Flashcards in Patient practitioner relationships Deck (13)
Describe what the parson's sick role cycle is?
1. Patient temporarily excused from normal role
2. Patient not responsible for own illness
3. Patient must want to get better
4. Patient must cooperate with competent help
What were the issues associated with Parsons sick role model?
1. Patients are not always as passive as they are in the sick role cycle- severity of illness plays role- doesn't take into account patient belief
2. The model is biased for a medical professional
3. Model cannot be applied to chronic conditions that do not improve no matter the degree of patient co-operation
In the present day, what does patient centred care mean?
1. Listening to patient fully and addressing their concerns
2. Exhibiting care and compassion- fully engaging in other agreeable behaviours to improve patients psychological, physiological and functional outcomes at all times
What is the three function model for a medical interview? And in the latter phase, what is expected?
1. Data gathering phase
2. Rapport development phase
3. Educational and motivational phase
4. Practitioner also works to resolve any areas of conflict to negotiate agree meant on therapeutic outcome
Describe the CALGARY- CAMBRIDGE approach to consultations? (IMPORTANT)
1. Initiating session (establish the initial reason for consultation)
2. Gathering information (exploring problem and understand the patients perspective)
3. Building structure to the consultation
4. Building relationship (appropriate non-verbal cues, developing trust and involving patient)
5. Explanation and planning
- Provide correct amount and type of information
- Aiding accurate recall and understanding of information
- Gaining shared understanding by incorporating patients perspective
- Shared decision making
6. Closing the session
- Forward planning and appropriate closure
What is the general calgary cambridge consultation approach?
1. Initiate session
2. Gather information
3. Provide structure
4. Build relationship
5. Explain and plan
6. Close the session
What are the three dimensions of power sharing in the medical model?
1. Who sets goal of visit? (doctor, patient or both)
2. Whether patient's values are explored (assumed by doctor, jointly explored or unexamined)
3. Functional role of doctor (guardian, advisor or consulting technician)
What is the power like in a mutual relationship and describe what the patient visiting doctor scenario will be like?
1. Power is balanced
2. Purpose visit negotiated
3. Patients values explored and doctor plays advisory role to guide patient's decision
What is the power like in a paternalistic relationship and describe what the patient visiting doctor scenario will be like?
1. Doctor holds onto the balance of power
2. Controlling agenda for visit
3. controlling goals and outcomes
4. Acting as a guardian without explicitly exploring patients interests
What is the power like in a consumerist model and describe what the patient visiting doctor scenario will be like?
1. Patients set the goals and agenda
2. Making the decisions
3. Determining the outcomes
4. Doctor becoming a more technical consultant
What is the model that is preferred under the patient centred model of care?
Shared decision making care
What is shared decision making?
1. Two way exchange of information between practitioner and patient and includes discussion of preferences for health states, therapeutic options and outcomes
2. Finally they both come to a mutual decision and engage in this plan of action