An average emergency room visit consists of a five hour wait in a dank seating area, a pile of forms to fill out, a long wait in a hospital bed, and a doctor who speaks for five minutes about a treatment and leaves for the next patient. Hospitals and doctors’ offices are terrifying places for most and doctors rarely provide comfort to those who need it. Medical schools teach their students to be stone cold, logic based, machines, treating patients as diseases not people, and stripping away their pupil’s humanity. In a medical setting, caring for a patient includes “…an intense effort to appreciate a patient’s situation by asking the ‘right’ questions and then listening precisely in a manner that is unselfconscious, non-judgmental, and open …show more content…
Unfortunately, they do not understand what empathy really is. Hospitals use training programs that take a logical approach to teach physicians how to be empathetic when empathy is the opposite of logical reason; it is an emotional response to someone else’s suffering or fear. They treat patients as a body, “leading to alienation, misunderstanding, and poor treatment outcomes.” (Astrow, 420). Medical schools have students practice patient interactions on each other. These encounters do not properly prepare students for the level of concern and anxiety a patient may have. Simulated encounters are not taken seriously by students who are motivated by the grade they receive (Warmington, 33-332). Interviews done on new patients to an HIV clinic showed that most patients felt their doctors were knowledgeable about their disease, but lacked good communication skills (Dang, Giordano, Njue, Westobrook). Doctors learn how to speak biologically and understand administration jargon. Normal patients do not comprehend the impersonal language used by physicians and often become frightened and frustrated because the doctor cannot communicate properly. Understanding that patience is a virtue and taking the time to explain difficult diagnoses in a way so that the patient understands the information being presented is paramount when treating illness (“The Miracle in Front of
Nurses and physicians need to express themselves in a clear and precise manner, their message should rely on verification and collaborative problem solving. They need to displaying a calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role (Robinson, Gorman, Slimmer, Yudkowsky, 2010). Not everyone was born being able to express themselves in such a manner, therefore providing the necessary education and skills will help both nurses and physicians gain the confidence and competence they need to work
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.
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
Taneisha Grant’s narrative “When the Simulated Patient is for Real” discusses the real-life application of the information one learns in school by describing a situation between Doctor Grant and her patient, a worrisome man named Mr. G. Grant highlights the need to understand the patients themselves prior to treatment through her encounter with this patient. This encounter ultimately reminded her that her education will always continue to effect and to increase throughout her work. Grant takes a very patient-oriented view, making clear her medical aim to be helping her patients as best as possible. She mentions a need for objectivity, because it does not matter what “race, gender, or socioeconomic” status the patient has (Grant 182).
He quickly flipped through a couple of hundred pages and pointed to a section. He said, read this first and then we will talk about it. This was the start, while I didn’t identify it at the time, of a constant back and forth between me and a couple of emergency medicine physicians who just happened to work in my local small town emergency room. They would not just answer my questions, or just tell me to do this or that, but that they would point me in the right direction to learn on my own and then be there to support me and to answer my questions. It is a practice that I have continued my entire career.
Despite my young age of just 15, I had the opportunity to respond to any emergency and code in the hospital. I fell in love not only with the adrenaline rush but with the fact that I, a teenager, was experiencing in real life the events that I watched in medical-themed TV shows and movies. Because of my growing interest in the medical field, my mentor provided me with opportunities to observe the work of doctors and other medical professionals in almost every area of the hospital. Luckily, each experience in one area of the hospital lead to even greater opportunities in other areas, some of which few doctors receive. I observed several surgeries- including a gall bladder removal, an exploratory belly, and an open heart surgery-, small procedures in the Cath Lab, and the daily duties in the Radiology, Emergency, Nursing, Intensive Care, Physical Therapy, Pre-Operation, and Post- Operation Units.
The patients I have worked with have become my greatest teachers. I can’t sit down and flip to a chapter in a textbook that would teach me how to listen to a patient and let their unique history paint the picture of their present illness. A physician that I shadowed told me something that has since resonated with me. She told me how every patient has a story, and you always need to listen carefully because these stories aren’t pointless, they often can lead to your diagnosis. I personally believe the most important member of the care team is the patient; without communicating with the patient there is no chance to obtain crucial insight as to the illness that is presented to you.
Summary of Carl Rogers Empathy Video In Carl Rogers’s empathy video, he describes the need for not just repeating what a patient or individual says, but truly trying to view their life through their eyes. In doing this you gain a much deeper understanding of the person. You are able to communicate more accurately with them, and also form a stronger bond of trust with the individual. Having empathy for the person can cause them to feel more accepted, and in turn help them accept themselves.
Given that this is not a trauma center, I’ve also been able to have considerable interaction with what I regard as an “average patient”. Rather than someone being rushed in with a gunshot wound, I’ve seen the devastating effects of poor primary care and chronic illness
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
Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.
The doctors treat the patients as a collective group, to be medicated and sent on their way. Often times, they will skim over the patient’s problems, rather than getting to the root of the issue. Status hierarchy, Depersonalization, Adjustment, and Institutionalization are all real issues in the medical field. This movie uses humor and sometimes shocking scenes to provide a perspective into total
(Julia J. 2013) Emotion and willingness to treat have significant influence on the therapeutic relationship between practitioner and patient. Patient is our teacher. Patch Adams understands himself better after helping Rudy. There is always something to learn from each patient. Some patients with chronic disease know more about it than any practitioner because they live with the disease for decades.
For the month of May, I spent my time alongside medical students from Boston University and Dr. B. Each day, I observed either the medical students or Dr. B in patient rooms and tried to absorb as much information and procedures as I could. Whenever I had a question regarding a patient's case or medicine in general, Dr. B always gave me a clear answer.
As I approached the large, stone edifice that was my medical school building, I was intimidated by the enormity of what lay ahead. But I realized in my first few days at the clinics that true medicine lay beyond books; it was at the bedside that a detailed knowledge base met diagnostic skill and was artfully translated into patient care. I was enticed by this field as it is akin to the base of a pyramid; a broad, solid foundation of medical knowledge. It is challenging working with a diverse patient population with an array of medical conditions and treating their problems in entirety reaching a diagnosis, yet allows perspective by considering differentials. Internal medicine lets me integrate my clinical reasoning with rewarding, long-lasting patient interaction.