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The Importance Of Effective Communication Within Doctor Patient Relationships.

2521 words - 11 pages

The importance of effective communication within Doctor- Patient relationships.
Upon setting out on this placement, it was my intention to study the communication methods and the effectiveness of such by doctors within the multidisciplinary team in order to prepare this assignment. Whilst on placement I was assigned to an On Call Registrar assigned to many consultants at the time. This wasn’t particularly ideal as continued contact with patients was not available to me, however there was one patient I recall whom I gained a lot of insight from. We were called to the extension ward of A&E where we were presented with a young woman, 19 years of age. She had been sent across from her GP with severe posterior flank pain. A urine test was performed at the surgery which proved positive for blood, protein and nitrates. During examination of this lady she had a slightly elevated temperature, her blood pressure and pulse were normal and she appeared to be in discomfort upon palpation of the area. Other than this she appeared fit and well, enjoyed a normal busy social life, consumed alcohol every other weekend and was studying health and social care at college. A case history of the patient was taken whereby it was discovered that three previous UTI’s in the past five months had occurred and were treated, however the patient claimed on this occasion a urinary sample wasn’t taken and tested at the GP surgery. At this point of contact we were unaware that this was not the case. The surgery had in fact had the results for the urine test, which were positive for infection. During discussion with the registrar, we decided that the probable cause of this admission was an upper UTI, but because of the nature of the presentation and the reoccurrence of the UTI’s, it was decided that a urine sample should be taken to obtain a culture. Full blood tests were also taken, and an ultrasound scan was proposed in order to rule out the presence of any kidney stones, which could also be the cause of the persistent infections. It was decided to admit the patient and start a course of intravenous antibiotics. We later found out that a urine sample had in fact been obtained at the GP surgery earlier that day, which the patient had falsely claimed it had not.
What stood out about this situation to me was that this patient had withheld this vital information from the registrar. It could not be said whether this had been intentional by the patient, however it was decided not to discuss it further with the patient, as this may have hindered the trust and rapport that had already been built. It may have been due to a breakdown in communication between the patient and her GP, but because of the nature of the role in which the registrar had acquired the final outcome of this case, it was not witnessed. Upon our withdrawal from this patient and A&E department it was felt that the patient felt a lot happier and more at ease with the care that she had been given so...

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