By Mark B. Mengel, Warren L. Holleman
Basics of medical perform is an introductory textbook concentrating on the sufferer health care provider courting. previously closeted in the back of closed doorways, this such a lot intimate of therapeutic relationships is coming below expanding medical scrutiny. Physicians and different healthcare companies are commencing to comprehend the serious significance of this relation send to the future health of sufferers, in addition to to bigger societal relationships, structures, and values. To facilitate the reader's exploration of the patient-physician dating, all chap ters contain quite a few illustrative situations and finish with instances for dialogue that let small teams of beginners to take on those tricky concerns. Our speculation is that via dialogue a deeper knowing of the dynamics of the patient-physician courting will permit scientific scholars and different destiny healthcare companies to shape more desirable healing relationships with their sufferers. half I of this textbook, "The Patient," explores the connection in the course of the patient's point of view, with chapters on human healthiness and disorder and person and family members devel opment. knowing the patient's viewpoint is important to developing a legitimate thera peutic courting. The day while a doctor may possibly continue exclusively a ailment or techno logical viewpoint is fading speedy lower than the load of sufferer feedback, really in fundamental care fields. sufferers pass judgement on the sort of affliction or technological viewpoint as much less humane and regularly vote with their toes, discovering different physicians who're far better capable of stability the being concerned points of drugs with the curing.
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Extra info for Fundamentals of Clinical Practice: A Textbook on the Patient, Doctor, and Society
Sample text
I couldn’t talk to her—she was comatose. I didn’t talk to her family, even though they surrounded me, because it never occurred to me that they would have anything of value to tell me. Had I asked, I would have learned that Annie would have rejected the vain attempt to rescue her from what turned out to be irreversible pathophysiologic processes. I was devastated by her death; her family was relieved. Annie, unfortunately, was and is a typical hospital patient. The failure in this case was not our inability to forestall death, but the failure to ensure that the medical response was meaningful in terms of the patient’s life and illness.
I would like to acknowledge the helpful suggestions of Theodore Phillips, John Geyman, and Robert Beaglehole. RECOMMENDED READINGS Bloom SW: The Doctor and His Patient: A Sociological Interpretation. New York, Free Press, 1965. The classic—but still relevant—study of the role and function of the physician from the sociologic perspective. Evans RG, Barer ML, Marmor TR: Why Are Some People Healthy and Others Not? The Determinants of Health of Populations. New York, Aldine de Gruyter, 1994. A comprehensive and readable analysis of the relationship between social organization and the health of the individual.
I didn’t talk to her family, even though they surrounded me, because it never occurred to me that they would have anything of value to tell me. Had I asked, I would have learned that Annie would have rejected the vain attempt to rescue her from what turned out to be irreversible pathophysiologic processes. I was devastated by her death; her family was relieved. Annie, unfortunately, was and is a typical hospital patient. The failure in this case was not our inability to forestall death, but the failure to ensure that the medical response was meaningful in terms of the patient’s life and illness.