Nonverbal communication is used to express and communicate thoughts, feelings and emotions, to establish and maintain relationships and to influence others. It conveys messages that spoken words alone most often do not. In medical practice, it is very imperative in initiating and sustaining the healthcare professional (HCP) - client relationship and has the capacity to affect the clients adherence to treatment. Healthcare professional’s nonverbal behavior influences the clients nonverbal behavior. Researchers say that patients tend to mirror affiliative behaviors in the physician (e.g.
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view. Some patients are not sure of their role in the consulting room…some believe that with the minimum or scanty information, doctors should be able to diagnose and treat them accordingly [Doctor 7]. It is quite worrying that some patients come to the consulting room and try to suggest what to prescribe for them.
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh.
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
Justice Clark’s dissent emphasized the importance of confidentiality: “Until today’s majority opinion, both legal and medical authorities have agreed that confidentiality is essential to effectively treat the mentally ill and that imposing a duty on doctors to disclose patient threats to potential victims would greatly impair treatment” (Tarasoff v. Regents of University of California, 1976, p. 20). If patients are unable to trust their therapist completely, then it is likely that they will not be as open during their sessions, which will make it difficult for the therapist to accurately diagnose and treat the patients. The decision by the court places the therapist in a difficult position. A therapist could utilize the ethical principle of beneficence, defined as acting in ways that benefit another and prevents harm, in determining the best way to act to benefit both the patient and protect the third party. Per the ruling of the court, “when a therapist determines, or pursuant to the standards of his profession should determine, that his patient presents a serious danger of violence to another,” he is required to warn the victim of that “danger” (Felthous, 2006, p. 339).
The extensive use of restraints is an issue of increasing concern in today’s nursing practice. It is an argumentative and controversial issue over the years and its use has both positive and negative outcomes. Restraints are often used to control the behaviour of people with mental conditions in a variety of
The extensive use of restraints is an issue of increasing concern in today’s nursing practice. It is an argumentative and controversial issue over the years and its use has both positive and negative outcomes. Restraints are often used to control the behaviour of people with mental conditions in a variety of settings including hospital
Patients have a right to privacy and non-interference. The healthcare professionals are obligated to give needed information to patients and relate the risks, and the benefits of a test/treatment. The detail information given will allow the patient to make the best decision on what he/she chooses to do. Hiding information about a diagnosis or not revealing the potential complications because a patient may refuse care seems unethical. Patients have the right to know about their health to make informed
A Medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is under the control of the health care professional, patient, or consume. Therefore, any form of error that arrives within the healthcare system is deemed unacceptable. Now by understanding what a medication error entails, nurses are better able to place emphasis on how to prevent medication errors. It is important to prevent as many errors as possible when administering medications. Hospitals that accommodate high numbers of medication errors receive less funding and support by fellow agencies.
This requires not only that the patient trust the doctor, but even before that, the doctor appreciates and understands the context of those behaviours; behaviours that are influenced by the patient 's environment. In his essay, "Unreality Star", Andrew Marantz agrees that while all mental illnesses have rules, " clinically recognized delusions conform to a familiar set of themes, including persecution, grandiosity and erotomania", however, he emphasizes the context may vary, "form is fixed, content is not". The essayist stresses the importance of this content when he quotes Joel Gold, a former attending psychiatrist at Belleview Hospital, “All productions of the mind have meaning. To disregard any content, no matter how psychotic it is, seems to me to be a miscarriage of what the discipline was founded on". This content is based on the environment of the patient-an interplay of his social, cultural and technological experiences.
Some dementia patients are combative and hostile and need special attention to ensure their safety. A most common way to do this is using restraints, and this practice is criticized because restraints may cause physical and body harm to the patients as well as infringe on patients’ rights of respect, freedom, and autonomy. The staff at the long-term care facility must walk fine lines in making the determination when a restraint can be used, how it should be utilized without violating the patients ' rights of freedom and