Patient-physician Relationship and Clinical Ethics Doç.Dr.Hanzade Doğan Doç.Dr.Hanzade Doğan

Clinical Ethics Algorhytm What is patient-physician relationship? Why is it important? What is the information under ordinary conditions? What is the information under ordinary conditions? What is the information under extraordinary conditions? What is the information under extraordinary conditions?

İnsan-insan Clinical Ethics investigates human-human relations under extraordinary conditions. Clinical Ethics investigates human-human relations under extraordinary conditions.

Human Humanbeings are IRRATIONAL. Humanbeings are IRRATIONAL.

Human Every humanbeing has an understanding of: Every humanbeing has an understanding of:Health,Disease,andDeath.

human Every healthy individual has the most irrational feeling: Every healthy individual has the most irrational feeling: FEAR FEAR Fear of Death is at the Top Place.

Patient Patients are at different levels of Regression. Patients are at different levels of Regression.

Patient-Physician Relationship Trust, Trust, Continuity, Continuity, Rationality, Rationality, Informed Consent. Informed Consent.

Clinics 3 major issues in clinics: Medical facts, Medical facts, Conditions, Conditions, Values. Values.

Patient-Physician Ethical relations, Medical relations, Technical Relations.

Trust 1.To the competency of the physician, 2. To the good will and honesty of the physician, 3. To a very specific talent.

Conversation Rationals Medical Situation and Diagnosis of the patient Medical Situation and Diagnosis of the patient Prognosis if no treatment is done. Prognosis if no treatment is done. Interventions: Effects on prognosis. Interventions: Effects on prognosis. Definition of the Definition of theintervention. Benefit/Harm Benefit/Harm Probable outcome of the interventions. Probable outcome of the interventions.

Conversation Uncertainities. Uncertainities. Alternatives. Alternatives. Recommendations based on experience and knowledge. Recommendations based on experience and knowledge.

Communication Has the patient realized the situation? Has the patient realized the situation? Is there any denial? Is there any denial? Unexpressed fear? Unexpressed fear? Misbelief or understanding? Irrational desire? Misbelief or understanding? Irrational desire?

Case Mrs. A, admits to her continuous family physician with continuous headaches. Mrs. A, admits to her continuous family physician with continuous headaches. After examination and anamnesis, decides that they are anxiety pain as a result of the change of working place. After examination and anamnesis, decides that they are anxiety pain as a result of the change of working place. Gives medication and calls for control one week later. Gives medication and calls for control one week later.

Case Patient’s sister had also headache and her physician ordered CT. Patient’s sister had also headache and her physician ordered CT. Our patient looses trust and does not go to her physician for her control. Our patient looses trust and does not go to her physician for her control.