Describes the relationship between patient and physician

Assignment Help Science
Reference no: EM13330945

A 35-year old woman is diagnosed with metastatic breast cancer. By the time of the diagnosis, the cancer spread throughout her body; surgery is not an option. The physician treating her determines that chemotherapy and radiation cannot be used at this advanced stage. Patients diagnosed with cancer at this stage rarely live more than a year.

The physician knows that the patient has been working on her first novel for two years and that completing it is her life-goal. She expects to finish it in the next three-to-four months. The physician believes he can stall giving the correct diagnosis and prognosis through deception and evasive answers until the novel is complete. He is worried that the patient will become depressed and unable to finish the novel if an honest diagnosis and prognosis is shared at this time. The physician and patient have never discussed how a situation like this should be handled. The patient does not have a significant other and, while friends have offered support, her family members have not.

The patient has a close relationship with one of the nurses in practice with the physician. The nurse is aware of the physician's plan. Although this position relates specifically to a physician's responsibility for disclosure, there are implications for nursing, as well. In this case, physician and nurse have opposing perspectives: the physician sees disclosure or non-disclosure within his control and purview; the nurse upholds veracity without exception based upon supporting individual rights, respect for the person, and the principle of autonomy.

Successful collaboration (and thus, the best outcome for the patient given the circumstances) requires the physician and nurse to recognize each other's viewpoint during the decision making process.


Selected readings in this module clearly support this case. Before you begin, be sure to complete the readings and all learning activities. Then, answer the following questions concerning the scenario above. Each response should be noted in one clear, succinct (short!) paragraph. As always, support as needed.

Recognizing that health care is an interdisciplinary effort:
1.Identify the model of interaction that best describes the relationship between patient and physician.
2.What ethical principles form this case from both perspectives-the physician and the profession of medicine and the nurse and the profession of nursing?
3.How would the relationships between physician-patient, nurse-patient, and physician-nurse be affected if: 1) truth was told; or 2) truth was withheld?
4.What if an ultrasound technician, working under the direction of the physician, had detected the spread of the cancer, and was also an acquaintance of the patient? What options would the technician have in this situation?
5.What is the best way to resolve a discrepancy like this?
6.How does working through a case like this contribute to the sociology of health, healing, and illness?

Reference no: EM13330945

Major components of the earth biodiversity

Describe what you think could happen if one of the major components of the earth's biodiversity were somehow eliminated completely. In your response, provide at least 2 exa

Discussion area

By The below prompt and post your response in this Discussion Area. You should quote or paraphrase from specific pages in the course text to support your claims about philosop

The average noise level of hospitals

Assuming that the average noise level of hospitals is what it's supposed to be, what is the probability of a sample of 81 hospitals producing an average as far from the tr

List at least two reasons for choosing one type of fastener

A customer submits the drawing below as a design for you to you to manufacture. What's wrong with it? Draw it correctly, showing the appropriate level of views and detail, o

How does an animal behavior aid survival and reproduction

Explain why asexually reproducing organisms are generally found in environments that do not change very much through time, while sexually reproducing organisms are very succ

What was the empty proportion of the stomach

BTEC Level 3 90-Credit Diploma in Applied Science (Forensic Science) Assignment: Numbers for Science. Your job is to conduct post-mortems on dead bodies to see why they died.

Identify an emotional stimulus

The autonomic nervous system (ANS) forms part of the peripheral nervous system. It controls a number of involuntary actions such as heart rate, digestion, breathing, and p

What could you do to make your footprint smaller

Why can't you safely assume that an idea of yours, which you have labelled with spoken words, has been understood in the same way as you, by the listener who has received th

Reviews

Write a Review

 
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd