The Calling of Health Care Provider

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The Calling of Health Care Provider

PROFESSION vs. OCCUPATION

Profession is...

• Rooted in theory but aimed in practice

• Job that takes a very high level training that high school education is not enough

• E.g. Doctors, Pharmacists, Manager, Accountant, Nurse, etc.

Occupation is…

• Any paid job a person does to make a living

• Does not necessary take high level and long term training

• Can be manual job or desk job

• E.g. fast food crew, waiter, bell boy, etc.

The Health Care Provider

Merton's value of a Profession Merton's Knowing-Doing-Helping Principles

• KNOWING: the value placed upon systematic knowledge and intellect

• DOING: the value placed upon technical skill and training capacity

• HELPING: the value placed upon putting this conjoint knowledge and skill to work in the service of
others

"At the heart of every profession, there is a counseling relationship between people, and this

relationship, takes on a special mode in health care. Ethical decisions about health matters

depend first of all on a cooperative effort of patients and professionals without which patients

lack the information they need for an informed consent".

Duties and Rights of a Patient

The patient has the right to considerate and respectful care

•The right to obtain from his physician complete current information concerning his diagnosis,

treatment & prognosis

•The right to receive from his physician information necessary to give informed consent prior to

the start of any procedure and/or treatment

•The right to refuse treatment to the extent permitted by law and to be informed of the medical

consequences of his action


•The right to consideration of his privacy concerning his own medical care program

• To expect that all communications and records pertaining to his care should be treated as

confidential

• To expect that within its capacity the hospital must provide a reasonable response to his/her

request for services

• To obtain information regarding any relationship of his hospital to other health care and

educational institutions in so far as his care is concerned.

• To be advised if the hospital proposes to engage in or perform human experimentation

affecting his/her care or treatment

• To expect reasonable continuity of care

• the right to examine and receive an explanation of the hospital bill, regardless of source of

payment

•The right to know what hospital rules and regulations apply to his/her conduct as a patient

Types of Patient's Rights

•Right to informed consent

•Right to informed decision

•Right to informed choice

•Right to refusal of treatment

Right to informed consent

• To receive all necessary information concerning diagnosis and treatment in order to be able to

give consent based on his/her value system

Right to informed decision

• Patient must be informed about the whole process and must understand what this information

pertains to so that an appropriate moral decision can be arrived at.

Right to informed choice

• Patient has the right to be informed about all possible alternative courses of action to be

taken, together with the possible consequence

Right to refusal of treatment

• Patient has the right to refuse treatment to the extent permitted by law and to be informed of
the medical consequences of his action

Limitations of a Patient's Rights

• Does not include the right to be allowed to die

• In a morbid condition, does not possess the necessary mental or emotional stability to make an

informed choice

• Patient's rights are not absolute

Psychoanalytical Model

• Model of counseling relationship which indicates the mutual-ethical responsibilities of patients

and physicians

PSYCHOANALYTICAL MODEL

Client comes to the therapist because of painful anxieties that makes life difficult...

Therapist must win the patient's trust & help him to step-by-step interpret the symbolism of the

symptoms...

Therapist must help the patient acquire new skills in coping with the problems of life terminate

dependence on the therapist.

Attitudes of a Health Care Provider

• Caring and Warming

• Comforting

• Courteous

• Affirming, Accepting & Loving

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