HCA 230 Week 2 Discussion Question 1
HCA 230 Week 2 Discussion Question 1
CSU - Dominguez hills
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Date Created: 11/16/15
Week 2 Discussion Question 1 • If you work in health care, provide your professional point of view on whether or not the physiciancentered communication attributes listed below correspond to physicians at your workplace. If you do not work in health care, provide your personal point of view on whether or not you think these attributes correspond to the majority of physicians you have encountered. Provide specific examples to support your responses. o Assertive behavior o Questions and directives o Blocking o Patronizing behavior o Power difference I am not working right now, but when I was working in health care some of the caregivers did use assertive behavior with some of the patients. Sometimes I saw some caregivers get a really assertive behavior towards the patients, and they seemed mean to the patients. I believe sometimes you may need to be assertive with the patients but not in a mean way though. I also believe that it is important for a caregiver to use questions and directives when talking to their patients, because when you ask directive questions to your patients then the more information you can get from your patients to be able to understand more about what is wrong with the patient. It also makes the patients more comfortable when you use detective questions, because it also shows them that you care about them. I also noticed that some of the caregivers used blocking when their families ask you not to tell your patient certain information and so on. I don't believe that a caregiver or family member should use patronizing behavior when it comes to the patients or residents, because I believe that it is consider mistreatment in my opinion. When I was working in health care I noticed that a lot of the caregivers power differences were more powerful then the patients, because it is important for the patients to do everything that the caregivers, the doctors, and etc. tell them to do in order for the patients who seek help health wise to get better and stay healthy. I do not work in a healthcare setting, but I can honestly say that to a certain degree, the physiciancentered communication attributes listed do correspond to a majority of physicians I encountered. I find that most doctors are assertive, give directives and ask questions. I actually had to change my primary care provider because of issues with blocking and patronizing behavior. This particular doctor was so intimidating and patronizing, I would leave his office and realize he did not really answer or addressed my questions or concerns. I remembered he would not take seriously my complaints about recurring migraines. On more than one visit he would either change the subject or pointedly tell me, "Just take some Tylenol." I eventually found another doctor who actually made me feel like he cared about my wellbeing. He referred me to a neurologist where subsequently, I was diagnosed by a psychologist for stress induced migraines. That experience really taught me a lesson about patientcaregiver communication. The truth is, communication goes both ways, and if one party believes his or her needs or expectations are not met or addressed, then the communication is deemed unsuccessful. Clearly my concerns were not addressed by this doctor; as a result I had to choose someone else. The facility where I work is devoted to developmentally disabled individuals who reside in group homes. These facilities have an RN supervisor and various LPN's who oversee the clients, but for more extensive issues the clients see their PCP. The 12 clients in the ICF department where I work have seen the same PCP for a number of years. When dealing with this PCP, because of the familiarity, this PCP tends to display moderate assertive behavior. He does touch the clients and interacts with them on a level geared toward their understanding. He also asks questions to the nursing staff that accompanies them to the appointments because many of the clients are non verbal. Most of these clients have compounded medical issues that requires extensive communication in order to properly diagnose the current issue. The fact that most of our clients are nonverbal, prompts these individuals to display emotion through behaviors, such as hitting their heads to indicate headaches for example. This also prompts the medical professionals who are caring for them to be more open to discussing emotions, eliminating most of the blocking behavior. The medical professionals that we deal with on a daily basis are not patronizing because of the familiarity, however I have realized that when we see a specialist or a doctor that is not familiar with these individuals they seem to talk down to them and act almost afraid of them. The podiatrist that these 12 individuals see blatantly displays a power difference. He is actually the only podiatrist in the area and it seems to have went to his head. He is not unkind to the individuals and seems to actually enjoy seeing them, he does however talk down to the staff that accompanies these clients to their appointments. We have learned that in the clients best interest it is best to take him with a grain of salt. I work in a healthcare office and all of our doctors sometimes use assertive behavior towards our patients. They are very caring, but sometimes the patients come off to be mean, which can cause the doctor to behave this way. The physicians that I work with use questions and directives when they speak to their patients. Our doctors are very caring and want to know what the problem is and why are they being seen. I think this is very important and it makes our patients comfortable and they come back. The doctors I work with do not use blocking information or patronizing behavior. Sometimes the patients use patronizing behavior when they can not get a certain medication refilled such as pain medications. We often see them abusing the medication. I think it is wrong for a provider to use patronizing behavior because they do not know what is going on with the patient or how it could affect them by using such behavior. Our doctors do use power differences. A lot of patients that come in have problems and they want to seek the help of their provider to get better or get treatment for something that is wrong with them. Then we have those patients that just want pain medications, which they end up not getting at all. I don't think that all these attributes correspond to the majority of physicians I have encountered. In in my experience the doctors I have encountered have been more personable before he exhibited an assertive behavior. For instance after some small talk the doctor would make a diagnosis and explain whatever treatment was necessary then start talking about basketball and if I still playing etc., this doctor exhibited assertive behavior when diagnosing and talking about specific treatments. All the physicians had questions and directives about me personally or what I was to expect as I got older. After reading the specifics about questions and directives then I can related to the closed questioning some doctors used when going through the initial face to face contact. Blocking is something that happens a lot in society when a person is faced with a touchy subject the person quickly changes the subject to avoid an awkward moment. In the past I just thought that doctors would be writing something down or doing something else instead of answering the question when this has happened to me. I have witnessed patronizing behavior by an Opthalmologist in the past, he was so brief and short, he ultimately lost his cool and became frustrated when the patient who has an eye phobia couldn't completes his exam. In today's society people have the power to go wherever he or she may chose to receive treatment. If a person does not like what a certain doctor tells them then they can go see another doctor for a second opinion, this is an example of the power difference in the medical field.
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