Doctor Patient Communication Essay Example for Free

Doctor Patient Communication Essay This is the adopted mode of communication with the patient aiming at firstly, getting enough history or information towards diagnosing the patient presenting complaint and equally ensuring that the patient’s right to privacy, good health, and permission as the need arises, is not compromised during the process. â€Å"When communication and rapport is poor, patients are at risk of distressed and doubt doctor’s competence† (Allen, 2000). Research reports that patients often wrongly base clinical skills on communication effectiveness. Patient with this bias mind eventually shows poor cooperation with treatments. This is more reason why it is an ethical issue. The present state of the patient’s psychological state is important. A depressed patient would prefer less talk than a patient who is worried to get fast cure and some times talk out of points if unguided by an experience doctor. Due to diverse understanding from multicultural views, it is necessary to understand the biological ethnicity of each patient through a ‘biodata’ aspect of the history. From the biodata, the religious denomination is noted. The occupation, family and social histories also reveal the mental state. Doctor’s adoption of line of thought would be of help. For example, a friendly way of approach gives the patients sense of worth and avoids any feelings of inferiority complex that may hinder patient’s opening up in detail. The doctor also needs not unnecessarily friendly, this could denote carefree attitude at times. 80% of the treatment receives is dependent of how elaborate is the history taken by the doctor. An understanding of introversion and extroversion communication type equally helps. It is necessary to carry the patient along, after the knowledge about the patient’s present state, preempt the patients’ worry and briefly explain why the next question is necessary.

Sterling Seagraves Dragon Lady Essay -- Sterling Seagrave Dragon Lady

Empress Dowager Tzu His Exposed in Sterling Seagrave's Dragon Lady China’s great ancient empire has been the source of stories, fables, and fascination throughout the world for generations. The Asian culture has a long history of powerful leaders and ruthless battles making it one of the longest standing powers that the world has ever known. Yet, what took centuries to create was destroyed during the reign of a single ruler, plunging the country into chaos and confusion. The one who often is believed to have generated this collapse is the Empress Dowager Tzu His, the last Empress of China. Until the end of her reign in the early 1900s, the life of the Empress was shrouded in mystery. Once people gained access to the court records, not long after the Boxer rebellion (1901), the â€Å"true† nature of the women was brought to the world. Sir Edmund Blackhouse, a European writer, gained access to this information and painted a less than favorable portrait of the Dowager saying: â€Å"Tzu His was of a ruthless, single-minded tyrant, an iron-willed, oversexed Manchu concubine who usurped...

Media, Minorities, and Multiculturalism

The article Media, Minorities, and Multiculturalism attempts to explain how and why advances in media misrepresentation of minorities continues to be â€Å"couched in compromise†, and to distinguish between the concepts of media racism and racist media. This article also tries to draw attention to the complex factors involving media misrepresentation of minorities, and explores the developments in the creation of multicultural media by inclusion in mainstream media and institutional parallels that exist around alternative ethnic and aboriginal media.There are profound differences between racist media, and media racism. Racist media is media which openly discriminates against people of a certain race or ethnicity, thereby excluding them or denying them of certain privileges, while media racism is reflected in coverage that ignores minorities except in contexts of entertainment or crisis, and depicts minorities are problematic people, and also encoding words that constitute an e lite white discourse in perpetrating ideologies consistent with dominant sectors.The mediaThe mainstream media have been said to be particularly negligent in engaging with diversity in a constructive way, and failing to put the principles of inclusiveness into practice. Although the goal of the media might not necessarily be to diminish or demean minority men and women, the cumulative impact of miscasting has had the controlling effect of depicting minorities as remote or â€Å"removed† people.It has been noted that media that depend mostly on advertising for profit and revenue seem to be the least responsive in the area of change and improvement in minority misrepresentation, and news casting has remained a medium of the negative, even though there have been efforts to avert blatant racism. Men and women of the minority ethnicity are still constantly framed as troublesome people, whose demands and concerns are seen as unpatriotic, especially when they entail concessions or c osts.Over time, mainstream media has continued to misrepresent minority men and women at the news-casting level, advertising, TV programming and film making, even though there have been some changes and improvement in TV programming. For example, in countries like the United States and Canada, black and white viewers are having more and more favorite TV programs in common, which is probably because of the use of multi-ethnic casting in TV programs.Media miscasting tends to portray minorities as invisible, problematized, stereotyped, white washed and miniaturized people. Such an indictment is not entirely true presently, as there have been improvements in the quality of media and quantity of media minority representations.Also, advances in media representation of minorities are continuously â€Å"couched in compromise†, as systematic biases and institutional barriers still exist. In the developing world, media coverage of minorities is miscast because the media is preoccupied with style over substance and with adversity over cooperation. Developing world minorities are mostly ignored or made to seem irrelevant by racist mainstream media, and this has the effect of framing minority peoples as volatile and mindlessly violent, due to the absence of a balanced coverage.Ethnic and aboriginal mediaThere have been positive advances in ethnic and aboriginal media, due a popular and a booming ethnic market, which is reforming the ethnic media landscape. Ethnic media continues to flourish with as many as 50 radio stations airing non-English language and non-French language programs. Canada is a world leader in aboriginal media, and has many aboriginal radio and television networks, which the people look upon as an emancipatory tool for social, cultural and educational construction.Racist media in CanadaOn the basis that a racist media is one in which racism is institutionalized, it can be said that Canada does not have a racist media. Canada does have human rights laws, federal regulatory bodies, and also industry guidelines that are designed to reject deliberate racism. What Canada can be said to have instead, is media racism because the media is not deliberately racist in their coverage despite the racism existing in the mainstream media on personal and institutional levels.Discussion questionsIs racist media different from media racism?How can the concept of racist media be measured?What constitutes racist media?Does Canada have racist media?Reference listMedia in societyMedia, Minorities, and Multiculturalism

Literature Review Complicated Appendicitis Essay

LITERATURE REVIEW COMPLICATED APPENDICITIS BACKGROUND ON COMPLICATED APPENDICITIS Appendicitis occurs due to several reasons like hyperplasia of the lymphoid, bacterial/viral infection but major cause being as a result of obstruction of appendicle lumen by a faecolith (1). if not managed in time or misdiagnosed it progresses to Complicated appendicitis in form of perforation, peritonitis, formation of phlegmon and abscess and even mortality(2)(3),especially in children the rate of complication has been reported to be very high . Perforation is defined as a hole in the appendix or a faecolith in the abdomen(4) while appendicular mass develops due to walled off perforation which causes a mass when it localizes(forsyth j) and furthers to adjacent viscera and greater omentum and forms a phlegmon (5).below are images of a perforation and a faecolith . A- Hole in the appendix B- Fecalith in abdomen Anatomy Vermiform of the appendix is approximately 5-10cm with its location at the right lower quadrant at the end of the cecum. Although being having its base at the cecum it can have abnormal positions like retroperitoneal, pelvic, extra peritoneal thus leading to different symptoms Pathophysiology Its reported that due to obstruction of the lumen of appendix, it results to intraluminal pressure concurrently bacteria in the appendix multiply causing white blood cells recruitment, pus formation and increased intraluminal pressure, if there is persistence of the obstruction itShow MoreRelatedClinical And Holistic Personal Health Factors Within An Emergency Nursing Framework3362 Words   |  14 Pageswoman with acute abdominal pain requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to surgical intervention. The aim of this paper is to explore the patient’s relevant presentation, clinical and holistic personal health factors within an emergency nursing framework. Two key areas of care will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) and proton-pumpRead MoreClinical Problem Solving And The Division Of Infectious Disease 2961 Words   |  12 Pagestreated empirically with intravenous ceftriaxone. Gram negative bacilli are unlikely to be a contaminant; the main consideration is whether or not these gram negative bacilli come from a more ?routine? source (e.g., pyelonephritis, cholangitis, appendicitis) or were acquired during her overseas travel. Thus far, none of her physical exam findings or laboratory studies suggest a routine cause. She travelled in areas endemic for melioidosis which may present with sepsis and bacteremia without localizing