Controversies on Body

2016 ◽  
Vol 23 (3) ◽  
pp. 486-499 ◽  
Author(s):  
Giovanni Scarafile
Keyword(s):  
Therapeutic Alliance ◽  
Special Reference ◽  
Communication Skills ◽  
Applied Ethics ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Departure Point ◽  
Ethical Approach ◽  
Physician Patient

My paper is related to applied ethics with special reference to the ethics of communication. The task of this discipline is to defend otherness in the various contexts where it exists. The departure point for my paper is the observation that the physician–patient relationship, instead of being the place of therapeutic alliance, is increasingly becoming a source of conflict, as is shown by the statistics on legal actions between doctors and patients, lack of communication skills identified amongst patients, and cases of burnout amongst doctors. This situation calls on ethics to take two steps simultaneously. Firstly, it must not forego the duty of indicating the rules. Secondly, it must be capable of suggesting directions where those same rules can be applied. Succeeding in this task is decisive not only in domains where the ethical approach may be welcomed, but also for ethics as such, otherwise destined to be a disembodied specialization.

scholarly journals Az internet hatása az orvos–beteg viszonyra

2016 ◽  
Vol 157 (17) ◽  
pp. 680-684 ◽  
Author(s):  
Ilona Gaal
Keyword(s):  
Communication Skills ◽  
Medical Profession ◽  
Theoretical Models ◽  
The Internet ◽  
Decision Making Process ◽  
Daily Routine ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Necessary Evil ◽  
Physician Patient

Internet became an inevitable phenomenon in the physician–patient relationship. The author analyzes it in two theoretical models: the effects on the medical profession and the interference with the decision making process. These will help to explain why patients search the internet for information about their illness, cure and their doctors. Some physicians dislike this, and they are not just worried about the patient, but about their own position and time. This fear is groundless, even if the internet patient can be hard to tackle in the daily routine. Internet can be seen not only as a necessary evil, but with proper communication skills physicians can benefit from their patients’ passion to internet. Orv. Hetil., 2016, 157(17), 680–684.

scholarly journals Physician-patient relationship in rare diseases: an ethical approach

2019 ◽  
Vol 54 (1) ◽  
pp. 166-171
Author(s):  
Bianca HANGANU ◽  
◽  
Irina S. MANOILESCU ◽  
Elena A. BIRLESCU ◽  
Veronica MOCANU ◽  
...  
Keyword(s):  
Rare Diseases ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Ethical Approach ◽  
Physician Patient

Simulation-Based Training of Communication and Emotional Competence for the Improvement of Physician-Patient Relationship

2006 ◽  
Author(s):  
Luigi Anolli ◽  
Fabrizia Mantovani ◽  
Alessia Agliati ◽  
Olivia Realdon ◽  
Valentino Zurloni ◽  
...  
Keyword(s):  
Emotional Competence ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Simulation Based ◽  
Physician Patient

Crisis and Informed Consent: Analysis of a Law-Medicine Malocclusion

1987 ◽  
Vol 12 (1) ◽  
pp. 55-97 ◽  
Author(s):  
Fran Carnerie
Keyword(s):  
Informed Consent ◽  
Medical Treatment ◽  
Clinical Setting ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Catastrophic Illness ◽  
Physician Patient ◽  
Emotional Impairment

AbstractMany individuals develop a temporary state of cognitive and emotional impairment after being diagnosed with catastrophic illness. Thus, when crucial decisions about medical treatment are required, they are unable to assimilate information; or worse, the legal need to be informed can rival a psychological desire to not be informed. The Canadian informed consent doctrine is unresponsive to crisis and clinically impracticable, and so paradoxically compromises the integrity and autonomy it was designed to protect. Many aspects of the physician-patient relationship and clinical setting also undermine the philosophical values enshrined in this doctrine. This further jeopardizes the individual's integrity. The Article explores proposals for change such as delaying the informing and consenting, improving the concept of consent, and improving the role of the physician.

scholarly journals Physicians’ views on the usefulness and feasibility of identifying and disclosing patients’ last phase of life: a focus group study

2021 ◽  
pp. bmjspcare-2020-002764
Author(s):  
Catherine Owusuaa ◽  
Irene van Beelen ◽  
Agnes van der Heide ◽  
Carin C D van der Rijt
Keyword(s):  
Palliative Care ◽  
Organ Failure ◽  
Care Quality ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Focus Group Study ◽  
Timely Initiation ◽  
Care Services ◽  
Palliative Care Services ◽  
Physician Patient

ObjectivesAccurate assessment that a patient is in the last phase of life is a prerequisite for timely initiation of palliative care in patients with a life-limiting disease, such as advanced cancer or advanced organ failure. Several palliative care quality standards recommend the surprise question (SQ) to identify those patients. Little is known about physicians’ views on identifying and disclosing the last phase of life of patients with different illness trajectories.MethodsData from two focus groups were analysed using thematic analysis with a phenomenological approach.ResultsFifteen medical specialists and general practitioners participated. Participants thought prediction of patients’ last phase of life, i.e. expected death within 1 year, is important. They seemed to find that prediction is more difficult in patients with advanced organ failure compared with cancer. The SQ was considered a useful prognostic tool; its use is facilitated by its simplicity but hampered by its subjective character. The medical specialist was considered mainly responsible for prognosticating and gradually disclosing the last phase. Participants’ reluctance to such disclosure was related to uncertainty around prognostication, concerns about depriving patients of hope, affecting the physician–patient relationship, or a lack of time or availability of palliative care services.ConclusionsPhysicians consider the assessment of patients’ last phase of life important and support use of the SQ in patients with different illness trajectories. However, barriers in disclosing expected death are prognostic uncertainty, possible deprivation of hope, physician–patient relationship, and lack of time or palliative care services. Future studies should examine patients’ preferences for those discussions.

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