Saturday, March 30, 2019

Factors to Develop a Doctor-Patient Relationship

Factors to Develop a Doctor-Patient RelationshipPatients and Health look at Professionals need to communicate almost many a(prenominal) various aspects of health and affection. With reference to a specific example, outline the agentive roles that the health professionals would need to learn when preparing to discuss this issue with a unhurried.The checkup exam interview is turn overed to be one of the or so important phases in the c be of a long-suffering (Bennet, 1979 Beck et al., 2001). Especially in long term illnesses, health c ar professionals have a close family relationship with their longanimouss the main reason is because of the constitution of this relationship itself, as they are both involved in illness in their own different offices (Bennet, 1979 Ong et al., 1995 Pendleton Hasler, 1983 Molleman et al., 1984 Morrison, 1994 Usherwood, 1999). Through this relationship, health professionals and patients are constantly exchanging tuition (Ong et al., 1 995 Morrison, 1994 Usherwood, 1999) patients are the ones who experience illness and discomfort, and are want for both care (feeling that health care professionals know and understand them) and be cured _or_ healed (need to define the health problem), (Stimson Webb, 1975 Usherwood, 1999 Ong et al., 1995), whereas health professionals are the ones with the intimacy, experience and the ability to athletic back uper patients (Bennet, 1979 Messer Meldrum, 1995 Usherwood, 1999). Therefore, atomic number 101s and patients are interdependent and influence each other during their interactions (Stimson Webb, 1975 Bennet, 1979 Ong et al., 1995 Pendleton Hasler, 1983 Leigh Reiser, 1985).In battle array to have a functional doctor-patients relationship, an effective health check reference work and snap off health outcomes, good communication between physicians and patients is required (Ong et al., 1995 Stewart, 1995). As look into indicates, the need for good communication is gr eater when it is between physicians and patients with fatal medical examination unhealthinesss, such as poopcer (Molleman et al., 1984 Ong et al., 1995 Ong et al., 1999). Therefore, health professionals role is even to a greater extent important, since they lead need to be nimble for the audience. Before their meeting, both patients and health care professionals have expectations and anticipations for the address and of course are preparing for their hardihood to face interaction (Stimson Webb, 1975 Leigh Reiser, 1985). Health professionals have several subjects to consider and be prompt for, earlier any ratcer consultation, such as medical development that need to be discussed during their interaction with cancer patients, tho also factors that whitethorn influence their between interaction and communication (Stimson Webb, 1975 Faulkner Maguire, 1994).To begin with, the first factor that health care professionals should consider and be arranged for, before the mee ting, is the patients aroused state, which can affect both the course and outcome of a consultation (Faulkner Maguire, 1994). The patients irritability is influenced by numerous factors, such as their current medical correct and experience of illness, their personal training, such as age, culture, education or even the received support from their social networks (Faulkner Maguire, 1994 Suinn VandenBos, 2000 Lin et al., 2003). Bearing all these factors in mind, physicians should understand that working with cancer patients can be challenging and emotionally baffling (Faulkner Maguire, 1994).Although physicians cannot foresee their patients mood for their upcoming consultation, they can be prepared for different scenarios and think of different strategies of how to professionally handle difficult situations and even provide the best quality care (Faulkner Maguire, 1994). First of all, one of the most difficult aspects when consulting with a patient is the breaking of no-co unt news or having to answer difficult questions, for example questions regarding life expectancy and death (Buckman, 1984 Faulkner Maguire, 1994). When communicate cancer patients about the severity of their condition, the amount of information to be share with the cancer patient, depends on the patient himself, for example, cancer patients are a great deal unconscious of their condition or patient does not want to be conscious about the severity of his/hers condition (Faulkner Maguire, 1994 Maguire, 1999). Nevertheless, the approach which is used to present bad news to the cancer patient, is extremely important, since it can influence not nevertheless their way of manage with the psychological impact of the cancer, but also it can influence their future adjustment to both the cancer and the treatment (Fallowfield et al., 1990). agree to Fujimori and Uchitomi (2009), when patients receive bad news, they want afterwards, their physicians to be supportive as this can help th em relieve their emotional distress. Therefore, it is important for health care professionals to consider whether their patient would like to know about the severity of their condition and be prepared not lone(prenominal) to inform their patients but also to get word to their concerns and support them.Furtherto a greater extent, when patients are dealing with a new unknown and hence frightening situation, they are hoping that through the consultation their need for information will be covered and that they would be able to ask questions and get answers from their physician (Molleman et al., 1984 Faulkner Maguire, 1994). Most of the times, the questions asked from cancer patients are awkward and oft reflect the patients fears and worries, but also indicate that the patient is thinking and is troubled by the sentiment of death (Faulkner Maguire, 1994). Even though answering these difficult questions can be challenging for health care professionals, it is important to make sure that patients need for information is established. Giving information to cancer patients, is an indicant that physician is paying attention and understands their needs, and therefore help reduce feelings of hesitancy and fear (Molleman et al., 1984).Another difficult situation which health care professionals must(prenominal) be prepared to face is their patients psychological mood (Faulkner Maguire, 1994). It is very common that cancer patients whitethorn be withdrawn and often overwhelmed with feelings of hopelessness and helplessness or even experience anger, which is often a form of defense mechanism (Maguire et al. 1993 Faulkner Maguire, 1994). However, it is essential that patients psychological condition is assessed if it is consider dangerous for the patients condition (Maguire et al. 1993 Faulkner Maguire, 1994). more(prenominal)over, before meeting with cancer patients, practitioners need to check in mind that they both arrive at the meeting with different knowledge and skills (Leigh Reiser, 1985). During consultations physicians may use medical jargon, which is difficult to be silent by cancer patients (Bennet, 1979 Leigh Reiser, 1985). According to Leigh and Reiser (1985), there is the risk that patients may uprise to their own conclusions through what they believe they heard or what they understood physicians told them. As a result, the use of medical definitions may lead to unwanted non-communication and misinterpretation between physicians and patients (Leigh Reiser, 1985 Fallowfield Jenkins, 1999 Chapman et al., 2003).Even when patients are properly informed about their conditions, and their options, it is often difficult for the patients to remember all the information they were disposed(p), imputable to the complexness of these information (Kessels, 2003). As mention by Kessels (2003), the use of written language may help improve to remember and better understand the information given during a consultation. Therefore, it would b e useful if health care professionals have prepared or found some leaflets or even written refine essential information and instruction (when medication is required), that may help their patients. Thus, health professionals need to be prepared to explain the condition to the patient and be as specific as achievable, with the use of nontechnical language, but much than importantly to ensure that their patient has understood and has received sufficient information (Leigh Reiser, 1985 Faulkner Maguire, 1994 Ong et al., 1995).Furthermore, health care professionals do not interact and talk only to their patients most of the times during a consultation a member of the family or a close friend are also present to support the cancer patient but also to get information about the condition of their loved ones (Labrecque et al., (1991) Delvaux et al., 2005). Even though family and friends can influence the way a patient understands and experiences illness (Usherwood, 1999 Delvaux et al., 2005) and are usually involved in decision making, their opinions and views are often not considered (Dowsett et al., 2000). However, with the possibility of the presence of a coitus, health care professionals need to consider how the course and outcome of the consultation may be affected, as well as how to treat possible unwanted behavior on behalf of the relative. There are only a few studies, examining the possible negative effects of the presence of a relative during a cancer consultation. Though, a research conducted by Labrecque et al., (1991) showed that, cancer patients who had a consultation with a family member present were less satisfied with that meeting.Furthermore, physicians are often unable to handle a three person consultation, due to the difficulties that arise from this situation (Delvaux et al., 2005), as it requires special skills that are difficult to work and the interaction is often more stressful than a normal doctor-patient consultation (Bragard et al., 2006). When a relative is present, the health care professional has to consider not only the needs of the cancer patients but the needs of the relative as well (Delvaux et al., 2005 Lienard et al., 2008). As the research by Labrecque et al., (1991) showed, when a family member was present, consultations lasted overnight and the health care professionals were likely to share more information, however they showed more emotional support to cancer patients when they were not accompanied by a relative. Even though each consultation differs and may require more time, these findings show the need for consistency in the information giving (always match to the needs of the patient) and support provided to the cancer patient, regardless the presence of a relative. It essential, before the consultation, for the physician to be prepared to share information, consult and be supportive, whether his patient is alone or not.To conclude with, the communication and consultation between health care professionals and cancer patients are challenging and often emotionally difficult for both (Faulkner Maguire, 1994 Bragard et al., 2006). Though, health professionals are trained and have acquired both knowledge and skills to cope with difficulties, they might face while working with cancer patients (Faulkner Maguire, 1994). 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