Challenges and Solutions in Patient-Centered

The application of the patient-centered clinical method has received international recognition. This book introduces and fully examines the patient-centered clinical method and illustrates how it can be applied in primary care. It presents case examples of the many problems encountered in patient-doctor interactions and provides ideas for dealing with these more effectively. It covers a wide range of topics and issues including palliative care, abuse, dying patients, ethical challenges and the role of self-awareness. Many narratives originate from patients' and family members' experiences, providing perspectives of great power and value. The Patient-Centered Care series is of great value to all health professionals, teachers and students in primary care. This book fully examines the patient-centered clinical method and how it can be applied in primary care. It presents case examples of the many problems encountered in patient-doctor interactions, and provides ideas fo

About the editors
List of contributors
Acknowledgments
Introduction
Understanding Both the Patient's Disease and Illness Experience	p. 1
The family's illness experience	p. 8
Religious faith and the illness experience	p. 11
Responding to the illness experience	p. 13
Major life events and the illness experience	p. 16
Chronically ill seniors	p. 19
Acute assault victim	p. 22
Doctor as patient	p. 25
Pain	p. 28
Coming to terms with illness: 1	p. 31
Coming to terms with illness: 2	p. 34
Understanding the Whole Person	p. 37
Needs of the adolescent patient	p. 44
Homeless youth	p. 46
Problems in the extended family	p. 49
Loss	p. 51
Child sexual abuse	p. 54
Abuse and palliative care	p. 57
Concerns of the elderly	p. 60
Communication and family roles	p. 62
Hopelessness	p. 65
Cultural differences	p. 68
Finding Common Ground	p. 71
The diagnostic label	p. 78
Reistant patients	p. 81
Patients' fears	p. 85
Patient expectations	p. 87
Referrals	p. 90
Collaboration	p. 93
Successful referrals	p. 96
Angry patient	p. 99
Family anger: 1	p. 101
Family anger: 2	p. 104
Incorporating Prevention and Health Promotion	p. 107
Illness prevention in the patient's life context	p. 116
Fatherhood	p. 119
The hidden alcoholic	p. 121
Health promotion	p. 124
Woman abuse	p. 127
Visual aids in patient education	p. 130
Menopause	p. 133
Setting limits	p. 136
Learned helplessness	p. 139
Screening tests	p. 142
Enhancing the Patient-Doctor Relationship	p. 145
The embittered patient	p. 154
Continuity of care in chronic illness	p. 157
The reluctant patient	p. 160
Confidentiality	p. 163
Presuming to know	p. 165
Breaking bad news	p. 168
The abusing patient	p. 171
Self-awareness	p. 174
Emergency: 1	p. 176
Emergency: 2	p. 179
Being Realistic	p. 183
Physician and nurse terms	p. 190
Communication between physicians	p. 193
Communication and co-ordinate care	p. 195
Consultation	p. 197
Informing patients	p. 200
The impact of the health reform	p. 202
Personal and professional boundaries	p. 206
Balancing relationships	p. 209
Integrating Western and traditional medicine: 1	p. 213
Integrating Western and traditional medicine: 2	p. 216
References	p. 219
Index	p. 231
Table of Contents provided by Blackwell. All Rights Reserved.

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Challenges and Solutions in Patient-Centered Care: A Case Book

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