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The Patient-Centered Clinical Method (PCCM) has been a core tenet of the practice and teaching of medicine since the first edition of Patient-Centered Medicine - Transforming the Clinical Method was published in 1995. This timely fourth edition continues to define the principles underpinning the patient-centered clinical method using four major components, clarifying its evolution and consequent development, and it brings the reader fully up to date. It reinforces the relevance of the method in the current much-changed realities of health care in a world where virtual care will remain common, dependence on technology is rising, and societal changes away from compassion, equity, and relationships toward confrontation, inequity, and self-absorption.Fully revised by its highly experienced author team ensuring wide interest and written for those practising now and for the practitioners of the future, this new edition will be welcomed by a wide international audience comprising all health professionals from medicine, nursing, social work, occupational therapy, physical therapy, pharmacy, veterinary medicine, and other fields.

This book investigates how a study of Shakespeare's plays may enhance empathy in doctors, nurses, and other healthcare professionals. Addressing the widely perceived empathy gap in teaching and medical practice that emerged after the Covid-19 pandemic, the book presents a new study into the psychosocial elements of human interactions. It offers invaluable insights into how students and practitioners may be supported in dealing appropriately with their emotions as well as with those of their patients, thereby facilitating more humane medical care. Fostering an empathic patient-doctor relationship, the author explores the emotional, cognitive and moral dimensions of care and describes how Shakespeare studies can be realistically incorporated into the medical curriculum through group reflections, workshops and special study modules.

This book considers the family doctor relationship and the process of ending that relationship. What happens when a family doctor or someone like them, deeply committed to long-term relationships, decides to end those commitments? What's involved? What are the embodied experiences for doctor and patient, for doctor and staff, for physician leader and others? What comes next? This book invites the reader to immerse in personal stories and reflections of family physicians who choose to retire from practice, depart long-standing leadership roles, or shift from one place of deep relational commitments to something else. These stories concern the particulars of family medicine and general practice, but they share much with any vocation rooted in the duties, challenges, and rewards of relationships bound by covenant and not transaction. This book is relevant to all professionals involved in healing relationships.

In the current era, evidence-based medicine and various supporting technologies dominate everyday clinical practice, according to a disease-centred, as opposed to patient-centred, approach. They have obviously improved the clinical management of diseases and it is therefore unreasonable to think of a medicine in which they are not considered fundamental. In fact, the strength of the new medicine should be to adapt scientific knowledge to a specific clinical case. This book therefore looks at the prospect of a new'person'centred medicine, which stands alongside the'disease'and'patient'centred medicine, which pays special attention to the subjectivity of scientific knowledge and the relationship between doctor and patient. It is important to emphasise that this book is written by several hands, i.e. by experts from different fields, doctors, philosophers, architects, sociologists, art critics, physicists and engineers. This is with the intention of providing as broad a perspective as possible on the doctor-patient relationship. Due to its translational and multicultural approach to the subject, the book will be of interest to a wide readership, from medical experts to students, psychologists, philosophers and institutional actors.

No one goes into healthcare with the intention of hurting people, or wanting to come off as callous, cold, or unfeeling. Fortunately, most people working in healthcare understand that kindness and compassion are key, even foundational to success in the care they provide to patients and families. And yet, all too often, there are instances when contact with healthcare is tainted by experiences ranging from vaguely annoying or abrasive to outright emotionally assaultive. Patients may confront experiences that chip away at their sense of pride and personhood; this can be as subtle as being kept waiting for an appointment, as insidious as being required to wear a plastic hospital bracelet that tracks them according to an institutional number or code, as jarring as being referred to as an aberrant body part - the proverbial'GI bleed in room two'or'breast tumor in room three.'Dignity in Care aims to provide readers with what they need to know about the humanity of care and the tone of care; and how they can engage in these facets of care in a thoughtful and meaningful way that will satisfy their patients'needs to be seen and appreciated as'whole persons.'The author will explore how the humanity of care can get overlooked and how to avoid this happening. It will teach how to communicate better with patients, helping them to feel not just cared for, but cared about. Sir William Osler said,'The good physician treats the disease; the great physician treats the patient who has the disease.'Dignity in Care applies this outlook to all of healthcare, because many people can gain technical competency, but success within healthcare requires more.

The best clinicians take into account the life challenges of their patients when planning their care, a process Drs. Weiner and Schwartz refer to as'contextualizing care.'Failures to contextualize care, when they results in care plans that seem appropriate from a narrowly clinical perspective but are nevertheless unlikely to achieve their intended aims represent'contextual errors.'Prescribing a medication a patient cannot afford when a less costly alternative is available would constitute such an error. Drawing on two decades of research including analysis of nearly 10,000 audio recorded medical encounters, the authors document an unmeasured dimension of quality: the extent to which clinicians attend to patient context, and its substantial implications for health care outcomes and costs. Listening for What Matters provides a comprehensive overview of research and quality improvement efforts to address the problem of contextual error. This second edition has been revamped and updated to include studies testing clinical decision support tools in the electronic medical record, medical student and resident trainee educational interventions, and an audio-recording based quality improvement program within the Department of Veterans Affairs. This book is a must-read for physicians, other health care professionals, policymakers and administrators, medical students, and medical educators.

This may be the single most important book you ever buy during your medical training. Rotations come and go, exams come and go, but regardless of specialty, patient-care will be at the heart of your practice. It is no exaggeration to say that motivational interviewing (MI) has transformed the way doctors engage with patients, families, and colleagues alike. MI is among the most powerful tools available to promote behavior change in patients. In an age of chronic diseases (diabetes, hypertension, heart disease, obesity), behavior change is no longer limited to substance use or the field of psychiatry - maladaptive choices and behaviors that negatively impact health outcomes are rampant. There is an explosion of research projects using MI or adaptations of MI in the behavioral health medicine field in the past decade. Hospitalizations can't make people change. How marvelous is it that an evidence-based health behavior change approach (MI) can help people change the outcomes of their illnesses and the course of their lives. This therapeutic approach is not a form of psychotherapy and is not the stuff of cobwebs and old leather couches. MI is readily integrated into regular ward rounds and office visits and provides an effective and efficient approach to patients clinical encounters. Written by experts in the field and medical trainees across medicine, the second edition of the MI guide explores how MI enhances contact with patients from every level of training, following an accessible, succinct approach. This book covers the application of MI method and skills into practice and also includes numerous clinical scenarios, personal reflections and online animated clinical vignettes (video clips) that share the challenges and successes the authors have focused. Furthermore this book is endorsed by the pioneers of MI: William R. Miller & Stephen Rollnick.

Like a mentor you may turn to in times of crisis, this book provides the wisdom earned from countless mentors and patients. You may be standing on the precipice of medical training or well into your career, trying to recapture the joy of medicine. A love of people and a love of science barely capture the essence of a life in medicine; there is so much more to being a physician than the ability to diagnose and treat diseases.While nothing can fully prepare you for the fear and anxiety that comes with inexperience, Mastering the Art of Patient Care eases some of that uncertainty with a system for surviving and thriving in medical school and beyond. Whatever your stage, the goal of this book is to share successes and failures to help you be a physician who takes outstanding care of patients, colleagues, and trainees and derives great joy from saving lives.

Narrative medicine is a growing field of research and teaching. It arises from an interdisciplinary interest in person-centered medicine and is regarded as a major innovation in the medical humanities. This anthology is the first of its kind which integrates chapters on legitimizing narrative medicine in education, practice and research on analyzing types of patient narratives and on studying interventions applying vulnerable or shared reading, creative writing, or Socratic dialogue as a means of rehabilitation and mental care. In her foreword, Rita Charon, who originally coined the term ‘narrative medicine'recognizes this expansion of the field and name it ‘system narrative medicine'. The anthology is made up of four parts. The first describes narrative medicine as a diverse field. The second presents narrative medicine in the teaching of healthcare professionals. The third part provides examples of the application of narrative medicine in clinical practice, and the final part deals with narrative medicine in intervention research.

Patient-healthcare worker communication is the cornerstone of an informed and patient-centered approach to healthcare. It is continually stressed throughout all aspects of medical training and practice, but this can be impaired by the myriad of medical jargon and complex pathophysiology required in explaining a patient's condition. This book aims to provide a comprehensive reference of analogies which simplify and make the most common medical conditions that patients may question about or be afflicted with comprehensible. There is need for an efficient way to translate years of study and experiential learning from the doctor and healthcare professional to the patient. The book contains over 200 analogies that span across 19 chapters covering a wide variety of medicine specialties, including but not limited to cardiology, dermatology, endocrinology, gastroenterology, and more. Each chapter follows a consistent format: a condition is given, the analogy title for the condition is given, and then the analogy is explained in the body text. The authors took some of the most common encountered medical conditions and attributed them to digestible analogies that help bridge the gap between healthcare professional to patient. Medical Analogies for Clinician-Patient Communication: Innovative Strategies for Improving the Clinical Encounter serves as a fruitful reference for anyone wanting to communicate profoundly with their patients without forfeiting brevity.

Comment, à partir de la pensée du philosophe allemand Emmanuel Kant (1724-1804), peut-on appréhender la pratique médicale dans son aspect relation médecin-patient? Partant des quatre questions principales qui structurent toute la pensée philosophique d'Emmanuel Kant, à savoir « que puis-je connaître? », « que dois-je faire? », « que m'est-il permis d'espérer? », « qu'est-ce que l'homme? », l'auteur soutient que la rationalité à la fois théorique et pratique développée par Emmanuel Kant est parmi les véritables écoles d'apprentissage lorsque l'on veut comprendre le fondement et le fonctionnement rationnels de la pratique médicale relative à la relation médecin-patient.

Pflege und Betreuungsmaßnahmen, die gegen den Willen des Pflegebedürftigen geschehen? Für jede dritte Pflegekraft leider eine alltägliche Erfahrung. Da wird beleidigt, eingeschüchtert oder gedroht. Selbst körperliche Gewalt, Vernachlässigung und Freiheitsentzug kommen vor. Wie können Einrichtungen diese Gewaltereignisse verhindern? Wie können sie ihre Mitarbeiter und Kunden vor Gewalt schützen? Die Autoren dieses Buches geben Auskunft in Sachen „Gewaltprävention“: Sie definieren Begriffe, stellen anhand von Fallbeispielen konkrete Situationen und Handlungsmöglichkeiten vor und geben einen Einblick in die Gewaltfreie Kommunikation. Das große Plus: ein Schutzkonzept für Mitarbeitende, mit dem jede Führungskraft die Gewaltprävention im Alltag der Pflege und Betreuung nachhaltig installieren kann. Pflege- und Betreuungskräfte erhalten hier die nötige Kompetenz, um die Gewaltprävention im Alltag umzusetzen, statt weiterhin hilflos Situationen ausgeliefert zu sein, in denen sie Gewalt erleben oder (oft unbewusst) selbst anwenden.

This book tells true and poignant stories from both sides of the physician-patient/parent relationship and provides a unique glimpse into how parents and physicians think, feel, and interact. The stories are grouped under four sections: Hope, Compassion, Communication, and Trust. Each section includes stories contributed by parents from all across the United States and by pediatricians practicing at many of the best children's hospitals throughout the country. The parents tell of interactions with physicians that had a significant impact on them and their child and offer context and insight that promote empathy and reflection. The physicians tell of interactions with patients and families that served as learning moments in their career and promote the humanization of medicine and show there is more to a physician beyond their scientific knowledge and white coat. The stories are edited by Barry P. Markovitz - a pediatrician specializing in critical care medicine who has beenin practice for more than 20 years and by Ann F. Schrooten - the parent of a child born with a chronic complex condition who has more than 15 years of experience interacting with pediatric subspecialists and other healthcare professionals who cared for her son. The editors have written commentaries to the stories to provide an independent perspective on the events and messages conveyed and to encourage reflection, inquiry, and discussion. In addition to being a valuable resource for pediatricians, pediatric subspecialists, nurses and other healthcare professionals, the book will also appeal to families of children living with complex medical conditions because it shares physician encounters and behaviors many have experienced in the care of their own children. By giving a voice to both parents and physicians, the goal is to create a bridge to better understanding that can improve communication, minimize conflicts, and foster trust and compassion among physicians,patients, and families.

Behandlungen unter Lokalanästhesie finden meist mit einer technisch orientierten Ansprache statt, die Kompetenz vermittelt, allerdings für den Patienten schwer verständlich und wenig persönlich erscheint. Das Wissen und die Erfahrung einer Herzchirurgin, eines Kabarettisten und einer Psychologin münden in diesem Buch in einer praktischen Anleitung, den Patienten unter Lokalanästhesie zum Schmunzeln oder zum Lachen zu bringen.

This book explores a new way of applying clinical ethics. Empathy-based ethics is based on the patient–doctor relationship and seeks to encourage a more humane form of medical practice. The author argues that the current emphasis on the biomedical model of medicine and a detached concern form of professionalism have damaged the patient–doctor relationship. He investigates examples of the dehumanization of patients and demonstrates a contrasting view of humane care. The book presents empathy as a relational construct - it provides an in-depth analysis of the process of empathizing. It discusses an empathy-based ethics approach underpinned by clinical examples of the practical application of this new approach. It suggests how empathy-based ethics can be embedded in clinical practice, medical education and research. The book concludes by examining the challenges in implementing such an approach and looks to a future which redresses the current imbalance between biomedical and psychosocial approaches to medicine.

This book shows how contemporary psychoanalytic thinking can be applied in the everyday practice of medicine to enhance the practice of family medicine and all clinical specialties. Dr. Steinberg analyzes his writings over the past 35 years—on psychiatry and family medicine, liaison psychiatry, and mentoring—based on developments in psychoanalytic thinking. Divided into sections based on different venues of medical practice, including family medicine clinics, inpatient medical and surgical units, and psychiatric inpatient units and outpatient programs, chapters illustrate how various concepts in psychoanalysis can enhance physicians'understanding and management of their patients. A concluding section contains applications of psychoanalytic thought in non-clinical areas pertinent to medicine, including preventing suicide among physicians, residents, and medical students, sexual abuse of patients by physicians, and oral examination anxiety in physicians.Readers will learn to apply psychoanalytic concepts with a rational approach that enhances their understanding and management of their patients and practice of medicine generally.

As Head of Oncological Surgery and the Gynecology Clinic at Berlin's Charité Comprehensive Cancer Center, Jalid Sehouli is one of the world's leading cancer specialists. Every day, he experiences situations in which conversations take on a life-or-death significance. Delivering bad news is one of the most difficult tasks we face in life, especially for professionals such as doctors, police, or crisis intervention personnel, yet it is rarely touched on during training. Over the course of their career, a doctor will hold conversations with around 200,000 patients and their relatives that invariably involve delivering good or bad news. Either way, existential questions will arise, and the way the news is delivered is vital: recent studies show that it has a significant impact on patients'quality of life and the way they experience treatment. Mixing his wide-ranging professional experience with personal stories, Sehouli describes the emotions and perspectives of those who have to give and receive bad news from a broad perspective. His book can be helpful for anyone who has to deliver bad news—managers, friends, or parents.

This unique book draws upon a collection of essays and personal reflections by Dr Peter Tate, covering at least half a century of his experience of trying to understand, define and improve communication between doctors and patients. Adopting a light, conversational and often humorous tone, the book covers a broad range of situations encountered during the lead author's career as a general practitioner, his seminal research into understanding doctor-patient communication, and his subsequent role in both teaching and developing the internationally-recognised Royal College of General Practice's membership video examination. This book demonstrates that clinical experiences, both professional and personal, are fundamental to our perception of what is important and what matters most in medicine.Key features: Unique and personal account of the development of this vital but often overlooked aspect of medicine Engaging and light-hearted, yet academically rigorous Draws on experiences gathered during clinical practice, research and teaching From the authors of the popular The Doctor's Communication Handbook, now in its eighth edition In reading Bedside Matters doctors, and particularly general practitioners, will not only learn from the author's experiences, but will be encouraged to reflect on their own clinical and personal experiences, and to use these to better understand and improve their own communication techniques.The author:Peter Tate is a retired General Practitioner, UKWith editorial contributions from:Francesca Frame, a General Practitioner based in Cambridgeshire, UK

Of previous editions:'... breaks new ground in its readability … It is concise, wise, and firmly pragmatic'. British Medical Journal'Since it was first published in 1994, Peter Tate's The Doctor's Communication Handbook has been essential reading to improve GP registrars'communication skills'. Practical Diabetes InternationalThis bestselling title has established itself as the ultimate guide to patient communication for all doctors, whatever their experience and wherever they practice. Highly respected by many and acclaimed for its light, conversational tone, this completely updated and expanded eighth edition remains a key text for doctors at all levels and in all settings, particularly candidates sitting for the Membership of the Royal College of General Practitioners. Key features: Unique and accessible approach to this vital and frequently poorly practiced aspect of medicine Addresses the change in practice where traditional doctor consultations are increasingly being done by other health professionals, including nurse practitioners and paramedics Reflects the dissolution of the primary/secondary care boundary, and the increasing importance of shared responsibility for patient communication in clinical and social care Covers the new types of consultation including telephone triage and virtual consultation and the associated risks and benefits Retains all the features praised in previous editions − brevity, readability and humour As patients become participants, doctors are increasingly adjusting to new roles and forms of communication − from orators and governors to confidants and interpreters. The Doctor's Communication Handbook continues to provide an invaluable'one stop shop'to help students, practicing doctors, nurses and other healthcare practitioners value and improve their skills in this area.

‘…a unique book, written by a unique GP. There is no-one better placed to pull together decades of learning and experience on how to achieve the greatest success in the general practice consultation. The relaxed pace of writing, the accessible examples, the clear narrative and the engaging anecdotes make this a resource that it is accessible and useful to all who seek to improve their clinical consulting skills.'Helen Stokes-Lampard, former Chair of the Royal College of General PractitionersThis brand-new book aims to help GPs establish ways of thinking, talking and behaving in the consultation that are most likely to lead to good outcomes. It describes a simple three-part approach to the consultation's essential task, which is to convert a patient's problem into a plan acceptable to both patient and doctor. It combines reader-friendly explanations, helpful illustrations and examples from everyday practice.Key features: Written by a respected GP, teacher, and author of the highly-regarded trilogy The Inner Consultation, The Inner Apprentice and The Inner Physician Gives GPs a framework for consulting that is easy to remember, comprehensive, adaptable, robust, exam-friendly and quickly becomes second nature Identifies and addresses key areas of anxiety for GP trainees and MRCGP candidates, including ‘How do I complete in 10 minutes?', ‘How do I deal with difficult patients?'and ‘What do I do when it all goes pear-shaped and I don't know what to do?'Gives advice and practical suggestions for how to make the difficult transition from theory to practice, from reading about the consultation to actually doing it better in real life Consulting in a Nutshell will help GPs at every career stage – from medical student to CSA candidate to experienced practitioner – to analyse, develop and grow their personal consulting style. Coming at a time of profound change in primary care, it aims to ensure that seeing patients and having good consultations becomes and remains a source of satisfaction and fulfilment.The author:Roger Neighbour is a retired GP, former Convenor of the Panel of MRCGP Examiners, and past President, Royal College of General Practitioners, UK.

'Peter's thoughtful model will hopefully enable future practitioners of medicine to argue against any retrograde move towards paternalism and authoritarianism.'- Jonathan Silverman, author of Skills for Communicating with Patients, from the Foreword. This inspirational guide provides an innovative framework for understanding the consultation. It is concise, easy-to-read and highly accessible, presenting a simple and easily remembered non-linear diagram which facilitates the understanding of this richly complex process.

General Practice Today explores the GP consultation in the context of external'stressors'and'helpers'that doctors use to make best clinical decisions. Over the last 30 years there has been a move towards mandatory training on legal aspects, risk scores and guidance. Additionally, with widespread access to IT there has been a huge growth in the information doctors need to know and manage. Yet today's GP has never been more time-poor or under so much pressure. All these outside considerations can seem challenging and remote for the doctor sat with their patient; yet in today's reality they have never been more important. This book offers insight into the practical impact and importance of these external factors. It offers advice on everything from law, technology and time management to mental health issues, ethics, religion and culture, exploring how to determine which issues are relevant to each individual consultation.Packing each chapter with realistic examples, author Jane Wilcock draws on her own extensive experience to help GPs make considered, contextual decisions that enhance the health and well-being of their patients. This book is essential reading for any General Practitioner, allied health care practitioner or trainee preparing to practice in our complex modern world.

Forewords by Mayur Lakhani, Mike Pringle and Philip R Evans Respectively Chairman of Communications and Publishing, Royal College of General Practitioners, London; Head of School and Professor of General Practice, University of Nottingham; Former President of WONCA Region Europe. This groundbreaking book describes a completely new approach to the medical consultation, focusing on four key points: Behaviour, Aims, Room and Dialogue (B.A.R.D.). This practical approach has gained support from the Royal College of General Practitioners and reflects the way real family doctors consult in the real world, to the benefit of both the practitioner and the patient. Practical suggestions are made throughout the guide, with training exercises to aid in application. B.A.R.D in the Practice provides important reading for all general practitioners and general practitioner registrars.

Ethical medical treatment is an important aspect of healthcare that is affected by multiple influencing factors in, both private and public, medical organizations. By understanding and adapting the components of the health system to these influencing factors, healthcare can have better outcomes for patients and practitioners. Healthcare Administration for Patient Safety and Engagement provides emerging research on the theoretical and practical aspects of healthcare management for optimal patient care and communication. While highlighting topics, such as clinical communication, ethical dilemmas, and preventive medicine, this book will teach readers about the tools and applications of ethical treatment and hospital behavior in both private and public medical organizations. This book is an important resource for managers and employees of health units, physicians, medical students, psychology and sociology professionals, and researchers seeking current research on healthcare organization and patient satisfaction.

This book will prove an invaluable resource for all those working in the field of primary healthcare and family medicine. Through case histories the reader will be introduced to adolescents who are depressed, to those who have been failed by the system, to those who cannot communicate their needs, and to those for whom issues of confidentiality have become critical.

Pain. Chronic digestive symptoms. Poor sleep. Neuropathy. Sensory disturbances. Fatigue. Panic. Constant illness and discomfort. Frequent difficulty coping with work, school, relationships. Despite the common experience of being told that it's all in their heads, that they're just making themselves sick, individuals with these symptoms are experiencing a very real, sometimes debilitating, illness phenomenon. But what is it? Physical or mental illness? Political or social identity? Cultural, narrative, or discursive construction? When something goes awry at the intersection of mind and body – the psychosomatic – what is happening? Widely recognized, yet difficult to classify, diagnose, treat, and explain, psychosomatic disorders are heavily stigmatized, and the associated syndromes have become the site of controversy and antipathy in the provider–patient relationship. In popular culture, terms such as medically unexplained symptoms, hysteria, neurasthenia, hypochondria, functional illness, and malingering are misunderstood, unknown, or rejected outright. Meanwhile, perspectives from cultural and textual studies focus on the psychosomatic as a metaphor in art, literature, and popular media, where disruptions of the body and mind are regularly made to stand in for individual alienation and cultural malaise. Bringing together multiple perspectives, this challenging volume tackles causes, and innovative, humanistic solutions, to conflicts in the provider–patient relationship; uses the psychosomatic as a lens for theorizing the self in culture; and examines the metaphorical potential of the psychosomatic in fictional narrative.Providing a unique assemblage of interdisciplinary, international approaches to understanding the problem of the psychosomatic in both expert and lay discourses, this pioneering edited collection is aimed at students and researchers of health, popular culture, and the health care humanities.

Here is a selection of multiple choice questions and care studies designed for candidates for the Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG). The 90 multiple choice questions cove all major areas of the syllabus and are accompanied by extended answers to help the revision process. The case studies are ideal preparation for the other sections of the examination as well as for general revision. This book will be suitable not only for the DRCOG (and other examinations such as the MRCOG) but also for anyone wanting to update and test their understanding of obstetrics and gynaecology.

Qu'attend-on du médecin? Quelle place notre médecine de plus en plus efficace et technicisée peut-elle faire à la personne malade? L'idée directrice de cet ouvrage est que la médecine a atteint un seuil à partir duquel de profondes modifications sont nécessaires pour que l'attention au sujet occupe la place qui lui revient. C'est à partir de rencontres avec des patients et d'évènements ayant marqué l'itinéraire professionnel de l'auteur qu'il sera proposé au lecteur d'entrer dans cette réflexion sur la médecine actuelle et son devenir.

Patient-Centered Medicine: A Human Experience emphasizes the health professional's role in caring for patients as unique individuals by focusing on the patients'psychological and social realities as well as their biological needs. The book concerns itself with caring for the whole patient, and outlines the basic principles involved in developing a biopsychosocial approach to medical practice. This is a volume of guidelines that will help medical students and clinicians develop and master basic attitudes and skills essential to providing empathic and comprehensive medical care. As Norman Cousins writes in the foreword,'The authors understand and repeatedly demonstrate in this book, that the patient-physician relationship is a powerful, sometimes mysterious, frequently healing interaction between human beings. It is the person of the doctor and the presence of the doctor-just as much and frequently more than-what the doctor does that creates an environment for healing. The physician represents restoration. The physician holds the lifeline.'Since the book's original publication by University Park Press in 1984, greater awareness and acceptance of the biopsychosocial model has occurred, and medical schools are now working to fully integrate psychosocial education into the clinical curriculum.

Unnecessary death rarely happens at the hands of doctors, but it does happen. Sometimes the cause is medical error. But sometimes the cause is politics. The issues underlying many medical catastrophes are numerous: a power struggle between providers, uncertainty over who's in charge, hesitation to practice good medicine for fear of being fired, specialization run amok, part-time doctoring. Doctors often prefer to ignore the problems, but patient safety demands that they be aired.And so does the future of the medical profession. Beneath the politics lies confusion: Doctors no longer know who they are. They don't know how much authority they should wield. They don't know what distinguishes them from other healthcare professionals. They don't what about being a doctor should make them proud. When doctors lack a firm sense of who they are, the whole of medicine lacks an essential core, giving rise to personal and professional politics—and catastrophes. Patients may be relying on a system that has veered off course. In dramatic and revealing stories of patients in the operating room and interactions with colleagues, Ronald W. Dworkin traces his path from medical school to anesthesiology residency to his early years in private practice, with the experiences of his father and grandfather, also doctors, hovering overhead, in his quest to answer the question: What is a Doctor? Sometimes funny, sometimes scary, sometimes poignant, the story of what it means to be a doctor in today's medical setting comes to life, as Dworkin outlines the contours, the challenges and rewards, of modern medicine, and how it must be rescued in order to preserve the profession and protect patients from disasters.

This extraordinary and practical book examines neuro linguistic programming (NLP) - the knowledge and skills to detect and affect thinking patterns - and applies it to each phase of the medical consultation. It outlines the NLP tools most useful to physicians who wish to understand and utilise the dynamic structure underlying the processes used by excellent communicators. It explains how improving communication skills and developing new models of consultation to incorporate into daily practice not only helps healthcare professionals become better communicators, but reassures patients, alleviating suffering and promoting healing. This book provides many case examples and includes skill based exercises to ensure easy and effective learning. There are unique, fresh perspectives on challenging areas such as anger and aggression, dealing with complaints, breaking bad news, the heartsink patient, uncovering hidden depression and telephone consulting skills. It is relevant to all healthcare professionals, and of special interest to general practitioners, GP trainers, counsellors and medical students.

Le parcours humaniste du docteur Bressler-Campana montre, à travers des exemples de pathologies fréquentes, les progrès de la science durant ces dernières décennies. Dans une société menacée par la prévalence de l'intelligence artificielle, où le virtuel prend une place de plus en plus importante, l'auteure montre le rôle essentiel du médecin généraliste. Dans cette perspective, elle décrit plusieurs cas rencontrés au cours de sa longue carrière, tous révélateurs des maux de notre société.

Don't Wait Until Something Goes Wrong to Think About Your Consultation Skills Designed specifically for busy health professionals working in primary care, The Naked Consultation: A Practical Guide to Primary Care Consultation Skills covers all aspects of the primary care consultation in a clear, concise, and highly readable manner. The book begins by breaking the primary care consultation into its components, making it easier to focus on particular areas and practise skills such as encouraging patients to explain what's wrong, summarising and reflecting, and giving information to patients. The book then describes how to effectively use educational tools—such as videoing, random case analysis, problem case debriefing, and feedback—to improve consultations. It also explains in detail how to demonstrate proficient consultation skills in the Membership of the Royal College of General Practitioners (MRCGP) exam and the importance of these skills in appraisal/revalidation. Certified for continuing professional development (CPD®) by The CPD Certification Service, this fully updated and revised Second Edition incorporates new thinking and consultation models, including the 6 S model and the new doctor, patient, illness model. It also provides detailed analysis of the latest Royal College of General Practitioners (RCGP) assessment tools, such as the clinical skills assessment exam (CSA) and the consultation observation tool (COT).Complete with illuminating case studies, photocopiable forms, and a jargon-busting appendix, The Naked Consultation: A Practical Guide to Primary Care Consultation Skills, Second Edition offers valuable insight into the key phases of the primary care consultation, the best features of common consultation models, and the real-world application of popular consultation techniques.

Ce livre est né d'un désir et d'une question : le désir était d'être utile, la question était : comment faire? Le pédiatre est confronté au défi d'un assemblage parfois complexe entre les désirs des parents et l'expression de l'enfant. La période ici choisie va de 0 à 3 ans, l'entrée en maternelle, qui marque la fin de l'exclusivité parentale. C'est donc l'expérience de ce métier, construite par la confrontation à des questions, des soucis, des peurs, qui a construit la trame de cet ouvrage.

2017 Choice Outstanding Academic Title With over forty years of experience as a sought after diagnostician, Dr. Stuart Mushlin has cracked his share of medical mysteries, ones in which there are bigger gambles than playing the ponies at the track. Some of his patients show up with puzzling symptoms, calling for savvy medical detective work. Others seem to present cut-and-dry cases, but they turn out to be suffering from rare or serious conditions. In Playing the Ponies and Other Medical Mysteries Solved, Dr. Mushlin shares some of the most intriguing cases he has encountered, revealing the twists and turns of each patient's diagnosis and treatment process. Along the way, he imparts the secrets to his success as a medical detective—not specialized high-tech equipment, but time-honored techniques like closely observing, touching, and listening to patients. He also candidly describes cases where he got things wrong, providing readers with honest insights into both the joys and dilemmas of his job. Dr. Mushlin does not just treat diseases; he treats people. And this is not just a book about the ailments he diagnosed; it is also about the scared, uncertain, ailing individuals he helped in the process. Filled with real-life medical stories you'll have to read to believe, Playing the Ponies is both a suspenseful page-turner and a heartfelt reflection on a life spent caring for patients.

Guidelines are powerful instruments of assistance to clinicians capable of extending the clinical roles of nurses and pharmacists. Purchasers and managers perceive them as technological tools guaranteeing treatment quality. Guidelines also offer mechanisms by which doctors and other health care professionals can be made more accountable to their patients. But how can clinicians tell whether a guideline has authority and whether or not it should be followed? Does the law protect doctors who comply with guidelines? Are guideline developers liable for faulty advice? This timely book provides a comprehensive and accessible analysis of the many medical and legal issues arising from the current explosion of clinical guidelines. Featuring clear summaries of relevant UK US and Commonwealth case law it is vital reading for all doctors health care workers managers purchasers patients and lawyers.

Cet ouvrage explore les vies médicales de onze compositeurs célèbres et, à travers elles, les maladies qui ont traversé les siècles. L'auteur rend compte également des thérapeutiques utilisées au fil des siècles et observe l'impact de la vie sexuelle des musiciens et les effets psychiques de leurs passions amoureuses sur leur morbidité. Outre le souci éternel que procure l'amour, l'évolution du mode de vie des musiciens révèle une tendance aux conduites addictives, source de risques accrus pour la santé.

General practice is the cornerstone of primary care in the UK. However, this traditional model has been challenged by new visions of its role, particularly a responsibility for improving health as well as for the care of illness, and a responsibility for populations as well as for individuals. This book focuses on the development of general practice as a framework within which community nurses and other professionals can build their contibution to the future of primary care. In so doing it shows how the care of general practice can be maintained and strengthened. This work is intended for all primary care staff, including doctors, nurses and managers, and for anyone interested in the future of primary care in the changing NHS.

Das vorliegende Werk möchte das komplexe Arzthaftungsrecht anhand zahlreicher Fallbeispiele aus der Gutachterkommission für ärztliche Behandlungsfehler für den juristischen Laien anschaulich machen. Es informiert nicht nur über die Rechtslage nach Inkrafttreten des Patientenrechtegesetzes, sondern möchte auch zum Verständnis und zur Lösung emotional überhöhter Probleme beitragen und damit die Vertrauensgrundlage im Arzt-Patienten-Verhältnis stärken. Hierzu wendet sich der Autor in gesonderten Kapiteln direkt an den Patienten, der einen Behandlungsfehler vermutet und an den Arzt, der mit einem entsprechenden Vorwurf konfrontiert wird. Mit einem Vorwort von Professor Dr. med. Peter Wolfgang Gaidzik.

Skills for Communicating with Patients, Third Edition is one of two companion books on improving communication in medicine, which together provide a comprehensive approach to teaching and learning communication skills throughout all levels of medical education in both specialist and family medicine. Since their publication, the first edition of thi

The more we know about medicine, the more we realize that many health questions have no one true answer. Realizing this, and thinking carefully about how medicine asks patients to treat their conditions, leads us to some questions. How reliable are the guidelines that might form the basis of doctors'advice? Is it wrong, after all, to base an approach to medicine on patients'preferences? And, given that there is often a distance between the treatment a doctor advises and what a patient would like to do, how do we bridge the gap—especially in a health culture of inequality, technical proficiency, and increasing costs? In practical, engaging, narrative-driven chapters about common health conditions that millions of Americans are familiar with—depression and high blood pressure, arthritis and diabetes—Dr. Zackary Berger of Johns Hopkins demystifies the often bewildering disconnect between patients and doctors and asks us all to think more clearly about how best to protect and cure the human body.

This book is intended for all those who not only have to give bad news but who are also keen to give as much help and support as possible to partners and families - both immediately and during remission relapse terminal illness dying or grieving. Although it concentrates on the somewhat neglected interests of relatives much of it is very relevant to the care of patients. It is of use in a hospital environment and in primary care and readers including doctors nurses social workers and spiritual advisers will value it both when they are in training and perhaps especially in the years after qualification.

Guidelines are powerful instruments of assistance to clinicians capable of extending the clinical roles of nurses and pharmacists. Purchasers and managers perceive them as technological tools guaranteeing treatment quality. Guidelines also offer mechanisms by which doctors and other health care professionals can be made more accountable to their patients. But how can clinicians tell whether a guideline has authority and whether or not it should be followed? Does the law protect doctors who comply with guidelines? Are guideline developers liable for faulty advice? This timely book provides a comprehensive and accessible analysis of the many medical and legal issues arising from the current explosion of clinical guidelines. Featuring clear summaries of relevant UK US and Commonwealth case law it is vital reading for all doctors health care workers managers purchasers patients and lawyers.

Medizinethik wie auch Pflegeethik werden allgemein als Disziplinen verstanden, die das Handeln von Menschen auf die Geltung seiner Ziele, Motivationen und Resultate hin untersucht. Ausgangspunkt solcher Formen der Ethik bildet die zum Problem gewordene Situation, in der vermeintlich eindeutige Grundziele, wie zum Beispiel Lebensverlängerung einerseits und Leidensverminderung andererseits, miteinander in Konflikt geraten. Es stellensich dann Fragen, deren praxisanleitende Beantwortungen von einer Pflegeethik gefordert werden. In der theoretisch fundierten Beantwortung dieser Fragen jedoch entfernen sich Medizin- und Pflegeethik von dem, was Menschen tun und erleiden. Mit Hilfe der seinsgeschichtlichen Hermeneutik Heideggers und des amerikanischen Pragmatismus, vertreten durch John Dewey und Richard Rorty, entwickeln die Autoren eine Methode, die - jenseits sogenannter Grundfragen einer medizinischen Ethik - alltägliche Krisen des heutigen klinischen Miteinanders im Spannungsfeld technischer Medizin und individueller Situation lösungsorientiert neu verstehen lässt. Jene werden - derart als Fragen von Mitgefühl und Selbstbestimmung neu verstanden - zu Chancen einer verantwortungsvollen klinischen Praxis. Die Krankenpflege bildet dabei als neu belebter metaphorischer Fundus den poietischen Horizont dieser Praxis, deren methodischer Vollzug von der Ausbildung bis zum beruflichen Handeln ärztlichen und pflegenden Klinikpersonals reicht. Die kulturellen, sprachlichen, rechtlichen und institutionellen Bedingungen des Handelns in Kliniken werden auf den Prüfstand gestellt und neu bewertet. Schließlich wird die Methode eines Klinischen Pragmatismus, als neue Ethik der Pflege, anhand von einschlägigen Fallbeispielen aus der Praxis beispielhaft angewandt.

In the era of health democracy, where a patient's right to be informed is not only widely advocated but also guaranteed by law, what is the real situation regarding patient information? Do patients receive the information that they request with regard to their diagnosis, prognosis or treatments? And what information do patients themselves give to their doctors? Drawing on observational research in hospitals and covering the exchanges between doctors and patients on the subject of cancer treatment and that of other pathologies, this book reveals that the practice of telling lies is widespread amongst parties on both sides of the medical relationship. With attention to the manner in which information of various types is withheld and the truth concealed on either side of the doctor-patient relationship, the author explores the boundaries between what is said and what is left unsaid, and between those who are given information and those who are lied to. Considering the misunderstandings that occur in the course of medical exchanges and the differences between the lies told by doctors and patients, An Anthropology of Lying: Information in the Doctor-Patient Relationship analyses the role of mendacity in the exercise of, and resistance to power. A fascinating study of the mechanisms at work and social conditions surrounding the accomplishment of lying in medical settings, this book casts fresh light on a subject that has so far been overlooked. As such, it will appeal not only to sociologists and anthropologists of health and medicine, but also to medical professionals.

Dans le droit fil du tome 1 Prévenir les maltraitances pour des soins et une relation d'aide humanistes, couronné par le prix Référence Santé 2014 de l'Académie Nationale de Médecine, ce deuxième tome poursuit la réflexion, multipliant les exemples, les expériences, dans des domaines aussi variés que l'assistance médicale à la procréation, la médecine légale, les dons d'organes et de tissus, la psychiatrie, l'interruption volontaire de grossesse, l'e-médecine, la formation, les urgences, ou encore les violences faites aux femmes. Une place particulière est réservée à l'accompagnement des aînés, à la fin de vie, à la mort et à ses rituels. Autant de sujets au cœur de la problématique de la bientraitance. De nombreux témoignages de personnes soignantes, de personnes soignées, de familles et de proches, permettent de prendre conscience, tant de la complexité des situations rencontrées, que de la place que doivent occuper l'échange et l'humain au cœur de ces réflexions. La prévention du mal-être des soignants au travail, qu'ils soient acteurs de proximité, cadres ou médecins, ne doit pas être négligée. Des outils et actions mis en place dans des établissements publics et privés, en France et à l'étranger sont présentés. Ils permettent de sensibiliser à la bientraitance, de déterminer, en fonction des services et des situations, ce qui peut être considéré comme maltraitant, de mesurer, de s'autoévaluer et donc d'aider à mettre en œuvre la prise en soin la meilleure possible, en fonction de chaque situation considérée dans sa globalité. Le facteur humain, collectif et individuel est, en effet, fondamental dans l'optique de bientraitance, dont une définition est proposée en fin d'ouvrage.

Notrin Hadler questionne dans ce nouvel ouvrage le système de santé américain, mais son analyse vaut tout aussi bien pour le système de santé québécois. Les conflits d'intérêts, les fausses déclarations des essais cliniques, les dépenses massives pour des procédures d'efficacité douteuse - ceci et d'autres failles critiques - laissent peu de doute sur une nécessaire refonte du système de santé actuel. Dans cet ouvrage essentiel, un médecin éminent, Nortin Hadler, exhorte les patients à à envisager ce que pourrait être une réforme réussie des systèmes de santé qui mettrait de l'avant la relation entre le médecin et le patient. Portant un regard critique sur le traitement médical et le financement de la santé, le Dr Hadler utilise la richesse de son expérience et son analyse perspicace pour éclairer les citoyens, les patients et les décideurs politiques. L'auteur invite les patients citoyens à reprendre en main la souveraineté qui leur appartient en ce qui concerne toutes les décisions susceptibles d'affecter leur bien-être.

Un témoignage sur les manipulations sexuelles et affectives La première édition de ce livre-choc, mystérieusement étouffée en 2006, fit l'objet d'une procédure à la Cour Supérieure du Québec. Sans doute parce qu'il constitue le document le plus complet, puissant et osé à ce jour sur le culte des apparences, couronné par un abus médical dont les répercussions sont comparables au viol ou à l'inceste. Voici un témoignage sans précédent, et bouleversant de vérité, questionnant l'emprise d'un chirurgien borderline sur sa patiente, les vrais enjeux de la chirurgie esthétique, et les limites de la psychanalyse. Sans tabou, ce livre dissèque l'obsession du miroir, mais aussi la psychologie de l'homme misogyne et de « l'infir-mère » vengeresse. Un journal intime teinté de poésie pour en finir avec la dictature de la séduction et de la jeunesse, et avec son corollaire: la violence sournoise de « l'adul-taire.» Fruit d'une enquête de sept ans,'Liaison dangereuse'est la première « enquête-témoignage » joignant le double parcours de la psychanalyse et de la chirurgie esthétique. Un livre qui parlera autant aux hommes qu'aux femmes, et qui transformera la garce en son anagramme: la grâce. Un chemin intérieur pour oser l'amour et les vertus qui nous embellissent, plutôt que les séductions qui nous enlaidissent... car le « séduc-tueur » et la femme fatale ne le sont, finalement, que pour eux-mêmes. Oser la beauté est le défi de ce siècle, qui nous demande de lâcher les faux dieux de l'apparat, du pouvoir et des revanches sexuelles pour accorder notre musique à celle de l'univers, imprévisible et saisissante de coïncidences. L'urgence est affective: il est temps d'oser un nouveau plan de conscience, hommes et femmes de tous âges. Ensemble.

Relation patients-médecins : des professionnels de la santé racontentUne parole autour de ce que l'auteur - un médecin généraliste - a de plus intime : l'amour de la vie, l'amour des hommes et des femmes qu'il croise, un certain point de vue sur le bonheur...Par petites touches, ce récit tendre, émouvant, drôle, réaliste, nous ouvre à l'humanité de l'autre, qu'il soit soignant ou patient. Il nous raconte l'essence même d'un métier que certains disent en perdition.À lire... À offrir... À méditer... mais sachez-le : vous ne regarderez plus jamais la médecine ni les médecins comme avant!EXTRAIT Ce matin, j'ai découvert un perce-neige, inattendu, une vraie merveille. Ses clochettes paraissent surprises de se retrouver là, dans l'enclos givré que leur forment les dernières croûtes de neige qui luttent contre un pâle soleil. On se prend à guetter l'appel lointain des oies rieuses qui se rassemblent dans les lagunes en attendant que les souffles printaniers les poussent plus au nord, ou le chant de la sarcelle amoureuse appelant au renouveau. En pinçant avec deux doigts un fragment de leurs délicates enveloppes, la main s'assure de la réalité de tant de douceur inespérée hier encore, quand le vent nocturne faisait claquer les volets dans leurs rails.

In this book, we present a novel framework of high-tech modern medicine. Patients going through major high-tech medical interventions, e.g. Advanced Heart Failure (AdHF) patients undergoing left ventricular assist device (LVAD) implantation and heart transplantation, must integrate scientific and technological advances into personal life, including strong emotional experiences unthinkable thirty years ago, novel to themselves and their caregivers and unknown to healthcare professionals. Our book provides a theoretical framework for the person-centered vision to “heal humankind by improving health, alleviating suffering and delivering acts of kindness, one person at a time”, we develop the theoretical as well as practical concept of the “RelationalAct (RA) ” as core concept to engage and participate in modern medicine.This book will be used as a recommended textbook for the following UCLA Fall 2014 course:Course Director: Professor Federica Raia / Co-Director: Professor Mario DengCourse Title: Educational Perspectives of Relational Practices in Modern MedicineCourse Summary: This UCLA course systematically discusses Personhood & Body Concepts in the context of asymmetric Person/Person-relationships in High-Tech Modern Medicine and the diverse implications for building of theories of Relational Practice. Course Topics: Personhood/Body Concepts; Asymmetric Person/Person-relationships; Theories of Relational Practice