15. DOCTORS AND PATIENTS Flashcards
1
Q
- What 2 rules are outlines in the General Medical Council’s Section 74?
A
- TO PRACTISE SAFELY:
- the doctor’s must be competent in what they do
- THE ATTRIBUTES OF COMPETENCE OF DOCTORS:
- is essential
- but not enough
2
Q
- What is meant by: “To practise safely, doctors must be competent in what they do” ?
A
DOCTORS MUST ESTABLISH AND MAINTAIN:
- effective relationships with patients
THEY MUST RESPECT THE PATIENT’S AUTONOMY
- they must act responsibly
- they must act appropriately
- especially if they or a colleague fall ill
REGARDLESS OF THE CIRCUMSTANCE
- they must ensure that their performance does not
suffer
3
Q
- What is meant by: “The attributes of competence of doctors is essential, but not enough”?
A
DOCTORS HAVE A RESPECTED POSITION IN SOCIETY
- their work gives them privileged access to patients
- some of these patients may be very vulnerable
A DOCTOR WHOSE CONDUCT HAS SHOWN
- that they can not have trust placed in them
- will no longer be allow unrestricted practice
- until they can redeem themselves
4
Q
- Who is the doctor’s first duty to?
A
- the patient
- the care of your patient is your first concern
- doctor’s owe the duty of care to their patients
5
Q
- What does the doctor owe their patient once they assume responsibility of them?
A
- the legal duty of care
6
Q
- What is a doctor’s secondary duty?
A
- the public
EXAMPLE:
- this was the case with the Covid-19 pandemic
7
Q
- What are the two responsibilities to professional codes of conduct?
A
- Responsibilities to professional Codes of Conduct
- Responsibilities to personal Ethical Codes
8
Q
- What are the two categories of: “Responsibilities to professional Codes of Conduct”?
A
- Duties
- Guidelines
9
Q
- What is the one category of: “Responsibilities to Personal Ethical Codes”?
A
- Conscientious Objection
10
Q
- What model did the is a Co-Operative Model of decision making replace?
A
- this model has replaced the Authoritarian model
- this model was characterised by Traditional Medical
Paternalism
11
Q
- What is Patient Centred (Whole Person) Care?
A
- this takes into account the individual’s values and
circumstances - it looks at the aspects of their health
- it involves tailoring of their treatment
- there is an attempt to reflect the patient’s preferences
12
Q
- What was so monumental about the development of Patient Centred (Whole Person) Care?
A
- it reflected a shift in the Philosophy of Healthcare
systems
13
Q
- List the 3 characteristics of a Paternalistic Approach?
A
- THE DOCTOR IS CONCEPTUALISED
- as a guardian
- there is a Paternal Hierarchical Relationship
- THE DOCTOR WOULD MAKE DECISIONS
- often with little or no discussion with the patient
- THE DECISION IS MADE
- in the patient’s best interests
- this decision is made from the knowledge of the
medical facts alone - the patient is given selective information
14
Q
- List the characteristics of a Patient-Centred Approach?
A
- AN INCREASE IN THE RECOGNITION
- of the right of patients to make their own medical
decisions - IT TAKES INTO ACCOUNT
- the patient’s health and values
- it looks at the patient’s life circumstances
- it looks at the patient’s lifestyle, family history and
social life
15
Q
- What is an Informative Doctor-patient relationship?
A
- this is one that provides relevant factual information to
the patient - it implements the patient’s selected intervention
16
Q
- What is an Interpretive Doctor-Patient Relationship?
A
- this is one that provides information
- it shines a light on all the matters at hand
- it interprets the relevant patient values
- it provides the patient with facts
- this helps the patient to find their preferences
17
Q
- What is a Deliberative Doctor-Patient Relationship?
A
- it provides information that highlights the patient’s
values - the patient and doctor engage in dialogue about what
the is best course of action - it looks at the doctor’s and patient’s preferences
18
Q
- What are the 5 disadvantages of a Paternalistic Doctor-Patient relationship?
A
- IT ADOPTS AN OVERLY NARROW MEANING OF WELL-
BEING
- as well as of the best interests of the patient - THE PATIENTS SUFFER ILLNESSES
- the doctors diagnose and treat them
- they never look at the cause - IT FAILS TO INTEGRATE
- scientific and social concepts of diseases and
illnesses - IT DOES NOT PLACE EMPHASIS
- on the patient’s autonomy - THERE IS AN UNEQUAL POWER DYNAMIC
19
Q
- What are the benefits of the Patient Centred Approach?
A
- THERE IS A HOLISTIC UNDERSTANDING
- of the patient’s problem - THERE IS A MORE ACCURATE DIAGNOSIS
- THERE IS AN INCREASED ADHERENCE FROM THE
PATIENT
- towards the treatment - THE PATIENT’S RIGHTS AND AUTONOMY
- are respected and valued - THE PATIENT HAS SOME SENSE OF CONTROL
- and can exercise their own choice - THE DOCTOR AND PATIENT
- share decision making - THE PATIENT IS SATISFIED
- THE HEALTHCARE PROVIDERS
- are moral and efficient
20
Q
- What are the 3 core components of a Patient-Centred Approach?
A
- Communication
- Partnership
- Health Promotion
21
Q
- What is meant by Communication?
A
- this includes the exploration of concerns
- it requires information
22
Q
- What is meany by Partnership?
A
- this is all about negotiating a Common Ground
23
Q
- What is meant by Health Promotion?
A
- it looks at the overall health and well-being of the
patient
