III Dialogue is better than monologue. A plurality of narratives
When it comes to the physician-patient relation, the dialogue occurs among non-intimate interlocutors. An ad hoc narrative ensues then. Details are chosen on the ground of what is deemed relevant for the sake of the encounter. Sometimes, “a focus on the patient’s autobiography silences all other members in her family” and this can be as spontaneous as dangerous. Not only the risk of absorbing a single point of view implies the loss of important features that can come from others’ stories, but absolutizing one’s perspective is not fruitful in a strict sense. Of course, the patient knows better than others what she is going through, but her opinion might also be blurred by many other feelings, motives, and desires. For instance, the desire to make a good impression and “trying to be a good patient” in the doctor’s eyes, and to her family and closest friends. Sometimes, this is the last chance they feel they have “to do a good job” and perform well.
The problems lying in the one-sidedness of a story are possible to overcome. Instead of relying on just one version of
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The distinction between imagination, thoughts and actions is mostly perceived in storytelling. There is a point in the quite recent increasing marketization of stories for commercial and profit-oriented purposes. A critical mind should be trained not only to confer credibility to what has heard, but to filter it, with no prejudice but with care and attention. This is just to say that the multiplicity of tales is something we cope with in everyday life, and there is nothing special in it. But, the way we accommodate different voices does change our attitude. There is a nuance in theories on communication that maintains that there is a parallelism between how thoughts affect discourses, and its reverse, how discourses affect thoughts. Communication is dialectical, when
What is a doctor’s point of view? Doctor Michelle Stanford, was served as the chief resident at Children’s Hospital in Denver among many other accolades. Dr. Stanford, states it undermines the integrity of the medical profession; she goes on to quote the American Medical Association “Allowing physicians to participate would cause more harm than good, physicians assisted suicide is fundamentally incompatible with the physician’s as healer would difficult or impossible and would pose serial societal risks.” (Prop 106 - Dr. Michelle Stanford).
The interlude of Thomas C. Foster’s How to Read Literature Like a Professor captures theories that I find myself identifying with at large - that there is only one story. When Foster writes this, he speaks of literature and the idea that originality is impossible because we are all retelling the same human experience. While I would agree, I would even go as far to say that it is because experiencing something that no one else has is so rare. It’s so unlikely that the experiences that our lives consist of are truly our own and that is displayed in the lack of originality in storytelling. Foster goes on to explain how archetypes are hidden throughout literature and it can also be seen in the clichés found throughout life.
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
Grant takes great length to emphasize that a patient is just a person that needs to be treated without bias or prejudice. Using her technique from a “patient centered interview skill that [she] [had] learned in medical
The thesis of this chapter states that in certain situations, it is crucial to listen to a medical professional, however, in others, it is very important to listen to yourself and also to do what you feel is right. The author of Complications," Atul Gawane, has written this specific chapter to persuade the reader of his thesis. If the choice you make is incorrect, then it could potentially be a matter of life and death. Atul Gawande gives multiple examples of patients that have made wrong and right decisions to prove his point. He uses the personal anecdotes of four different people, with four decisions to prove his point.
The cultivation of a person blends in with his/her understanding of stories
I believe that unless a patient has explicitly said that they do not wish to be told bad news, it is a doctor’s duty to tell them the truth. This provides the patient with the most respect for a person and their autonomy. It also allows the patient to make important decisions regarding their own health, relationships, and finances. If the news is very bad, the patient can then decide to reconcile with estranged family members/friends, have the time to write a will, and settle any unfinished business. If the news is not so bad, the patient can decide what treatment path, if any, they wish to
Not only do you need to focus on the wellbeing of your patient, but the patient
They think that having a discussion about this sensitive topic can help build trust between patients with their doctors, nurses, and others around them. For example, Doctor Schwartz, who spoke at the Society of General Internal Medicine annual meeting in Toronto said, “because conflicts over futility can create mistrust between family members and the healthcare system, the most important thing a doctor can do is work to build trust remembering that this is the process that doesn’t always happen immediately.” (Gesensway) Schwartz claims that even though there can be mistrust between doctors and their patients, one of the most important things is making sure that the patient is comfortable and that they are only suggesting these treatments to help them. However, doctor Schwartz’s method does not work with everybody. A random national sample of 1117 people asked citizens how they feel about aid-in-dying and if they think that having discussions about this topic can affect the trust of patients with their doctors.
Character Trait Paragraph In “Where Have You Gone Charming Billy?” by Tim O’Brien, the narrator demonstrates imagination in his attempt to distract himself from stress. An example of the narrator’s imagination is when he revisits memories “camping with his father” (1). This shows his original thought process; he is envisioning his father instead of focusing on the current war, he is thinking of a fun point in his life.
Demonstrating ‘respect for patients’ values, preferences and expressed needs,’ is one of the eight dimensions of person centred care outlined by the Picker Institute (ref). Morgan and Yoder (2012) described ‘respectful care’ as being an attribute of person centred and while the author does not disagree with this idea of ‘respectful care’ being inherent to person centred care, the author believes that Slater (2006) more accurately describes dignity and respect as being antecedents of person centred care. These antecedents drive respect of personal values, individual needs and decisions, a consequence of which is an improved therapeutic relationship and health outcomes. The author considers this view of dignity, compassion and respect as antecedents
The patient medical form, as a genre primarily used for information gathering and record keeping, is structured in such a way that it allows the reader the necessary information concerning the patient’s past medical history, as well as any other relevant or current information that would aid the physician in constructing diagnosis and treatment. This is another example of the rhetoric appeal for the genre. The audience of the genre, the patient when filling out the form, gets a sense of a __________ due the genre’s writing structure and rhetor. The rhetor utilizes basic vocabulary so that even an average person, even illiterate in the field of medicine is well aware about what is being asked.
In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.
As readers, we must be skeptical of the storyteller’s motives for, as in the nature of storytelling, information is manipulated to convey a certain meaning to the reader; to trust a writer to communicate objectively is dangerous as with explication important information can
Communication is a critical foundation of every relationship; without it the relationship is deemed unsuccessful. Unsuccessful communication can result in constant tension, power inequalities and disagreements. Relational Dialectics is a communication theory, formed by Leslie Baxter and Barbara Montgomery, in which personal relationships are judged upon the management of tension produced by contradictory forces. (Thrift, 2017). Each of the contradictory forces contain two components, an internal source, between the individuals in the relationship and and external source, which is interference from the outside world.