For patients in tough situations, sometimes the best thing is humor | Hub
The relationship between humor and satisfaction in physician–patient relationships is unclear. Physicians' use of humor was not correlated with patient satisfac-. The role of humor in medicine is becoming increasingly apparent. played by humor in the doctor-patient relationship and provides a brief guide to using one's . behaviour important and also a better doctor-patient relationship. On the other hand, despite the popularity of humour therapy in the media and.
Physicians notoriously have a hard time admitting that they do not know the answer to a problem, yet much of what we do comes from incomplete research, consensus statements, and pattern recognition from prior experiences.
The truth is, we really do not always have a well-established, evidence-based solution to the problem we are trying to solve.
For example, diastolic heart failure remains one of the most difficult and poorly understood conditions to treat. Nearly every clinical trial exploring potential interventions has been negative. Thus, when I discuss medical therapy with my patients, I tell them upfront, "these are the best options we have based on what we do know," and that they may not work.
I discuss the risks, benefits, and alternatives, and I share the decision making with them.
I avoid dumping the final decision on them; rather, I guide them by listening to their concerns, sharing my concerns, and negotiating a plan aimed at improving their well-being. I rarely offer any guarantees, but I offer support, guidance, and an unrelenting promise to work with them until we find a solution that works.
And when he died, it was displayed alongside important family photos. To reduce patients' embarrassment with the indignity of needing help with toileting and other highly personal functions.
Humor in Medicine: Nasty, Dark, and Shades of Grey | MSU Bioethics
When a patient suffered an episode of incontinence she reported that she found the nurse's matter of fact humour - "what goes in must come out" - made her feel less distressed. However, the researchers also found that humour could also create distance and prevent serious discussion. As one nurse commented: We're talking but I don't ask you what's bugging you I'm not really finding out why you're upset.
One nurse recalled admiring an expensive recliner chair a patient had brought in with her to the palliative care unit. The patient was delighted that she didn't have to pay a cent for two years and quipped that in that case she would never have to pay for it!
Humor plays an important role in healthcare even when patients are terminally ill
Another recalled how a patient's monitor kept going off in the intensive care unit. Then there was the satisfaction that staff felt when they saw a patient smile.
Dr Dean carried out the study in the palliative care unit, spending hours observing and informally interacting with care providers, patients and family members and carrying out semi-structured interviews with 15 healthcare staff, including nurses, doctors, a social worker and physiotherapist.
Trust is the foundation of any relationship, and doctor-patient relationships are no exception. Research has uncovered some of the specific doctor behaviors that are most associated with patient trust—among them, caring, competence, and attentiveness.
Open, two-way communication Communication begins from the moment you first meet your doctor. Does she greet you warmly? Does he listen attentively as you describe your symptoms and concerns? Does she interrupt you, talk over you, or seem to dismiss your worries? Your doctor should take your complete history, ask you plenty of questions, and encourage you to talk openly and honestly about your situation.
He should take his time, listening attentively to your concerns. Most doctors are pressed for time today for a variety of reasons, but a doctor who rushes through your visit not only risks making uninformed decisions about your care and treatment, he or she also misses an opportunity to establish a meaningful relationship with you.
If you feel rushed, unheard, dismissed, confused, or unsure during your visit, calmly let your doctor know.
Remember that your doctor is a trained professional who needs to know the whole picture in order to accurately diagnose and treat your condition. Also, keep in mind that healthcare providers are only human—being rude or aggressive toward doctors, nurses, and other healthcare personnel is not only distracting and stressful for these caregivers, it can also lead to medical mistakes. As difficult as your situation may be, the age-old expression applies: This is called shared decision making.