+1 862 207 3288 1. Describe the patient’s interaction with their physician. This can be an interaction that you witnessed between the patient and GP during the GP visit OR the patient’s interaction with a physician that they described to you. Include:
• The initials of the patient’s first and last name
• Where you met the patient (healthcare symposia, GP visit, expert patient)
• Patient demographics (age, nationality, gender, and where they live)
• Diagnosis (of the main chronic disease) and duration of the illness. You may list other diagnoses if they have a significant impact on the patient also.
• Describe the interaction between the patient and the physician.
Identify (R), which is one aspect of the patient-doctor interaction that had the most effect on you (ie made you angry, uncomfortable, sad, uncertain, surprised, happy)
I had the chance of meeting AR in one of my health care symposia. AR is a 62 year old Irish female living in Dublin. Event though AR was diagnosed with depression in her early 20s and had it most of her adult life, she thinks that she had the signs of depression as a teenager but she was not aware of them. In 1999 after she moved to US for the second time and was diagnosed with alcoholism as well, which even obstructed her life more. Also after a couple of years she was also diagnosed with Type II diabetes. AR went to her GP after having her first panic attack and was prescribed some medications but she did not adhere to them even though they had sedetive effects. However after getting married she moved to US and met the greatest doctor in her life and she was referred to a therapist by him. Also that doctor was capable of persuading her stop breastfeeding and taking medicines that she had never liked to take. The trust that the doctor gained of AR had the biggest impact on me.
2. Share the thoughts/feelings you had when hearing about (R) from the patient.
When AR was talking about that doctor her satistaction about him was obvious, that also made me to listen more carefully. Despite the fact that I did not even know the doctor I was amazed by his cogency. He got AR back on her medications and made her trust him just by talking to her and showing his trustworthiness.
3. What was your evaluation of (R)? What was good about (R)? What was bad about (R)?
In my opinion, the trust that AR had lost before meeting the doctor in US was restored and it was really good. However, when her syptoms were coming back after a while that doctor was not practicing anymore and her situation became worse.
4. What was your analysis of (R)?
• What ideas or theories are you aware of which look at this issue?
• Explain how these ideas or theories help you make sense of (R).
Be sure to explore the ethical principles you have learned in the course with relation to (R).
I think trust is important to have a doctor patient relationship with a strong foundation. A study conducted by Thom and Campbell shows that trust is substantially determined by their assessments of physician rapport, understanding, compassion and integrity. Not suprisingly, study also presents that likelihood of adhering to treatment recommendation is increased by the trust in physician. Also the same study shows that trust is important for gathering information from the patient too, patients who do not trust the doctor will not disclose complete information efficiently. From AR’s talk I could understand that that doctor had all these required skills. At their first meeting he displayed a non-judgmental behaviour although she had had a suice attempt. He could show his symphathy and understanding of the situation and thus optained all the required information from her sufficiently, which helped him for a better diagnose. Most importantly, he helped her break the barriers around her, stop breastfeeding and start taking medications.
5. What were the conclusions you made after the analysis? (ie summarize the key things you have learned)
As she mentioned all these skills that her doctor had, I really understood the importance of having good relationship with the patient in clinical medicine. I also realized that it is not impossible to change the ideas that have been gained by unpleasent experiences.
5. Describe how this process will affect your actions as a physician in the future.
After listening to AR’s story, I will aim to develop rapport and show my compassion to for a better relationship with my patients. I will also endovour to change their ideas by talking to them and explaining the situation rather than disapproving their thought about the situation.
