For years Brian B has visited a public clinic that provides health care to uninsured persons....

For years Brian B has visited a public clinic that provides health care to uninsured persons. He has established a relationship with Dr. L, who always inquires about Brian's smoking habits and advises him to quit or at least curtail his smoking. Despite repeated warnings, Brian B has continued to smoke heavily, even after developing signs of emphysema in his early fifties. Now, at age 57, Brian B has a severe case of emphysema and goes frequently to the clinic--sometimes clearly for medical purposes, but sometimes apparently just to talk. The clinic, meanwhile, has been hit with budget cuts that have resulted in fewer staff to see patients. Dr. L is irritated with Brian B for ignoring all warnings and worsening his own medical condition. Dr. L tells him that, in the future, he must call before coming to the clinic and that there might not always be a staff member available to see him. Dr. L. adds, "These days I am very busy with patients--patients, who, by the way, follow doctor's orders--and I will be unable to see you." Briefly define the following models of the physician-patient relationship and describe how this case would be resolved within each type of relationship. 1. Paternalism 2. Partnership 3. Contract 4. Friendship 5. Technical Assistance 6. Negotiation

Expert Solution

THE DOCTOR PATIENT RELATIONSHIP.

The doctor-patient relationship has been and remains a keystone of care.The medium in which data are gathered,diagnoses and plans are made,complaince is accomplished and healing.and support are provided.

A Doctor-Patient relationship is considered to be the core element in the ethical principles of medicine.

1)PATERNALISM

Choosing a course of action in the patients best interest but ithout the patients consent-serves as an integral value in ethical decision making,both as a balance to other valuesand as an ethical obligation to neither ithhold guidance nor abdicate professional responsibility to patients.

2)PARTNERSHIP

Partnering with patients and families has a positive impact on the society of patient care.IT is a strategy for acheiving patient centered care.Partnering with partner in health care inviting them to participate in decision making and identifying patient directed goals contribute to a more patient centered approach to emphysema.

Nightingale answered 2 years ago

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