Doctor Patient case study
Doctor/patient: The case description explained that there were two Siamese (conjoined) twins that were connected at the head. ... It serves as a starting point to help employ the interpretive model for the assessment of the patients’ values (which states that some patients don’t know what their values are, so the doctor helps them figure them out, as well as establishing a rapport with the doctor and patient which is great for the vital doctor/patient relationship. The next factor that plays a major role is what state the patient is in, whether the patient is competent (Rational, understanding the consequences of their actions, seeing in the near future, and weighing and determining between treatments), or whether he/she is non-competent (minors, mentally handicapped, non-rational adults, and unconscious individuals). This factor is important because determining a patient’s competence should be the first step in the doctor/patient relationship. The last factors relevant in doctor/patient relationships are the remaining models which are: The Paternalistic model it states that the doctor makes the decisions for the patient’s best interest. There is the informative model which states that the patient is informed of all treatments available, and they choose which treatment they want. Next there is the interpretive model in which the doctor fully informs the patient of all treatments and helps the patient figure out what their values are and then the patient decides. Finally there is the deliberative model which states that the doctor fully informs the patient, and talks to the patient about values then the doctor recommends a particular treatment and then the patient chooses which treatment they desire (doctors try not to coerce the patients decision). ... First and foremost the competency of the patient dictates as to what action ensues thereafter. For the competent patients the interpretive model should be applied, but for a non-competent patient the paternalistic model is only one realistic model that would apply. Although there is only one realistic model for the non-competent patient, there can be several variations and stipulations to fine tune the model. Again this is why the competence of the patient is of the utmost importance when getting the whole doctor/patient procedure started.