Unit 7 Physician-Patient relationshil p College english Center College of foreign languages and literature Fudan University Page 167 确孩人学
Unit 7 Physician-Patient Relationship College English Center College of Foreign Languages and Literature Fudan University Page 167
Issues to be covered The shift from paternalistic paradigm to patient-centered paradigm in medical decision making The importance of good physician-patient relationship in both the medical practice and the patients recovery Things that counts in maintaining a amiable physician-patient relationship The way to communicate properly and effectively with the patients Page167-188 确孩人学
Issues to be covered ◼ The shift from paternalistic paradigm to patient-centered paradigm in medical decision making ◼ The importance of good physician-patient relationship in both the medical practice and the patient’s recovery ◼ Things that counts in maintaining a amiable physician-patient relationship ◼ The way to communicate properly and effectively with the patients Page 167-188
Words talk with different overtones! doctor physIcIan medical practitioner provider patient client customer Page 167 确孩人学
Words talk with different overtones! ◼ doctor ◼ physician ◼ medical practitioner ◼ provider ◼ patient ◼ client ◼ customer Page 167
Words talk with different overtones! Physician: denoting a practitioner of the art of healing a Doctor: referring to a teacher to show to teach, or to appear right, and carrying a connotation of being seemly, fitting and decent a Medical practitioner: a technique term without much connotation a Provider: a generic term more or less elated to business Page 167 确孩人学
Words talk with different overtones! ◼ Physician: denoting a practitioner of the art of healing; ◼ Doctor: referring to a “teacher” to show, to teach, or to appear right, and carrying a connotation of being seemly, fitting, and decent; ◼ Medical practitioner: a technique term without much connotation; ◼ Provider: a generic term more or less related to business; Page 167
Words talk with different overtones! Patient: indicating a suffering or sick person under medical treatment Client: referring to a person who is willing to pay for a good or a service a Customer: denoting one who pays a fee Page 167 确孩人学
Words talk with different overtones! ◼ Patient: indicating a suffering or sick person under medical treatment; ◼ Client: referring to a person who is willing to pay for a good or a service; ◼ Customer: denoting one who pays a fee Page 167
Three different situations where doctors may be asked to make tough decisions for the patients Decide whether life-support system should be continued or withdrawn Decide whether euthanasia should be considered a Decide whether a new therapy should be tried Decide whether surgery should be the first choice or the last resor Decide whether transfer or referral is needed Page 168 确孩人学
Three different situations where doctors may be asked to make “tough decisions” for the patients Page 168 ◼ Decide whether life-support system should be continued or withdrawn; ◼ Decide whether euthanasia should be considered; ◼ Decide whether a new therapy should be tried; ◼ Decide whether surgery should be the first choice or the last resort; ◼ Decide whether transfer or referral is needed
Text a Letting Doctors Make the Tough Decisions a Pauline w. chen Page 168
Text A ◼Letting Doctors Make the Tough Decisions ❑Pauline W. Chen Page 168
What difficult situation is the young doctor acing?(Pre 1 a dying patient Decision whether to withdraw life support machines and medication and start comfort measures The family's refusal to make any decision or withdraw any treatments Page169, P2 确孩人学
What difficult situation is the young doctor facing? (Pre. 1) ◼ A dying patient ◼ Decision whether to withdraw lifesupport machines and medication and start comfort measures ◼ The family’s refusal to make any decision or withdraw any treatments Page169, P2
Language Focuses who was impressive not only for his clinical skills but also for his devotion to patients who was impressive not only for his clinical skills but also for his devotion to patients 他身材高大伟岸,但是从来不让人有咄咄逼人 的感觉 He was large and powerfully built but never seemed to loom over his patients Page168-169,P1 OAS USINERSNY
Language Focuses ◼ …who was impressive not only for his clinical skills but also for his devotion to patients ◼ …who was impressive not only for his clinical skills but also for his devotion to patients ◼ 他身材高大伟岸，但是从来不让人有咄咄逼人 的感觉 ◼ He was large and powerfully built but never seemed to loom over his patients… Page 168-169, P1
Language Focuses 护士站 nursing station 停止使用呼吸机并停药/停止治疗 withdraw life-support machines and medications /treatment told them suffering or comfort -it was their decision But in the end, they made no decision and just walked right out of the room Page 169, P2 OAS USINERSNY
Language Focuses ◼ 护士站 ◼ nursing station ◼ 停止使用呼吸机并停药/停止治疗 ◼ withdraw life-support machines and medications /treatment ◼ I told them suffering or comfort — it was their decision. ◼ But in the end, they made no decision and just walked right out of the room. Page 169, P2