Patient-Physician Relationship Flashcards
describe the rights and responsibilities of the physician
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physician must inform the patient:
- the nature of the disorder
- available and recommended treatments
- probably course if untreated
- physician must listen to patients’ concerns, address them objectively and respect their decisions
- physicians may refuse to perform an act that conflicts with their moral or ethical principles but must respect the patient’s wishes and make appropriate referrals
describe the Patients Bill of Rights and the Patient Self-Determination Act
- Patients Bill of Rights
- right to receive complete info.
- right to refuse treatment
- right to know about a hospital’s financial conflicts of interest
- Patient Self-Determination Act
- established that patients must be given written info. about their health care decision making rights and the institutional policy on advance directives
what are the 3 main goals of doctor-patient communication?
- create a good interpersonal relationship
- facilitate exchange of information
- include patients in decision making
informed patients have a greater sense of control that has been associated with….
- greater ability to tolerate pain
- faster recovery from illness
- enhanced psychological adjustment to illness
- decreased length of hospital stay
what are benefits of good doctor-patient communication?
- helps regulate patients’ emotions
- facilitates comprehension of medical information
- allows for better identification of patients’ needs, perceptions and expectations
- patients are more likely to:
- be satisfied with their care
- share pertinent info.
- adhere to the treatment plan
- patients’ agreemenet with the doctor about the nature of the treatment and need for follow-up is strongly associated with their recovery
describe methods to improve communication with the patient
- open/receptive body language
- sit facing the patient
- maintain appropriate eye contact
- pleasant, encouraging tone
- empathy
- take time to understand their home life, socioeconomic situation, culture
- show interest, encouragement, warmth, courteousness and respect
tell adults _____ about diagnosis and prognosis
tell adults the complete truth about diagnosis and prognosis
speak to adult patients directly, not through _____
speak to adult patients directly, not through relatives or staff
do not discuss ______ with friends/family without the ______
do not discuss patient care with friends/family without the patients permission
do not offer premature reassurance, and do not order a course of action; provide info and let the patient decide
do not offer premature reassurance, and do not order a course of action; provide info and let the patient decide
describe barriers to effective communication between physician-patient
- transferance
- relationship schemas (beliefs, expectations, perceptions from the past affecting the present)
- female patient woulnd’t disclose all info to male patient in order to look a certain way
- countertransferance
- physician’s relationship schemas
- physician’s mother dies from cancer, and that makes it hard to give news about cancer to patient
describe objectification/dehumanization
- using the patient as a teaching tool in a teaching hospital in direct view of patient
- discussing with colleagues in listening range of the patient
describe methods to get around sensory impairment and cognitive impairment of the patient
- sensory impairment
- be prepared to utilize a sign language interpreter or written materials
- cognitive impairment
- provide written instructions for memory impaired patients
- determine patient competency to understand and comply with treatment recommendations, refer for eval if needed
describe patient barriers to treatment adherence
- fears
- loss of bodily integrity from medication side effects
- dependency on others
- loss of masculinity (playing through an injury)
- loss of work time, fear of losing their livelihood
- denial/avoidance
- refusal to admit being ill or to acknowledge severity
- regression
- reverting to immature, attention-seeking behaviors
