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

1
Q

what is a profession

A

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

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2
Q

who is michel foucalt

A

a french philosopher who believed in knowledge is power and applied it to the medical field

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3
Q

what did most of the young doctors in 2004 think about the dentist patient relationship

A

that it should be mutual, trusting and open

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4
Q

what did 60% of young doctors think about the doctor patient relationship

A

that it will never be equal due to the knowledge that doctors have and patients do not

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5
Q

what are the BMA core values

A
competence
integrity 
caring
compassion
responsibility
commitment
patients advocate 
spirit of enquiry 
confidentiality
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6
Q

what skills did swedish doctors think were also important

A

interpersonal skills

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7
Q

what is important in the interationships between dentists and patients who are dental phobics

A

professional inter personal skills
recognising the patients non verbal and verbal cues
recognising the patients emotions

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8
Q

what are concordant roles

A

when the dentist can adapt their skills to fit the patients needs

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9
Q

how might patients show cues on how they are feeling

A

they can be hidden cues or verbal cues

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10
Q

what should we consider when looking for mutual communication

A

take the patient seriously
tells them why we are planning to do this treatment
asks if the patient has special problems

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11
Q

how many more times are anxious patients likely to have a bad experience

A

5 to 10 times more likely

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12
Q

what are the barriers to good professional relationships

A

poor representation in tv and movies

that patients have too high expectations of what can be achieved

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13
Q

give examples of the models of patient dentist relationship

A

mutual
consumerism
paternalistic
default

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14
Q

describe a paternalistic relationship

A

until recently most common style
high control by the professional
disease centred
passive patients are expected to rely on the dentist

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15
Q

describe a mutualistic relationship

A

recognises the doctor as an expert
but patient centred treatment
mutual respect
patient autonomy

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16
Q

what is a disadvantage of the mutual relationship

A

it does not take into account power differentials- but these should be reduced anyway

17
Q

describe a consumerism relationship

A

becoming more common
treatment is seen as a commodity or service
backed by the government
private dentistry

18
Q

describe default relationships

A

mutual lack of satisfaction in the relationship
no one has much control
unsatisfactory outcomes may lead to referrals

19
Q

what is the benefits of patient centred dentistry

A

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

20
Q

what is transference

A

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

21
Q

give an example of transference

A

if a teacher is telling you off it reminds you how your parents told you off as a child

22
Q

who was sigmund freud

A

the originator of the school of psychological thought known as psychoanalysis

23
Q

what is transactional analysis

A

it is when each of us have the potential to take on the role of a parent adult and a child

24
Q

what are crossed transactions

A

when one person attempts to communicate in a role and the other responds inappropriately

25
Q

what transactions are we looking for typically

A

adult adult communication this allows mutuality in consolation