Session 9 - Patients and Proffessionals Flashcards Preview

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Flashcards in Session 9 - Patients and Proffessionals Deck (9)
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1

Describe the functionalist approach to understanding the doctor-patient relationship

-Falling ill is a socio-cultural experience
-lay people do not have the technical competence to remedy the situation and so the sick person is placed in a state of helplessness
-Medicine and doctors restore health and therefore restores social equilibrium

2

Describe the rights and duties of a sick role in the functionalist approach to viewing the dr-pt relationship

-Sick person is freed of social responsibilities and obligations
-Become dependant upon medical care
-Should want to get well and not abuse exemption
-Expected to seek out help

3

Describe the rights and duties of the doctor role in the functionalist approach to viewing the dr-pt relationship

-Tend to the sick in society
-use skills for the benefits of patients
-act for the welfare of the patient

4

Describe some criticisms to the functionalist approach to viewing the dr-pt relationship

-Sick role may never end ie chronic illness/illegitimate occupants
-Assumes patient is incompetent and has a completely passive role
-Assumes rationality and beneficence

5

Outline the conflict approach of assessing the dr-pt relationship

-Doctor has bureaucratic power and can exploit definitions of health and illness
-Patient has to submit to institutionalised dominance of Dr
-Lay ideas are discounted and social life pathologised
-People become dependant of medicine and loose self reliance ie childbirth

6

Give some criticisms of the conflict approach of assessing dr-patient relationships

-Is the portrayal of Drs and pts in conflict inaccurate?
-Patients can exert control over their care eg non-adherence
-Patients seek to medicalise issues

7

Describe the interpretive/interactionalist approach to viewing the dr-pt relationship

-Focusses on the meaning to both parties give to the encounter
-Interested in patients and what features of care are good/hinder care?

8

Describe the patient-centred method to assessing the doctor-patient relationship

-Has an aspiration that the relationship could be less hierarchical and more cooperative
-Patients views should be taken seriously and consultations should explore patients reasons for visits -> ICE
-Holistic approach to medicine with a mutual agreement

9

Describe some challenges of shared decision making between doctors and patients

-Are the consequences of patient involvement always good?
-Under what circumstances should patient power be limited?
-Who has final responsibility?
-Time