Patient-physician Relationship and Clinical Ethics

1. Patient-physician Relationship and Clinical Ethics Doç.Dr.Hanzade Doğan

2. Clinical Ethics Algorhytm What is patient-physician relationship? Why is it important? • What is the information under ordinary conditions? • What is the information under extraordinary conditions?

3. İnsan-insan • Clinical Ethics investigates human-human relations under extraordinary conditions.

4. Human • Humanbeings are IRRATIONAL.

5. Human • Every humanbeing has an understanding of: Health, Disease, and Death.

6. human • Every healthy individual has the most irrational feeling: FEAR Fear of Death is at the Top Place.

7. Patient • Patients are at different levels of Regression.

8. Patient-Physician Relationship • Trust, • Continuity, • Rationality, • Informed Consent.

9. Clinics 3 major issues in clinics: • Medical facts, • Conditions, • Values.

10. Patient-Physician Ethical relations, Medical relations, Technical Relations.

11. Trust 1.To the competency of the physician, 2. To the good will and honesty of the physician, 3. To a very specific talent.

12. Conversation Rationals • Medical Situation and Diagnosis of the patient • Prognosis if no treatment is done. • Interventions: Effects on prognosis. Definition of the intervention. Benefit/Harm Probable outcome of the interventions.

13. Conversation • Uncertainities. • Alternatives. • Recommendations based on experience and knowledge.

14. Communication • Has the patient realized the situation? • Is there any denial? • Unexpressed fear? • Misbelief or understanding? Irrational desire?

15. Case • Mrs. A, admits to her continuous family physician with continuous headaches. • After examination and anamnesis, decides that they are anxiety pain as a result of the change of working place. • Gives medication and calls for control one week later.

16. Case • Patient’s sister had also headache and her physician ordered CT. • Our patient looses trust and does not go to her physician for her control.