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Principles and Perspectives > The Doctor-Patient Relationship > Flashcards

The Doctor-Patient Relationship Flashcards

1
Q

An encounter between two persons: doctor and patient

A

Doctor-Patient relationship

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2
Q

Specific roles and motivations of the doctor

A

Expert in medicine motivated by the desire to help

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3
Q

Specific roles and motivations of the patient

A

health seeker motivated by the desire and hope for assistance and relief of pain

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4
Q

Elements of the Doctor Patient relationship

A

Reality Based Elements

Fantasy Based Elements

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5
Q

Aim is for patient’s wellbeing or health maintenance

A

Working/Therapeutic Alliance

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6
Q

Derived from the patient’s pattern of learned interpersonal behavior

A

Transference

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7
Q

Characteristics of the doctor

A 
Medical knowledge
Understanding of patient situation or value systems
Self awareness
Communication skills
interview techniques
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8
Q

Characteristics of the patient

A 
Gender
Age
Individual history
Unique Personality
Genetic make up
life experiences
Roles in social group
belonging to a community
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9
Q

Gathering patient data, evaluating the content and process

A

Clinical Interview

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10
Q

Sets the stage for identifying relevant problems in the context of an empathic working alliance with a patient

A

Clinical interview

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11
Q

Spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a therapeutic relationship

A

Rapport

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12
Q

Implies an understanding and trust between the doctor and the patient

A

Rapport

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13
Q

Commitment between the doctor and the patient to explore the patient’s problems, to establish mutual trust and to cooperate with each other to achieve realistic goal of a cure or the alleviation of symptoms

A

Therapeutic or Working Alliance

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14
Q

Process of displaying attitudes and feelings originally experienced in relationships with persons from the past

A

Transference

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15
Q

Part of the clinical interview that contains the patient’s stories

A

content

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16
Q

Part of the clinical interview that contains the patient’s non-verbal

A

process

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17
Q

Specific cognitive processes, ways of thinking, that the mind employs to avoid painful experience

A

Defense mechanism

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18
Q

Models of Doctor Patient Relationship

A

Paternalistic
Informative
Interpretive
Deliberative

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19
Q

Model of PDR wherein the patient is expected to comply with the doctor’s instructions without question

A

Paternalistic

20
Q

Model of PDR that is appropriate for when doctors need to take control, such as during an emergency situation

A

Paternalistic model

21
Q

Model of PDR wherein all available data are given but the choice of treatment is left to the patient

A

Informative model

22
Q

Model of PDR that is appropriate for a one time consultation

A

Informative model

23
Q

Model of PDR wherein the doctor presents and discusses alternatives with the patient’s participation

A

Interpretive model

24
Q

Model of PDR that is appropriate for treating people with chronic diseases

A

Interpretive model

25
Q

Model of PDR wherein the doctor presents information and actively advocates a particular cause of action

A

Deliberative model

26
Q

Model of PDR that is appropriate in modifying behavior

A

Deliberative model

27
Q

Philosophy and process of care that integrates the specialized knowledge of multiple disciplines

A

Multidisciplinary approach

28
Q

Major premises for the multidisciplinary approach

A

Complexity of care needs the expertise of multiple disciplines
Process of care can be facilitated through the involvement of multiple disciplines

29
Q

Members of the health care team

A 
physicians
nurses
rehabilitation experts/therapists
social workers
counselors
30
Q

Key elements of the multidisciplinary approach

A

Shared purpose and goal
Roles and responsibilities are clear
Members make appropriate contributions
Team members cooperate and coordinate activities
Members trust one another through an on-going relationship

31
Q

Questions to keep in mind to determine patient personality types

A

What did you notice about the way in which this patient was talking?
What kind of questions was he or she asking?
What criteria was he or she using for deciding on treatment?
How quickly did they want to make their decision?

32
Q

Behavioral clues for Extroverts

A

Rapid speech
Thinks out loud
Interrupts
Loud volume of voice

33
Q

Behavioral clues for Introverts

A

Pauses when giving information
Appears to think things through
More quiet volume of voice
Shorter sentences

34
Q

Behavioral clues for Sensing

A

Asks for step by step
Asks about the present
What and How
Precise descriptions

35
Q

Behavioral clues for Intuition

A

Asks for purpose
Asks for current and long term
Why
General terms and possibilities

36
Q

Behavioral clues for Thinking

A

Testing
Weighs evidence
Not easily impressed
Check logic

37
Q

Behavioral clues for Feeling

A

Harmony
Value
Asks about others

38
Q

Behavioral clues for Judging

A

Impatient

Enjoy getting things done

39
Q

Behavioral clues for Perceiving

A

Space
Exploratory
Last minute
Process

40
Q

Extravert doctor Introvert patient

A

slow down pace and give time for the patient to reflect

41
Q

Introvert doctor Extravert patient

A

show more energy and give space for the person to talk

42
Q

Intuition doctor sensing patient

A

Give detailed information in a stepwise fashion and practical examples

43
Q

Sensing doctor intuition patient

A

big picture first

44
Q

Thinking doctor feeling patient

A

Take interest in the patient as an individual

45
Q

Feeling doctor thinking patient

A

Keep to objective facts and logical information

46
Q

Judging doctor perceiving patient

A

provide space for the patient to explore and clarify the options

47
Q

Perceiving doctor Judging patient

A

agree an agenda for action including dates for appointments

Principles and Perspectives (16 decks)

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