the dentist patient relationship e lecture Flashcards
what defines a profession understand the power differentials between the patient and the dentist demonstrate the different models of the dentist patient relationship and how they changed over time be able to modify communication to produce a mutual relationship with the patient
what is a profession
a discrete body of knowledge in which members have control
autonomy over conditions of work from state and capital
code of ethics
monopoly over market for services
altruism is a core principle
training is long and the quality is determined by the profession itself
who is michel foucalt
a french philosopher who believed in knowledge is power and applied it to the medical field
what did most of the young doctors in 2004 think about the dentist patient relationship
that it should be mutual, trusting and open
what did 60% of young doctors think about the doctor patient relationship
that it will never be equal due to the knowledge that doctors have and patients do not
what are the BMA core values
competence integrity caring compassion responsibility commitment patients advocate spirit of enquiry confidentiality
what skills did swedish doctors think were also important
interpersonal skills
what is important in the interationships between dentists and patients who are dental phobics
professional inter personal skills
recognising the patients non verbal and verbal cues
recognising the patients emotions
what are concordant roles
when the dentist can adapt their skills to fit the patients needs
how might patients show cues on how they are feeling
they can be hidden cues or verbal cues
what should we consider when looking for mutual communication
take the patient seriously
tells them why we are planning to do this treatment
asks if the patient has special problems
how many more times are anxious patients likely to have a bad experience
5 to 10 times more likely
what are the barriers to good professional relationships
poor representation in tv and movies
that patients have too high expectations of what can be achieved
give examples of the models of patient dentist relationship
mutual
consumerism
paternalistic
default
describe a paternalistic relationship
until recently most common style
high control by the professional
disease centred
passive patients are expected to rely on the dentist
describe a mutualistic relationship
recognises the doctor as an expert
but patient centred treatment
mutual respect
patient autonomy
what is a disadvantage of the mutual relationship
it does not take into account power differentials- but these should be reduced anyway
describe a consumerism relationship
becoming more common
treatment is seen as a commodity or service
backed by the government
private dentistry
describe default relationships
mutual lack of satisfaction in the relationship
no one has much control
unsatisfactory outcomes may lead to referrals
what is the benefits of patient centred dentistry
explore the patients real reason for visiting
integrated unstinting of the patient
common ground on the problem and mutually agrees on treatment
enhances the patient relationship
what is transference
when we are reminded in the present when we see someone of strong emotions from another person in the past
feelings are strong and unconscious
give an example of transference
if a teacher is telling you off it reminds you how your parents told you off as a child
who was sigmund freud
the originator of the school of psychological thought known as psychoanalysis
what is transactional analysis
it is when each of us have the potential to take on the role of a parent adult and a child
what are crossed transactions
when one person attempts to communicate in a role and the other responds inappropriately
what transactions are we looking for typically
adult adult communication this allows mutuality in consolation
