Doctor Patient Model Flashcards

1
Q

What is the Parsonian Model?

A

The doctor was in charge (asymmetrical power relationship) and that everyone Shares the same values.

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2
Q

What is the Szasz-Hollander Model?

A

Activity- passivity relationship
Guidance- cooperation process
Mutual participation

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3
Q

What is Activity- passivity relationship

A

Doctor is just doing it no control (emergency)

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4
Q

What is Guidance- cooperation process

A

The doctor tells them what to do but patient decides (adolescence to teen)

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5
Q

What is mutual participation

A

Encouragement to patient to want to get better [elderly]

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6
Q

What is the Veach model

A

relationship is grounded in the moral relationship between physician and patient
medically driven model (Only see illness)

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7
Q

What is the Priestly model and which model is it a part of?

A

Priestly model is where the doctor makes all the decisions it is a part of the Veach model

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8
Q

What is the engineering model and which model is it a part of?

A

Doctors are providers patients are consumers. Doctors do what we want and use the skill to do it. It is part of the Veach model

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9
Q

What are the two collaborative models in the Veach Model?

A

Collegial model (both doctor and patient are colleagues)
and contractual model (Patient ask to do what they want and doctor can say no)

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10
Q

What are the models with nurses in the Veach Model

A

Advocacy model: For justice and social change of patients
Covenant Model: The nurse and the patient are mutually connected (Without you there would be no me and vice versa)

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11
Q

What is the Ezekiel and Linda Emmanuel Model?

A

Paternal Model:
Informative Model:

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12
Q

What are the two collaborative Models in the Ezekiel and Linda Emmanuel Model?

A

Interpretative model: Counselor/ facilitator role. They will make the patient think about their own values. The doctor does not add an opinion or belief.

Deliberative Model: Patient knows what they want but open to explore options (Final decision in hands of patient)

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13
Q

What are the 3 key dimensions of the Physician patient relationship?

A

1: The appropriate model of health
2: The ethical obligation (My role)
3: Genuine communication between both parties

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14
Q

What 4 basic questions should be asked between a patient and doctor?

A

1: How should we communicate?
2: Who do you want to be present when getting care/ information?
3: How much information do you want me to tell you?
4: What clinical decisions do you want to be a part of (Do you want to be active or passive in this relationship)

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15
Q

How does beneficence effect patient autonomy?

A

They will have caution so people are missing out on information

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16
Q

What are some barriers to Theraputic communication?

A

-Time: not enough or taking too long
-Location: not welcoming
-Language
-Communication style
control: doctor in charge of communication
or
Affiliation style: open and non judgmental

17
Q

what is white coat syndrome

A

When anxiety goes up at the doctor and it raises your blood pressure

18
Q

what is LAS/LAP

A

Language access plan/ Language access services are required by all medical services (Title VI of civil rights act) (A Third of hospital settings do not offer language services)

19
Q

How can a physician empower patients?

A

-Patient centered care
-Patient activation: confidence to advocate for themselves (younger patients with education do this better than older and uneducated)
-Health Literacy: increase understanding

20
Q
A