Sympathy is when a provider shows emotional connection to what the patient is saying. Sympathy is not a recommended form of acknowledgement because it can make the patient feel worse or as if they are being pitied. Servellen also touched upon the importance of active listening. Providers should not only hear to what the patient is saying, but also take time to really listen and understand. He also included the steps that should be taken in order to be empathetic towards a patient which include: identification, incorporation, reverberation and detachment.
Telling the truth or not intestinally deceiving or misleading patient. In this event not telling patient the truth about his choices can dismissed his self-esteem and reliability (Ellis & Hartley, 2012, p. 295). Edwards (2011) acknowledged that “the obligations to respect autonomy include the obligation to be truthful to the patient” (p.107). In given scenario, the physician should be discussing and updating the patient about his prognosis and plan of care, it violates the ethical principle of autonomy by not giving the patient the complete information and therefore no choice to decide for himself the future treatment plans. Edwards (2011) concluded that by keeping the necessary information from the person, the number of choices available to that person is reduced which inhibits her
Furthermore, many patients don’t even know their primary care doctors are D.O and only recognize them as physicians. The existence of osteopathic medicine needs to bring to the public’s attention and not just to prospective medical students as it might helps to reduce the social stigma. “ OMT was developed to improve the body’s healing capacity. Although a small percentage of DOs offer OMT to their patients…headache” (virto, 2015). Osteopathic physicians should join the effort in spreading the quality of this unique medical practice by offering OMT to their patients.
Tailoring a therapeutic intervention to specific cultural needs of a patient is a critical part of patient centered care. For example if there is a therapy option that is ideal for the patient based of clinical evidence, but the patients refuse due to cultural issues, then it is not the best option for the patient (Engebretson, Mahoney, & Carlson, 2008; Romana, 2006; Purnell, 2008). This is a difficult concept for many health care providers to accept. Numerous health care providers believe that if a treatment plan has the greatest evidence based support there is no question the patient should begin that course of treatment, and at times they may disregard the patients’ opinion. Many will attempt to change the patient’s ideals to fit what the physician has determined as being the optimal health plan.
This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.
I had to learn of the potential sypmtoms and remain constantly aware of them during my interaction with the patients as I tried to build a therapeutic relationship with them around those issues. Moreover, as not all patients experienced the same symptoms, a different approach was needed in each case. An issue that I found particularly challenging was that some of the patients did not want to reason with the fact that the hallucinations/delusions they were experiencing were not real and even when they came to accept them as false they did not always want to silence them or make them disappear (see appendix A). Therefore, in accordance to the NMC code (2008), I had to learn to repsect each person's decision about their treatment and encourage them to work together with me in order to develop a care plan that better suited their individual needs and wishes. Thus, it became evident to me that using a person centred approach n my practice was crucial in order not only to achieve the best possible therapeutic results, but to also empower the patients through the process .
What’s important is that Ashely as a patient is vulnerable and this would cause him to feel anxiety, discomfort, and distress whenever the care professional is treating him less as a person. The nurses showed poor care towards Ashely, for my point of view “I’m not saying that the system should be perfect on how to look or treat a patient but it’s Important on how to deliver care towards every patient such as Ashely himself.
Accepting an objective theory of wellbeing would allow you treat the patient because it says the patient is not the ultimate judge of what is good or bad for her. Varelius stats that “if the autonomy this person had if she continued living is objectively good for the person to the extent that it overweighs other competing values, then the patient’s decision not to be treated should be obeyed” (p.167). Analysis Varelius’ argument hinges on the idea
In emergency room nurses do not choose patients that they want to see, it is based on triage protocols. It would be beneficial to a nurse and the patient to establish a rapport and relate to some aspects while a patient is receiving
Those who are in a mental institution program should be taken seriously and not be treated as if they were invisible. People usually do not get the help they need because they do not know where to start and the job of the nurses and doctors are to take care of them. A mental illness does not go away on its own, it is something that the person has to work on even if it is a long process, the progress will be made. People are terrified of what will happen to them or what others think of them, which means everyone needs to make them feel comfortable or else their journey to getting the cure will not be overcomed. People cannot accept their serious illness, but doctors should be able to accept helping them out and supporting them.
S does raise the possibility of higher risks for not doing the surgery, but not having any other health issues contributes to her decision to not take the risk of having the surgery. The physician is ethical in the decision to decrease Mrs. S anxiety. The physician made the correct call which is backed by the principle that the patient is assumed competent unless there is strong evidence to the contrary. Medical professionals may not agree with the patient’s decision but it must be respected to avoid issues. Beauchamp TL, Childress JF.
Questions should be aimed more towards patient wellness, safety, and patient education. Concerns about the patient being informed about delays and wait times should not be included. In an instance where there is an emergency situation in one patient’s room, there should be of little concern whether you told another patient that is waiting how much longer their wait time should be. This takes away important time from the patient that truly needs the medical help at that moment. It can be debated further whether ancillary staff can handle the updating process, but there will always be room for
Less work load for each individual is achieved, therefore relieving the stress. Trust between the health care professionals rise this therefore builds strong foundations. Negative issues could surface regarding multi-disciplinary teams, danger of information being shared incorrectly and patient’s slipping through the net is possible, leading to the wrong treatment needed for individuals. As the health care institution is very busy and fast paced, it is understandable that mistakes are quite easily made. Codes of conduct within the (HCPC)
These points should not be used in isolation, but in the context of the clinical status of the patient. Whenever there is doubt about the prognosis, the physician should not take any hasty decisions, but wait for the disease process to