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- When the doctor–patient relationship turns sexual.
Physicians do not have to provide medical services in opposition to their personal beliefs. In addition, a nonjudgmental discussion with a patient regarding her need for the service and alternative forms of therapy is acceptable. However, it is never appropriate to proselytize. While the physician may decline to provide the requested service, the patient must be treated as a respected, autonomous individual. Where appropriate, the patient should be provided with information about how to obtain the desired service. There may be many barriers to effective physician-patient communication.
Patients may feel that they are wasting the physician's valuable time; omit details of their history which they deem unimportant; be embarrassed to mention things they think will place them in an unfavorable light; not understand medical terminology; or believe the physician has not really listened and, therefore, does not have the information needed to make good treatment decisions.
Several approaches can be used to facilitate open communication with a patient. One third to one half of patients will fail to follow a physician's treatment recommendations.
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Labeling such patients "noncompliant" implicitly supports an attitude of paternalism, in which the physician knows best see: Patients filter physician instructions through their existing belief system and competing demands; they decide whether the recommended actions are possible or desirable in the context of their everyday lives. Compliance can be improved by using shared decision making. For example, physicians can say, "I know it will be hard to stay in bed for the remainder of your pregnancy.
Let's talk about what problems it will create and try to solve them together. Would you prefer to try the medication, or to wait? Would you be willing to take this information and find out when the next support group meets? What will make it easier for you to take this medication? Competent patients have a right to refuse medical intervention. Dilemmas may arise when a patient refuses medical intervention but does not withdraw from the role of being a patient. For instance, an intrapartum patient, with a complete placenta previa, who refuses to undergo a cesarean delivery, often does not present the option for the physician to withdraw from participation in her care see: In most cases, choices of competent patients must be respected when the patient cannot be persuaded to change them.
Physicians will sometimes encounter a patient whose needs, or demands, strain the therapeutic alliance.
When Is It Okay to Date a Patient? Medscape Ethics Report by Shelly Reese - Articles
Many times, an honest discussion with the patient about the boundaries of the relationship will resolve such misunderstandings. The physician can initiate a discussion by saying, "I see that you have a long list of health concerns. Unfortunately, our appointment today is only for fifteen minutes. Let's discuss your most urgent problem today and reschedule you for a longer appointment.
That way, we can be sure to address everything on your list. What do you think we could do to meet everybody's needs? There may be occasions when no agreeable compromise can be reached between the physician and the patient. And yet, physicians may not abandon patients. When the physician-patient relationship must be severed, the physician is obliged to provide the patient with resources to locate ongoing medical care.
Under certain conditions, a physician should strongly encourage specific actions. When there is a high likelihood of harm without therapy, and treatment carries little risk, the physician should attempt, without coercion or manipulation, to persuade the patient of the harmful nature of choosing to avoid treatment. Court orders may be invoked to override a patient's preferences.
Are Physician-Patient Relationships Ethical? Ethicists Say No, But Some Docs Disagree
Introduction - To the besotted poet, love is intoxicating, exasperating, invigorating. In contrast, nearly one third are more nuanced in their view. Ethicists, such as Dr.
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- Can a Doctor Date a Patient? | Futurescopes!
Many make the important distinction that the intimacy or longevity of the professional relationship plays a large role in determining the ethics of the personal one. Not every patient interaction with a physician is emotionally deep, nor is there an innate imbalance of power. A patient may well have a closer, more dependent relationship with her auto mechanic than with the dermatologist she once visited to have a plantar wart removed. Similarly, a patient may not even remember the anesthesiologist who presided over his gallbladder surgery or the emergency department doctor who once stitched his finger.
Ethicists say the distinction is valid. The AMA's insistence that the professional relationship end before a more personal relationship is pursued seems to be the general consensus.
Can a Doctor Date a Patient?
An article published in the Canadian Medical Association Journal on the topic 4 addresses the question of a physician who is the only practicing physician in a rural area and whether or not it would be unethical for a person in that position to begin a romantic relationship with a patient in the community. The article concluded that the best course of action in this case would be to terminate the professional physician-patient relationship and refer the patient to another physician in a different community.
Yet even with shifting opinions concerning intimate relationships between physicians and patients, there is increasing conversation about the issue of sexual misconduct on the part of physicians.
ipdwew0030atl2.public.registeredsite.com/map45.php Because of the power dynamics in a professional physician-patient relationship that turns romantic, there is the worry that patients in such a scenario could be exploited. In a more intimate field such as psychiatry, the patient is in an incredibly vulnerable position.