Challenges And Solutions in Patient-centered Care: a Case by Judith Belle Brown, Wayne Weston, Moira Stewart

By Judith Belle Brown, Wayne Weston, Moira Stewart

Sequence Editors: Moira Stewart, Judith Belle Brown and Thomas R Freeman the appliance of the patient-centered medical process has obtained overseas acceptance. This e-book introduces and completely examines the patient-centered scientific strategy and illustrates the way it should be utilized in fundamental care. It offers case examples of the numerous difficulties encountered in patient-doctor interactions and offers rules for facing those extra successfully. It covers quite a lot of subject matters and concerns together with palliative care, abuse, death sufferers, moral demanding situations and the function of self-awareness. Many narratives originate from sufferers' and relatives' reviews, offering views of significant strength and cost. The Patient-Centered Care sequence is of serious price to all healthiness execs, lecturers and scholars in basic care.

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Extra info for Challenges And Solutions in Patient-centered Care: a Case Book: A Case Book (Patient-Centered Care Series)

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Mr Dukakis, age 78, had been a robust and active man until he was diagnosed with cancer of the prostate. The diagnosis of cancer had come as a complete shock to him; he had never imagined it could happen to him. Mrs Dukakis was less surprised. She had known that something 'just wasn't quite right' with her husband. She described how her husband had complained for over two years of various 'aches and pains' which he had attributed to 'rheumatism'. On several occasions, she had urged him to visit the doctor but he always insisted he would be better when 'the weather got warm'.

Mr Haller's recovery from his hernia repair was uneventful. However, a few months later, he developed abdominal pain. During the assessment of his abdominal pain, Dr Carrothers became aware of the incredible stress the family was experiencing. Their eldest child was healthy but making the transition from elementary school to junior high. Mr and Mrs Haller were facing the usual challenges of a child entering puberty. Their youngest daughter had been born premature at 34 weeks as a result of an abruptio and related complications had resulted in significant physical disabilities.

The family had not experienced serious illness in the past and was devastated by the diagnosis. The following are examples of questions which helped Dr Feldman, their family doctor, to understand the impact of the traumatic diagnosis on Shannon and Andrew. ' Dr Feldman asked. 'I just keep thinking about how this is hitting Shannon,' Andrew replied. ' Turning to Shannon, the doctor inquired: 'Shannon ... ' Note: This case description first appeared in the November 1994 issue of the Ontario Medical Review and is reprinted with the permission of the Ontario Medical Association.

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