principles … Standard of Care … Know your medical facts – diagnosis – prognosis – treatment. Get second opinion … go to the literature. Substituted judgment … “If for whatever reason you are unable to make your own medical decisions … Who should make them for you?”. Put yourself in the patient’s place – […]
decision making … principles & process … Read More »
… this awareness leads to an otherwise impossible capacity for relationship … with our patients. “Piccinini explained in these words how involvement with his patients had come in ‘with a crash’ from the recognition of a common need and a shared question:’Sickness, suffering, pain, and death are the normal but sharpest expressions of human limitation,
… from everyone’s favorite Jesuit … 1. Allow yourself to be human 2. You don’t have to be someone else to be holy 3. You’re not married to everyone 4. Don’t let anyone prevent you from becoming the person you want to be. 5. You’re not Jesus Read Fr. Martin’s ‘The Five Best Pieces of
balance … and human-ness … Read More »
“The ability to interact effectively with angry patients is a skill that is often learned with experience and is extremely useful in both transforming the patients’ reaction into a more creative emotion and in developing a therapeutic relationship … Almost always, anger will resolve if the patient is given time, respect, clear information and consistency
anger … blame or need? Read More »
NYT’s As Doctors Use More Devices, Potential for Distraction Grows a related post …
distracted doctoring … Read More »
… look for what is beautiful and true in our patients and families … Aware of an increasing dissatisfaction in the medical field, due to a reduction of the caregiver-patient relationship to a sort of mechanism, we wanted to propose a medical care that is adequate for the person with all their needs. I believe
why we care for others … Read More »
… perfect practice makes perfect … “Élite performers, researchers say, must engage in “deliberate practice”—sustained, mindful efforts to develop the full range of abilities that success requires. You have to work at what you’re not good at. In theory, people can do this themselves. But most people do not know where to start or how
practice does not make perfect … Read More »
… Akira Kurosawa’s ‘Red Beard’ is the story of a recent medical graduate assigned to a rural clinic for his post-graduate training. In his arrogance, he is livid that he should have to train in a poor clinic – aspiring instead to ascend the ranks of caring for the rich and powerful Shoguns. Through a
… cor ad cor loquitur … listen with your heart … pdf file outlines fundamental approach to communicating serious news … slides • Start with the patient’s agenda • Track both the emotional and cognitive • Stay with the patient and move the conversation forward one step at a time • Articulate empathy explicitly • Talk about what you
listen with your heart … Read More »
Marcia Angell summarizes the ‘medicalization’ of psychiatry and its support by the pharmaceutical industry. There are many lessons here for palliative care as both a discipline and in its practice. “In short, a powerful quartet of voices came together during the 1980’s eager to inform the public that mental disorders were brain diseases. Pharmaceutical companies
the illusions of psychiatry … Read More »
