Do you feel you are the most important part of the medical (health care team)?
In a recent post on Healthin30, "When Doctors and Nurses Work Together" I wrote about the team-based approach for caring and treating patients, and it addressed the relationship between nurses, doctors, patients and the importance of a multidisciplinary, team-based approach to patient care.
The health care team is comprised of a diverse group of specialized professionals, and the most important part of the medical team is the patient.
Subsequent to publishing this post, I received an email from an author and patient advocate stating that patients are not the most important member of the medical team.
I value and respect this comment; however I politely and passionately disagree. As a registered nurse and consumer health advocate, I emphatically say that patients are the most important part of the medical team.
As health care professionals engage their patients with empathy, we can make them feel valued and respected, and by listening and communicating effectively with our patients we can develop a treatment plan specifically around their needs. Patients are the center and the most valuable part of the team. We need to involve them in their care and understand that they are the integral part of the health care team. We need to encourage them to be a proponent of their own health care. We need to let them know that it is okay to ask questions and to take charge of their health. Patients may have some self-doubt about questioning health professionals. They may feel uneasy and perhaps they may have difficulty expressing themselves, but we can offer reassurance and continue to encourage them to be proactive.
My Colleagues Speak Out
I asked a few of my colleagues to weigh in on this topic. They are:
Patients Know Their Bodies And Their Illnesses
Patients know their bodies and their illnesses, and know when something's gone wrong. Empowered patients can communicate changes and observations that can make a real difference in their medical care. To have their voices heard, patients have to speak up! This might sound obvious, but many times patients are intimidated, or sometimes bewildered, by the medical world around them. Also, it can be hard to speak up if the doctor or nurse is perceived to be rushed and ready to move on to the next patient. In 'The Empowered Patient,' I urge patients to realize there are times they absolutely have to advocate for themselves or their loved ones. Their lives, or the life of someone they love, may depend on it.
--Elizabeth Cohen, CNN senior medical correspondent and author of The Empowered Patient
The Patient Is The Biggest Stakeholder
It's important for doctors and other medical providers to listen to the most important member of the health care team, the patient. After all, there is no bigger stakeholder. Involving the patient in the decision making process is essential, to both better the patient outcome and improve patient experience.
--Kevin Pho, M.D., primary care physician and founder of KevinMD
Patients Hold The Ultimate Responsibility Of Selecting The Right Team Members
Patients are the sine qua non of health care. Not without which there is no purpose of spending all this time, money and effort. Patients are the most affected by the success or failure of the medical team. Patients hold the ultimate responsibility of selecting the right team members, determining the primary objective based on their lifestyle and values, adhering to the treatment or recovery plan, and persisting, enduring until the team has reached the end of their work.
--Donna Cryer, J.D., CEO of CryerHealth and patient advocate, DC Patient
Patient Care Is At The Heart Of Everything We Do
Patient care is at the heart of everything we do, says Dr. Sullivan. He refers to this quote from Norman Cousins, 1989 that speaks volumes.
People go to doctors out of fear and hope -- fear that something may be wrong, but hope that it can be set right. If these emotional needs don't figure in the physician's approach, he may be treating half the patient. The question is not now -- any more than it has ever been -- whether physicians should attach less importance to their scientific training than to their relationships with patients, but rather whether enough importance is being attached to everything involved in effective patient care.
--Carl R. Sullivan, M.D., director of addictions programs at the West Virginia University School of Medicine in Morgantown, WV
Your Turn -- Do You Feel Like An Empowered Patient?
We would love to hear your insightful thoughts. Do you feel that you are the most important part of the medical (health care team)? What are your experiences? Do you consider yourself an empowered patient? Do you take charge of your health? Have there been times when you were afraid to speak up? Are you involved in the decision making process with your health care professionals?
Putting patients needs first and allowing them to be the focal point and at the center of the team will foster a better patient relationship and better outcomes. By being empathetic, listening and communicating and understanding that patients are the most important part of the team; health care professionals can create a treatment plan that correlates with patients needs. Every patient is the most important member of the health care team.
Please share your experiences so we can all learn to be better at what we do.
As always, thank you for your time.
Similar Posts:
Rules of Patient Engagement: How to Deeply Connect with Empathy
When Doctors and Nurses Work Together
Empowered Patient: Bring a Family Member or Friend with you to Your Doctor's Appointment
Doctor-Nurse Relationship: How to Energize and Engage the Doctor and Nurse Team
Doctor-Patient Relationship: How Patients Can Help Enhance Communication
After 40 Years, Patients Still Crave Attention and Respect
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If patients started asking why their blood pressure was high, why their energy was low, etc, etc, doctors would be forced to take more time and consider the reasons for illness, not just write a prescription to cover up the symptom.
Currently the typical eight minute medical consultation ends with a prescription instead of an answer. The prescription is not an answer; it’s a way of avoiding the answer.
Real medicine wants an answer because your blood pressure, for example, may be high for an entirely different reason than your neighbors. The blood pressure pill disregards the underlying mechanism, whether it’s low magnesium, stress, lead toxicity, or the dozens of other reasons your blood pressure may be elevated.
Ask questions and expect respectful answers – change the system.
www.PureWellnessCenters
http://www.youtube.com/watch?v=l1K3s0ir74Y
We doctors do fall short when it comes to listening and educating our patients.
Heart patients, check out: www.drozner.com www.heartattackp
Being a psychiatric survivor is the worst. I was never consulted or educated about the medicine given to me in the psych hospital.
A couple years before my psych trip, they found lesions on my brain. When I told the neurologist that my cousin had MS that was only detected by a spinal tap, the doctor told me that was a lie. Oy vey.
I was never fully medically examined for the psych trip hospital. Just sent there with a high blood pressure, chest pain, and shortness of breath. I was too amnesic to explain lesions on my brain. They thought it was psychosis, i think it was a stroke. So they gave me Haldol and other mind altering drugs. Nice.
I broke my thumb while on the Klonopin the psych gave me. The first ortho doctor told me $urgery, $urgery, $urgery. I went for a second opinion. I got a cast put on and I am fine.
The other day my son went for a physical. The Nurse Practitioner said they were giving a new booster for Pertussis. I asked if it was required by law (his tetanus shot was), she said no. I said, then he doesn't need it. Then when the nurse came into give him the shot she said it was the Tetanus mixed with Pertussis. I didn't fight it, who knows if they would go change the syringe anyway.
Coercion happens in every medical field. Grab an advocate!
But with Doctor refusing to digitize records because they can not let others see the amount of Malpractice in them what's to be done ?
My mom had urine test and blood test at least 6 times a year and even had ulcers on her leg .
I finally went INTO the Doctors visit with her and he tried to blow her off real fast then I demanded he procvide better care.
That day her sugar level was 393 that day and they seem to freak out !!
He had ordered blood test and urine test for an 80 year old woman but not requested sugar levels she had over weight for about 12 year under his care gaining most of the weight in the last 9 years.
This Doctor had a stoke some time ago and he had never been tested or re evaluated for his ability to provide care since the stroke. We did not know he had a stroke no one told us or gave my mom notice so she could make the best medical care decisions for herself.
We talk so much about medical ethics, co-ordination of care, holistic approach etc. All these important concepts of medical field is all centered towards patients.
http://www.chrisranjana.com/health-care/health-care.html
http://www.kevinmd.com/blog/2010/12/patient-complaints-fit-primary-care-office-visit.html
Obama enacts end-of-life death panels on Christmas Day
http://www.nytimes.com/2010/12/26/us/politics/26death.html?pagewanted=all
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It’s been over 70 years since the character of Dr. Gillespie spoke about universal health care, and unlike so many of our western allies, America is no closer to this goal then we were then. My hope remains that someday, Dr. Gillespie will have been proven right.
I believe you are sincere when you make that comment. My reply will not be appreciated. It basically consists of three letters........................IME.
As long as physicians are willing to sell their integrity for money, patients are NOT the most important part in medicine, money is.