According To Lipkin: Why It Is Impossible To Tell Patients The Whole Truth

This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication. Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication.

In Joseph Collins article, “Should Doctors Tell the Truth?” he states that doctors shouldn’t tell the truth to their patients that deals with their life and death. Collins argued that doctor should withhold the truth on any circumstances. For example, when Collins blamed himself because of the death of a lawyer who suffered from kidney disease, only if he had lied to the lawyer about his health issue, the lawyer still could have been alive. However, I believe that doctors should always tell the truth to their patients regardless of the circumstances because withholding information violates patient’s autonomy and harms the doctor-patient relationship.

According to the article “Letting Doctors Make the Tough Decisions” by Pauline W. Chen, this story talk about how difficult to make a medical decision between doctor and their patients. Back to 50 years ago, doctors are receive a duty to make a decisions for their patient. When it move to 1960s to 1970s, everything is change, a family and patients have more opportunity to make a decision relate on growing up of medical ethicists care of patients. First thing that shows the difference is doctor respect for their patients lead to patient-centered care. Besides, doctors also respect for a person’s autonomy by letting the patient make their own decisions. Nowadays, doctor will be trained to stop ourselves from making a decision for patients. However,

Yet, for a patient, under or over diagnosis becomes problematic when it results in inappropriate treatment based on diagnosis. Clients, however are not the only ones affected by misdiagnosis. As Kirk and Kutchins conferred, “by focusing only on the presumed benefits to clients, clinicians avoid confronting the broad ethical implications that emanate from the practice of misdiagnosis.” (P. 232. 1988). These implications have ethical and practical consequences that are not limited to clients only, but also directly and indirectly affect others, such as clinicians, professional organizations, policymakers, third party payers, taxpayers and the government (1988).

They were not educated so when the doctor would say something scientific they would trust every word while not even understanding what he was saying. This part of informed consent was stressed throughout the book because in today’s society most people have enough education to have a general idea what is going on when they are at the hospital about to have a procedure done, making it seem

According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. The ability to communicate

When contemplating the difficult relationship between physicians and their patients, Emanuel introduces four different models. These four different models consist of different understandings of the goals of the physician-patient interactions, a physician’s obligation, the role of the patient’s values, along with patient’s autonomy. The paternalistic model is understood to be that the physician can decide what is in the patient’s best interest, thus not including the patient in an extensive rapport. The informative model can also be known as the scientific or consumer model. This model focuses on the physician providing their patient with all the relevant information necessary in order for the patient to make an informed decision based on their values.

Assessing patient’s perspective on things may increase patient’s compliance and improve patient’s outcomes. However, some of the old school doctors don’t really like to explain their decision-making and assess patient ’s perspective on things.

If a person told someone that whatever they told them would not leave the room, would that person be able to keep that secret? What if they told them that an innocent person got put in jail for a crime they did not commit? Chuck Klosterman begins to explain that a patient had headaches and that an innocent person was convicted of a serious crime that the patient had committed. The headaches then resolved after getting the truth out to the doctor. The way the doctor responds to the situation is another way of determining what type of person they are, or what resolution of the situation will best respect the rights of both the doctor and the patient.

This indicates the serious result of mistakes in professional practice. In the real world, the result of making mistake is shocking, “In 2000 the Institute of Medicine published a shocking report that mistakes by health care providers are common and often life threatening” (Crigger 568). The Institute of Medicine was published on 2000 showed that the mistakes in health care system are common and harmful to the lives of patients. Ray Bradbury’s short story “A Sound of Thunder” shows that the reason why the whole world changed is because they brought one butterfly back to the real world. Actually the mistakes they made are common and multiple because mistakes always interact with each other.

Subsequently, more emphasis is placed on the importance of expanding patients’ knowledge of the treatment that they are to receive and how to refine their self-care and management for the future. This can potentially improve the day-to-day lives of both the patient and medical staff. As the well-known Chinese proverb states: “Give a man a fish, and you feed him for a day. Teach a man to fish, and you feed him for a

In James F. Childress and Mark Siegler’s article, “Metaphors and Models of Doctor-Patient Relationships: Their Implications for Autonomy,” they discuss the types of relationships in healthcare and how those relationships allow the physician and patient to interact to make negotiations. Childress and Siegler say that relationships are either between intimates or between strangers and that when it is between strangers there is a lack of trust because of the way physicians are viewed most days. Because of the way society has turned to rules and regulations and the pluralistic nature of our society, physicians are often viewed as technicians and contractors rather than as parents or friends. Often times people refuse to visit the doctor’s office because there is a lack of trust towards the idea of a physician rather than the physician herself. Health care has become dictated by economics and politics, which are fields people consider to be cold and calculating.

They must ensure that they are providing adequate services to patients and at the same time ensuring that insurance companies are getting paid (Saint Joseph’s University, 2011, Para 6). Along with that they must secure that they are getting paid. Furthermore, physician moral and ethics are challenged as well; Thus, causing them to rethink how they take on their responsibilities as a medical care provider by trying to keep patients best interest, insurance companies interest and their own interests. This conflict with trying to meet the needs of several different stakeholders causes strain on the physician because they must walk fine line to please each. While trying to please a specific stakeholder another holder could be compromised.

They give Oz a great deal of credibility amongst his readers because they sound true and factual, and for the average person, that is more than sufficient. Oz also knows that his background as a doctor will give him credibility so he does not fail to mention this in his writing “But as a doctor, I know that patients don 't always have the time, energy or budget to shop for artisanal ingredients and whip them into a meal”(Oz para.4). By mentioning that he is a doctor, Oz gives his writing a sense of validity amongst his readers. Dr. Oz follows the fact with a statement that grabs the audience 's emotional senses, something that they can sympathize with; Oz’s use of pathos strengthens his argument. By saying that “I know that patients don 't always have the time, energy or budget to shop for artisanal ingredients and whip them into a meal”(Oz para.4)

In addition, deceiving patients leads to undermining confidence in the medical profession. Let's take the case of a dying, partially conscious patient in the final stage of renal failure. Dialysis may extend his life for a couple of weeks, but the patient would still remain semi-conscious. The treating physician decides not to put him on dialysis him on the grounds that it is useless, and the patient dies soon. Later, family members find from friends that dialysis could have prolonged the life of the patient, but this have not even