor refused to answer my question with a simple number, continuing to describe the varies treatments he had used. “I usually check curative (instead of palliative) when I am unsure, so that the patients would feel better.” He added before we went on to the next patient.

Currently, most people generally accept a doctor’s word as truth and do not question him or her. When it comes to the medical field, patients can often feel overwhelmed by all the confusing medical terms being thrown at them, so they tend to sit back and do as the doctor says. Healthcare professionals sometimes take advantage of this fact and withhold important information from their patients. For instance, a study conducted by Lisa Lezzoni, MD, and her peers states that more than half of physicians lied to their patients about their diagnosis to put a more positive spin on it (Lezzoni, Rao, DesRoches, Vogeli, and Campbell). Healthcare professionals should disclose to the patient any information pertaining to the patient.

I must be aware, as the patient’s advocate, of the choice of each individual patient regarding his or her medical management or, as in this case, the withholding of treatment.

Describe how you would work within a professional treatment team to consult, triage, and treat this case. Include a description of the various members of the professional team with whom you would be likely to interact. Additionally, explain the roles and responsibilities of each member of the treatment team.

Two different styles emerge when evaluating how providers communicate with patients, Biomedical and Biopsychosocial. According to Athena du Pre author of ‘Communicating About Health: Current Issues and Perspectives, “Health communication influenced by the biomedical model is typically focused and specific” (du Pre, 2005, p. 10). Providers that use biomedical communication elicit short ‘yes’ ‘no’ answers with direct questions to patients. This type of communication does not create open lines between the provider and the patient if it does not make the patient comfortable to help create a bigger picture of their health and wellbeing. Biopsychosocial communication engages the provider and patient in conversations that create in-depth answers giving the provider a stronger base to provide care to the patient. Knowing a patients extended life outside out their immediate appointment or health care crisis helps the physician treat and extend care appropriately.

A physician cannot force a patient to undergo a procedure or treatment against his or her will. Physicians must make informed refusal an integral part of their informed consent process. Physician should understand what patients' needs and balance between the psychological need and social and physical health. Sometimes, the stress environment of the doctor made him frustrated and they don't spend enough time with their patient to get the optimum information and don't show interest about patients’ psychosocial problems. When a patient feel that their doctors have a lack of knowledge of other treatment options may also contribute to why patients refuse our treatment plan. Good physician-patient relationship allows a trusting relationship to develop. Most patients will agree to doctors’ treatment strategies if they have a good communication and patients are kept fully informed by their

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).

Doctors think that they have the right not to tell the truth to their patients because of their paternalistic view. They point at patients’ misunderstanding of diagnosis because of the esoteric information and patients’ lacking of making best choices due to their illnesses or medicine to support this view. Although these are true, doctors just think for one side and they generalize it. To go into further detail, knowing the truth is a