Patient Consumerism, Healing Relationships, and Rebuilding Trust in Health Care

JAMA ◽  
2020 ◽  
Vol 324 (23) ◽  
pp. 2359
Author(s):  
Dhruv Khullar ◽  
Gwen Darien ◽  
Debra L. Ness
2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Patricia Lynn Dobkin

Amidst the commotion of constant changes in health care systems, budget cuts, burnout and compassion fatigue there are resilient clinicians who relieve suffering and promote healing in those who seek their care. This workshop will focus on how doctors, nurses, and allied health care professionals serve in this way while maintaining equanimity and sense of meaning in their work and personal lives.This 90-minute experiential-based workshop will be divided into three parts.First, Mindful Clinical Practice will be described using narratives from different health care professionals in various settings. Mindful Congruence will be defined, along with Satir’s four other communication stances.Second, how the Four Noble Truths stemming from Buddhist philosophy inform clinical practice will be discussed with an emphasis on the Eightfold Path to end suffering. Third, a model of Healing Relationships (Scott et al, 2008; 2009) will be used to help participants identify underlying processes contributing to the relational outcomes: hope, trust, and being known. An Appreciative Inquiry exercise will be used to enrich participants’ understanding of their own experiences of being healers in clinical encounters.If and how medicine may be a spiritual practice will be examined.At the end of the workshop participants will be able to: 1. Define Mindful Congruence.2. Understand how the Four Noble Truths from Buddhist philosophy inform clinical practice.3. See how meditation practice contributes to clinicians’ mindfulness and emotional regulation.4. Discern the competencies and processes underlying healing.


2016 ◽  
Vol 6 (1) ◽  
pp. 9-17
Author(s):  
James Appleyard ◽  
Michel Botbol ◽  
Ted Epperly ◽  
Tesfamicael Ghebrehiwet ◽  
Joanna Grove ◽  
...  

Primary care and public health have a shared goal of health improvement for each person and their populations. Public health isthe science and art of promoting health, preventing disease and prolonging life (adding life to years and years to life) through the organized efforts of society. Public health needs to be person- and people- centered taking into account the biomedical, social, cultural, psychological, and spiritual elements that are crucial to understanding the whole person and the community at large.This paper provides a review of the International College of Person Centred Medicine’s Declarations, which have formed a platform for the development of the ICPCM’s London Declaration on Primary Care and Public Health. Person-Centered Primary Health Care is by its very nature integrative by involving a broad knowledge of all sectors of health care and a strong understanding of community resources and other social determinants of health.Through trusted and healing relationships, a person-centered approach with people over time can achieve the required integration and coordination of care that leads to better health, effective health care and lower cost. Systems of care need to be built around primary care as the core foundational element to ensure that all people are seen and helped at the right time, by the right providers, for the right reasons, and in the right locations.  By integrating primary, secondary, tertiary, preventive, and end-of-life care, we will collectively produce healthier persons, healthier people, and healthier nations. The London Declaration sets out a 10-point plan to achieve this by establishing a shared goal of improvement in the health and well being of the population through person and people centered primary care and public health.


2018 ◽  
Vol 18 (2) ◽  
pp. 319-327
Author(s):  
William F. Sullivan ◽  
John Heng ◽  
Christopher De Bono ◽  
Gerry Gleeson ◽  
Gill Goulding ◽  
...  

Author(s):  
Carolyn Smith-Morris

Before professional diagnosis, the determination of whether one is ‘ill’ or ‘well’ rests within the patient. These moments, when sufferers (re)cognize their own bodily and phenomenological experience as abnormal or different, are critical to the positioning of healer and patient. So too are moments when diagnosed patients, struggling with a treatment regime, compromise and adjust to embrace, if only partially, disparate ideas of health. In this article, I apply Homi Bhabha’s framework of hybridity and difference to think about the perception of illness, self-diagnosis, and power in healing relationships. I consider how sufferers enact hybrid positions between their bodily perceptions and their professional diagnoses. To illustrate the utility of Bhabha’s colonial critique for health care, I examine narratives by patients with diabetes-related vision loss about: (1) first realizations that something was wrong, what Bhabha might call the ‘intervention of difference’; (2) expressed differences between self-knowledge and biomedical knowledge, corresponding to Bhabha’s ‘partial embrace’ of the colonial ideal; and (3) the self-colonizing epistemological work that compliant patients do as they re-orient their pre-diagnostic self to a post-diagnostic habitus of self-monitoring, timed medications, and other treatments. I conclude with a discussion of how Bhabha’s colonial hybridity supports a more productively contentious medical anthropology that envisions and pursues decolonized health care.


2015 ◽  
Vol 21 (4) ◽  
pp. 193-199 ◽  
Author(s):  
Mary Koithan

The U.S. health care system requires transformative changes that reduce risk and improve overall well-being while increasing access, quality, safety, and affordability. Integrative nursing can serve as a road map to care that is culturally safe, personalized, and meaningful. Using exemplar case studies, we explore both opportunities and challenges to care that advances the health and well-being of persons, families, and communities through caring/healing relationships.


1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


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