Question

Healthcare Ethics

Siegler and Childress describe some metaphors and models of physician-patient relationships and their implications for autonomy? Which model or combination of models seem(s) to best enhance autonomy? Christina A. Puchalski, MD, MS’ offers what might be called uncommon but important insights in her article “The Role of Spirituality in Health Care.” What do these insights and those of Verghese and Gawande in their TED talks contribute to the conversation

Answer 1

Siegler and childress about metaphors and models of physician-patient relations in Autonomy:
Physician-patient conflicts encounter different image of medicine..This relationship as paternalistic model..Metaphors highlights some features like physician as a parents for their care and control over them,but they pay fees for the physician for this care..Metaphors and models describe relations as they exit,when it describe roles,they can criticized one moral considerations like care while neglecting others like autonomy..There is no real patient-physician relations like parent-child,rational contractor,friends and technician-client..so there is no single metaphor in health care relationship..
Relationship is the root of some problem solving in health care..It is based on paternalistic doctor-patient relationship..this means patient need trusting,respectful and emphathic relationship..Greater autonomy provided for patient between trust and satisfaction and respect for personal autonomy and verbal communication skills that is important for confidence in physician..This model also insist how cultural and ethnic difference affect patient expectations..
spiritual care involve in serving a patient in health care physically,emotionally,socially..It says that serving the patients by spending time with them..Medical ethics says that religion and spiritual form of care when patient is suffering with pain related to mental and spiritual engaged with Deepest question in life..True caring and healing need focus on patient illness and peace with one's life..It's Core spiritual..Spirituality is a important element for chronic illness people when they are in suffering and loss..cure is not possible for many illness,but it can be compensate with spiritual belief for healing their illness..
Verghese and gawande insist about mental health illness especially when they are in nursing homes and in palliative care..When we listen and care their hopes,fear and beliefs it incorporate these beliefs with therapeutic plans..they focus on innovation in end of life care that battle of being mortal is the battle to maintain the integrity of one's life..Physician and family communication in end of life care improve the acknowledgement or comfort or guidance..