Case Studies Analysis: Communication Between the Patient and the Health Provider

Paternalistic Attitude in Communication Case Study

The above case study focuses on the attitude present in the provider-patient communication where there is no free will of expression of the patient which builds up lack of trust in the relationship. It is important to understand that the patient is supposed to have control of the choices that they make including the medical choices. However, when the freedom is withdrawn from the patient, then there will no longer be effective communication in the provider-patient relationship. When there was the involvement of patient-centered communication, the patient was able to give in detail the condition of the infection including the effects of the condition such as stigmatization.

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The first scenario presents the situation where the roles of the provider and those of the patient are already dictated which therefore means that there is the limitation of choices that are made by the patient. In the scenario, the patient was not able to express what he felt about social stigmatization as the topic was out of protocol. The scenario presents a Nigerian adult male patient who is currently infected with AIDS for a period of six months (Cold et al., 2018). The patient seems to be undergoing a rough time but is not at the liberty of explaining the situation to anyone.

The second scenario shows the incorporation of PCC (patient-centered communication) to help build trust in the relationship as the patient was able to give in detail what he felt of his medical condition without the limitations of the protocol. Before prescribing any treatments to the patient, the provider ensures that there patient's needs are the priority including the information that he chooses to bring up. The patient explains that the greatest challenge that he has been facing is withdrawal from society. He explains that he has opened up to the close people around him about his condition and fears that people might stigmatize him. This means that the patient is fearful of the social stigmatization. The patient explains that he feels better with the medication that he has been issued from the health center as well as the medical consultancy from the same health center. The healthcare provider explains more about the antiretroviral therapy as well as the medication that should be keenly taken by the patient. The drugs are supposed to improve the health quality of the patient by fighting the infections as well as lowering the viral load. Through the introduction of PCC, the healthcare provider was able to understand that the patient would prefer the services being issued to him privately rather than going to the health centers for therapy (Cold et al., 2018). Limiting the expression of the patient will definitely result in the communication barrier as there is a high possibility of giving the wrong medical treatment to the patient. In addition, the patient is not economically stable which means that there might be difficulties in getting quality medical services from his place of residence. Through the therapeutic communication with the patient, it was quite clear that he was afraid of social stigmatization hence fearing to seek medical intervention for his condition. The introduction of PCC prioritized the needs of the patient, therefore, helping him to express his concerns to the healthcare provider.

Patient Esteem Case Study

The following case study explains the impact of the patient's esteem in the communication between the patient and the health provider. The esteem of the patient is influenced by the personality of the patient as well as the conditions of the patient. Low self-esteem is bound to make the communication harder as there is the likelihood of passing less information to the healthcare provider. In this situation, there is the need to run tests on the patients in the effort of acquiring the intended information from the patient. More physical interaction with the patient is advised for the healthcare provider is definitely as well as ensuring that the patient's trust is won.

The first scenario of the case study presents a female patient that has been diagnosed with breast cancer for a period of two years and is currently receiving the necessary medical attention. However, she is a teenager who will just not speak out about her current situation not even to the closest people ("Get Cancer Treatment in Dubai From Saudi German Hospital Dubai", 2018). Through the medical examination, there are signs of depression which is the situation that has been caused by the condition. The patient has a low self-esteem where as well as short-tempered which means that she is provoked easily and thus there is the need to use much care while interacting with her.

The second scenario then presents the physical engagement of the patient as well as the random medical tests on the patient during the period of interaction. In addition, the patient is engaged in the conversation through the use of tactics that are appreciated and interesting to the patient. This is a way to bring her to speaking. Also, there is the random check of her situation by the healthcare provider in the effort of determining the progress of her situation. Currently, the girl is faced with frequent pains in the areas of infection as well as body weakness in general. Judging by her self-esteem, she looks withdrawn and fears to engage with the social environment ("Get Cancer Treatment in Dubai From Saudi German Hospital Dubai", 2018). The physical tests and interaction approach by the healthcare provider have helped to realize that since the diagnosis of cancer, she has been quite silent as opposed to her situation before. At her age of sixteen years, she is run by emotions and therefore, it is expected that the withdrawal symptoms might be the negative influence of teenage emotions. Chemotherapy and breast surgery are the recommended treatments for her conditions which means that there is a chance for her to gain back her healthy life in the future. The barrier that is bound to prevent her from taking the medical prescriptions is the financial ability as she is not from a well up a family and the cost of the surgery might exceed her ability.

Social and Lingual Differences Case Study

The case study relates to the social and lingual diversification which might be a major reason for misunderstanding between the patient and the healthcare provider. In the situation where the two parties have different languages, then there is the likelihood that the information will not be shared between them. As a result of the lingual barrier, there is the need to incorporate a third party that is supposed to be professional or close to the patient and through which the information will be interpreted accordingly between the patient and the healthcare provider. Presence of the third party mostly comes up in a situation that requires immediate medical attention.

The first scenario involves an elderly French man that has been diagnosed with diabetes for a period of four years and who is currently receiving medication from several health institutions but has a worsening situation on a monthly measure. However, the provider speaking in English will find it difficult to converse with the French man and therefore, there was the need to include a third party which is the daughter to the man who studies in Britain and therefore has the ability to converse in both languages. The man looks like he is undergoing much pain and since he has his daughter as the only close relative he will not talk much about the pain ("Diabetes | Type 1 Diabetes | Type 2 Diabetes | MedlinePlus", 2018). The provider learns to read the body language of the man and through the use of signs; the two understand each other lightly.

The second situation involves the third party which is the man's daughter who has helped to break down to the healthcare provider the situation of the man. The man has lost much weight and has frequent urination which worsens his situation. Involving the third party helps the provider to understand more about the background of the patient and at the same time, helps to understand the current situation of the patient. The recommended medication includes; a diabetic friendly diet such as a vegetarian diet (2018). Metformin is the recommended medication for the illness as an anti-diabetic medication. Other recommended medications for the condition include glucagon-like peptide-1 analogs, thiazolidinediones as well as sulfonylureas. The greatest barrier that is set to surround the discussion is the language barrier where some of the information might end up not being explained to the health-care provider and thus missing out on some of the medical recommendations. Therapeutic Communication is supposed to be successful only if the prescriptions will be followed by the patient.

References

(2018). Retrieved from http://medind.nic.in/jak/t09/i2/jakt09i2p239.pdf

Cold, F., Health, E., Disease, H., Disease, L., Management, P., & Conditions, S. et al. (2018). Antiretrovirals: HIV and AIDS Drugs. Retrieved from https://www.webmd.com/hiv-aids/aids-hiv-medication

#1Diabetes | Type 1 Diabetes | Type 2 Diabetes | MedlinePlus. (2018). Retrieved from https://medlineplus.gov/diabetes.html

Get Cancer Treatment in Dubai From Saudi German Hospital Dubai. (2018). Retrieved from http://www.sghdubai.ae/eng/cancer-centre?gclid=CjwKCAjwsfreBRB9EiwAikSUHUPECikfwWRfzm5tyzEA6GsK4jVt08jh0ZP3xyzDCKqmcVZz_LNLBBoCwyQQAvD_BwE