Chapter Nine: Patients, Providers, and Treatments Flashcards
Def: Nurse Practitioners
affiliated with physicians in private practice, they see their own patients.
Responsibilities for Nurse practitioners:
Provide routine medical care
Prescribe treatment
Monitor progress of chronically ill patients
Explain disorders & their origins, diagnoses, prognoses, & treatments
Advanced-Practice Nurses includes:
certified nurse midwives, clinical nurse specialists, certified nurse anesthetics.
Responsibilities for advanced-practice nurses:
Some obstetrical care & births
Cardiac or cancer care
Administering anesthesia
Def: Physician’s assistants
educated in 2 year programs in medical schools teaching hospitals.
Responsibilities for physician’s assistants:
Perform many routine health care tasks.
Def: patient consumerism
being provided with choices, cooperating & participating in the development & enactment of the treatment plan.
Having considerable expertise abt their health issues
Types of Health Care Plans
Health Maintenance Organization (HMO)
Preferred-Provider Organization (PPO)
Point of Service Plan (POS)
Traditional Indemnity Plan
Def: Health Maintenance Organization (HMO)
managed care bc employer pays an agreed-on monthly rate.
Employees can then use services at no additional cost
Def: Preferred-Provider Organization (PPO)
Network of drs offers plan members a discounted rate.
Enrollers must choose form these practitioners
Def: Point of Service Plan (POS)
Administered by insurance companies or HMOs
Lets members go to drs & hospitals out of the network for a price.
Def: Traditional Indemnity Plan
Patients select their own drs & hospitals & pay a fee for service basis.
They don’t need a referral to see a specialist.
Changing structure of the health care delivery system can ________ patient provider communication bsc it results in colleague ___________.
undermine, orientation
Def: patient-centered care
providing patients with info.
Involving them in decisions regarding care
Consideration of psychosocial factors
Technical quality of care & the manner in which care is delivered are _________.
unrelated
Medical office is an ________ setting for effective communication.
unlikely
Def: Role of provider (communication)
extract significant info quickly from the patient.
Patient & provider aren’t always on the same page.
Provider Behaviors that contribute to faulty communication:
Inattentiveness
Use of jargon
Baby talk
Nonperson treatment
Stereotypes of patients
Patients’ contributions to fully communication:
Poor education & understanding
Patient’s inability to present their complaints effectively.
Neurotic patients exaggerate their symptoms
Ability to follow treatment guidelines declines bc of ________
old age.
Misunderstanding the provider’s _______ on factors that the patient considers to be incidental
Causes them to pay ________ attention and believe that the provider has not made the right diagnosis
emphasis, little
Interactive Aspects of the Communication Problem:
Lack of opportunity for feedback to the provider
Difficulty in knowing when a relationship has been established with a patient
Learning is fostered more by positive than by negative feedback
Dissatisfied patients…
Are less likely to comply with treatment recommendations
Are more likely to turn to alternative services that satisfy emotional rather than one’s medical needs
Are less likely to obtain medical checkups
Are more kiley to change drs and file formal complaints.
Adherence rates _____ depending on the treatment recommendations
vary
