The Care of the Patient

Peabody, Francis W.

doi:10.1001/jama.2014.11744

Cited by 241 publications

(50 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Developing the capacity to sustain care in such scenarios has ostensibly been an important feature of medical training (The Medical School Objectives Writing Group, 1999). Nevertheless, medical education has been criticized for producing graduates that understand the mechanism of disease but do not know how to effectively engage with patients (Peabody, 2015). Recent work suggests that clinical exposure might be important medical students have been shown to habituate to established elicitors of disgust in medical settings (i.e., dead bodies, Rozin, 2008), and health care providers with more experience are better able to maintain their capacity to deliver care in the face of patientrelated barriers (Dev, Fernando, Lim, & Consedine, 2018).…”

Section: Statement Of Contributionmentioning

confidence: 99%

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Reynolds

Powell

Lin

et al. 2019

British J Health Psychol

View full text Add to dashboard Cite

Objectives. Although health care providers are required to sustain care in difficult circumstances, some patients challenge this principle. Evoking compassion seems likely to be helpful in such situations. This research aimed to evaluate whether inducing compassion in health care providers might mitigate disengagement with patients who have challenging presenting features such as those with disgusting symptoms and/or are to blame for their own health problems.Design. An online experimental study with clinical health care providers.Methods. Medical students (n = 219) and qualified health care professionals (n = 108) took part in an online experiment. Participants were randomized to view a slideshow of either neutral images (control) or compassion-inducing images (compassion condition) and were then presented with a series of patient vignettes where presenting problems systematically varied on patient responsibility and disgusting symptoms. Engagement was assessed by asking participants how caring they felt, how much they would want to help, how challenging it would be, and whether they would wear a mask.Results. Participants reported less engagement with patients who were responsible for their illness and who presented with disgusting symptoms. Induced compassion offset disengagement and qualified health professionals were more caring and willing to help patients than medical students. The compassion induction eliminated some differences between experienced and trainee clinicians.Conclusions. This research demonstrates that disgust and patient responsibility impacts clinical engagement and that medical students are more impacted by such scenarios than qualified health providers. Inducing compassion may help to mitigate these differences, and further investigation into strategies that foster engagement with difficult patients is warranted.

show abstract

Section: Statement Of Contributionmentioning

confidence: 99%

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Reynolds

Powell

Lin

et al. 2019

British J Health Psychol

View full text Add to dashboard Cite

show abstract

“…Patients stop any activities that can cause pain and start resting, particularly resting of their weight-bearing joints, with the aim of relieving mechanical stress [36]. In the meantime, resting is associated with a reduced production of immunological and inflammatory factors and a reduced production and accumulation of metabolic factors, and potentially causes the joints, tendons, muscles and nerves to no longer be under a great pressure caused by these factors [37,38].…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis Patients’ Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study

et al. 2017

View full text Add to dashboard Cite

Despite the effectiveness of pharmacotherapy for pain management in patients with osteoarthritis (OA), personal biases in the selection, administration, and continuation of pharmacotherapy challenge the proper management of symptoms and the effectiveness of the therapy. This study was conducted to carry out an in-depth examination of the experiences of patients with OA about their use of pharmacotherapy for the OA pain management and the existing challenges. The present qualitative study was conducted on 17 patients with OA, 5 of their family members and 8 healthcare personnel using a conventional content analysis approach. Data were collected through 35 interviews, which were unstructured at first but became semi-structured later on. Data collection continued until data saturation and analyzed simultaneously. The criteria used to determine the rigor of the study included the credibility, transferability, dependability and conformability of the data. The analysis of the data revealed 3 main categories and 8 subcategories. The main categories including preference for non-pharmacological modalities, preference for symptomatic slow-acting drugs for osteoarthritis (SySADOAs) and preference for vitamins and minerals. Briefing the patients on the therapeutic goals, participating them in the clinical decision-making process, modifying drug administration patterns through prescribing the minimum effective dosage and substituting alternative therapies whenever possible, consistently monitoring the therapeutic responses and any unexpected complications and use of complementary treatments, makes up strategies that can help improve OA pain management.

show abstract

“…Now, all of this background of sickness which bears so strongly on the symptomatology is liable to be lost sight of in the hospital: I say “liable to” because it is not by any means always lost sight of, and because I believe that by making a constant and conscious effort one can almost always bring it out into its proper perspective. The difficulty is that in the hospital one gets into the habit of using the oil immersion lens instead of the low power, and focuses too intently on the center of the field .…”

Section: What Is It That ‘Gets’ Diabetesmentioning

confidence: 99%

Multimorbidity: an endocrinologist looks at multi‐level network disruption and at what gets diabetes?

Aron

2016

Evaluation Clinical Practice

View full text Add to dashboard Cite

The Care of the Patient

Cited by 241 publications

References 0 publications

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Fighting the flinch: Experimentally induced compassion makes a difference in health care providers

Osteoarthritis Patients’ Experiences of Pharmacotherapy for Pain Management in Iran: A Qualitative Study

Multimorbidity: an endocrinologist looks at multi‐level network disruption and at what gets diabetes?

Contact Info

Product

Resources

About