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Compassion in Medicine | Reflective Essay

Advancements in medical technology have given rise to medicalization, a process where ‘non-medical’ problems have become understood and treated as ‘medical’ issues.1 This potentially objectifies humans, leading to “deindividuation”2, where doctors identify patients by their disease or procedure. The distancing of doctor-patient relationships have been worsened by limited doctor-patient interactions.3 Humanization of medicine is critical to ensure patients receive adequate care because they are reliant on the doctor’s competence and good will.4 This is where the BH1002 module contributes to my development as a good doctor. It increases my awareness of patients’ needs and the complexities of the healthcare system. The essence of this module is encapsulated in three learning points: a) Professionalism; b) Communication in Doctor-patient relationships; and c) Patient safety. My role as a future doctor is to heal. Professionalism exemplifies the contract between society and medicine as it is the foundation of doctor-patient trust.5 In the BH1002 tutorials, I was exposed to three fundamental principles of professionalism, namely, the primacy of patient welfare, patient autonomy and social justice. Professionalism requires honesty with patients, empowering them to make informed medical decisions; it requires trust and having patients’ interests at heart; it involves equal distribution of healthcare resources to all patients.5 In my opinion, medical professionalism involves demonstrating humility and compassion. Modern medicine has established a culture defined by entitlement and conceit, and humility indicates weakness or false modesty.6 Having the confidence to tackle my insecurities is paramount to my development as a doctor. However, I am aware that self-confidence can develop into overconfidence as my level of clinical knowledge and skills increases. It can cause me to overestimate my capabilities, breeding incompetency and arrogance. As a future doctor, I strive to remain grounded and be accountable for my blunders. I will avoid finger-pointing when mistakes occur. Being humble makes me mindful of the limits of my knowledge, allowing me to recognize opportunities for improvement. I will consider things from my patient’s perspective, prioritizing the well-being of my patients. Humility and confidence are not mutually exclusive.7 To strike a balance, I will constantly evaluate myself in clinical encounters. Through introspection, I can work towards being a more gracious person. I understand that when I am tired, I may have a temporary lapse in humility and be rude to someone. In response, I will take time to apologize sincerely, fostering better work dynamics in the medical setting. Compassion is an important aspect of medical professionalism. It involves both empathy and the desire to improve the current situation. The Society for General Internal Medicine describes empathy as “the act of correctly acknowledging the emotional state of another without experiencing that state oneself.”8 In this module, I was taught to strive for detachment with my patients to ensure that my feelings do not hinder the quality of care I provide.8 Nonetheless, it is essential to be sufficiently vulnerable to my patient’s suffering. When my attention is focused on my patients, they will be able to feel that I care. In contrast, being emotionally-detached could be interpreted as being indifferent, increasing their suffering due to the lack of understanding. A study on the effect of forty seconds of compassion on patient anxiety noted, “The enhanced compassion segment was … effective in decreasing viewers’ anxiety”9. Compassion builds trust between the doctor and patients, encouraging them to recall and disclose significant details about their conditions.8 Increased awareness of the patient’s situation allows for more accurate diagnosis and effective personalization of treatments, improving the quality of care.8 Patient satisfaction is increased, enhancing the doctor-patient relationship. I strive to exhibit medical professionalism by being compassionate. As a future doctor, I am responsible for the welfare of my patients. Having compassion will make me attentive to their needs. I can understand the situation from their perspective, and think about how I can ease their suffering. Consequently, my patients will not have to face their difficulties alone. The doctor-patient relationship is a keystone of care. Built on trust and compliance, it exists when a doctor serves a patient’s medical needs, providing support and healing.10 There were two key reasons taught on why effective communication is crucial: a) provision of quality care; and b) medicine adherence. I believe patients benefit most when there is mutual trust and respect – doctors set aside time to listen to their patients; patients provide information about their medical condition to the best of their ability and comply with prescriptions. This can only be achieved with effective communication. In the provision of better healthcare, it is important to focus on the medical interview between the doctor and patient. This is the main medium through which doctors gather information about the patient, make diagnoses and develop the doctor-patient relationship.3 During the tutorials, I was introduced to a famous painting, The Doctor by Fildes. The painting exemplifies the qualities of an ideal doctor. Despite the inadequacy of medical technology, and thus inability to save the patient, he remains by the patient’s bedside, providing reassurance through his presence. This is a huge contrast with the modern physician, who, because of the large number of patients to see every day11, is often unable to set aside time to stay by the patient’s side. In his book, Being Mortal: Medicine and What Matters in the End, Gawande laments the deterioration of care in the medical setting. He attributes it to the shift in focus to curing diseases quickly using modern technology, highlighting that “fast, solution-oriented care accounts for approximately one-quarter of Medicare expenditures”11. Moreover, the time spent on write-ups is threefold the time spent in direct contact with the patient12. This means that little time is spent on communication with the patient. For this reason, patients feel neglected and even more miserable when doctors are unable to listen to their emotional needs and address their concerns. What I wanted … was a doctor … who understood that a conversation was as important as a prescription; a doctor to whom healing mattered as much as state-of-the-art surgery did. What I was looking for … was a doctor … who is able to slow down, aware of the dividends not just for patients but for herself and for the system.11 In the introduction to the course, I was taught that doctors have an ethical obligation to prioritize the best interests of the patient. This means alleviating their suffering and minimizing patient dissatisfaction. When doctors take the time to listen carefully, the quality of information obtained increases, enabling a more accurate diagnosis to be made.3 In mastering communication skills, I can clearly explain my patient’s situation, preventing misunderstandings that may occur due to the lack of understanding of “basic health ideas, medical terms or medical information”13. I can provide emotional reassurance to those involved, facilitating the process of healing and enhancing the doctor-patient relationship. Medicine adherence refers to whether patients follow the agreed recommendations and whether they take their medication for the entire duration.14 Effective communication is the major determinant of compliance.15 Doctors struggle with communicating information effectively, as seen in a study that reported, “40-80 percent of the medical information patients receive is forgotten immediately and nearly half of the information retained is incorrect”15. In this module, I was taught the teach-back method to improve medicine adherence, which relies heavily on communicating information to patients in a way that is easily understood. In teach-back, patients are asked to describe the information taught. This involves them in prescription decisions and serves as confirmation that they understand what has been explained, such as the prescribed dosage of their medication. Patients can then make informed decisions regarding their use of medicines. By engaging patients in their care, they are more likely to comply with the prescriptions, leading to a higher quality of life and higher satisfaction.14 As a future doctor, I strongly believe that patients have a right to make decisions in regard to their health. This means that if patients refuse to take the prescribed treatment, that choice must be an informed one; if they accept the recommendation, I am responsible for facilitating the appropriate adherence to optimize the efficacy of treatment and reduce risk of side effects. Using what I learnt, as well as the “SPIKES” model detailed in WHO Multi-professional Patient Safety Curriculum Guide16, I will provide uninterrupted time for patients to share their concerns and ask questions about their conditions. This will help me understand my patients’ beliefs and assure them that I am listening. After which, I will provide the necessary information, in a comprehensive manner, using the teach-back method to check their understanding. This will facilitate shared-decision making, where patients can effectively voice concerns about aspects of the treatment they disagree with. This allows me to tackle the issue of limited health literacy of patients and negotiate a treatment they are agreeable with. A large proportion of the BH1002 module was spent discussing patient safety. I was exposed to the idea of human limits and reasons why healthcare systems fail. My greatest takeaway was being constantly reminded that doctors are not infallible. In fact, great doctors are people who expect errors to occur and take measures to prevent them before these errors can happen. Humans have limitations that can predispose them to error. Through the lectures, I learnt about memory constraints, confirmation bias in perception and selective vision. The recalled memory is reconstructed, changing according to what we perceive; we tend to seek evidence to support our decisions, even if the decision may not be correct; we do not notice when something unexpected enters our field of vision, especially when we are focused on something else. These cause difficulty multi-tasking and recalling detailed information quickly15, creating room for error. Now that I am aware of these limits, I will put in greater effort to reduce the impact human limits have on my patients’ health. I will use writing aids, noting important information immediately, reducing the reliance on human memory. This also removes the uncertainty that I could have remembered the wrong details. I believe this habit needs to be cultivated while I am a medical student. Therefore, I have begun with the lectures I attend, jotting down points raised by lecturers and reviewing them for greater understanding of the content taught. To reduce the risk of confirmation bias, I will make sure to gather information from reliable sources, analyze the data carefully before reaching a conclusion, instead of drawing a conclusion before finding evidence that tally with my opinion. In a medical practice study conducted in 2000, To Err Is Human: Building a Safer Health System, it is emphasized that to assure patients that they are safe from accidental injury, concerted effort by all professionals is required to “break down traditional clinical boundaries, the culture of blame, and systematically design safety into processes of care”.17 There are several reasons why healthcare systems fail. First would be the traditional intolerance for error in the medical setting. Doctors are held personally accountable even if the error was systems-based and beyond their control. The medical culture of blaming encourages doctors to underreport errors out of fear of disciplinary measures.18 The BH1002 module taught the importance of sharing the burden of guilt. If a doctor makes a mistake, sharing creates opportunities for everyone to review the problem objectively. Improvements can then be made to existing systems to prevent a repeat of the same mistake. I learnt about the “Swiss cheese model of system accidents”. This model compares the different levels on which mistakes occur with slices of cheese. Each slice represents a layer of defense against potential errors. In the real world, each slice has holes in different places, each representing a loophole. A catastrophe will occur when the holes align to permit an opportunity for accidents, directly bringing patients in contact with hazards.19 These lapses in defense arise from two types of errors. Active errors are unsafe behaviors committed by people that lead directly to a given error. Latent errors are errors that remain dormant in the system until ‘triggered’ by other events. These occur further away from the action itself, such as flaws in the healthcare organization or faults in the equipment used. Active errors are often unpredictable whereas latent errors can be prevented. The persons-approach, which focuses solely on active errors and individual blame, is therefore of limited benefit because it deals with errors only after they occur. In contrast, the systems-approach revolves around the idea that errors are to be expected and designs a resilient system to reduce the risk of incidence of error before it happens. The systems-approach is important to my development as a good doctor. It reminds me of the need to adhere to standard operating procedures in the medical setting. Simple practices such as hand hygiene can reduce the risk of spreading infections among patients. I understand that patient handovers are an integral part of the healthcare system. There are an average of 50-100 steps between the doctor’s decision to order a medicine and the delivery of the medicine to the patient, causing an overall 39% chance of error.20 I will do my part by making my case notes comprehensible and legible to prevent miscommunication between doctors. I will clarify expectations before undertaking any tasks and consult my superiors should I be unsure of any issues. When reporting critical laboratory results, I will use the read-back method, noting and correcting any discrepancies to ensure the relayed information is accurate. This will reduce the risk of harm brought to the patient. The healthcare environment is a very complicated one. In the beginning, I was fearful of the rigid and complicated hierarchies that exist. The BH1002 module has equipped me with the necessary knowledge of what it takes to be a good doctor, as well as how I can understand my patients better and ensure their safety. I believe being accountable for my actions is the best way to exhibit professionalism and help people. I look forward to overcoming the trials I will face as a doctor. I hope to become a doctor who can serve my patients and peers well, by providing quality care and becoming a pillar of support.
LensCrafters is a global company that specializes in prescription eyewear and sunglasses. It has more than ninety stores in California alone, making it the largest optical outlet in the U.S. The company is one of the subsidiaries of Luxottica, the Italian company that is the world’s biggest eyewear provider.It was founded in the year 1983. Lens Crafters CBP LensCrafters Customer Benefit Design is configured to provide convenience in the access of eye examination, a wide range of frames and lenses from which to choose from in accordance with a customer’s design preference at a competitive price, as well as a guarantee of ninety days that is unconditional. The company offers the most luxurious and fashionable eyewear. The three key characteristics of LensCrafters at this level are service delivery, system design and service encounter design. Service Delivery LensCrafters delivers quality service through a couple of strategies. They have a one-year Eyewear Protection Plan that offers repair and replacement of all eyewear purchased within one year. The repair and replacement are only offered in the event of an accidental damageor the normal wear and tear. The kind of eyeglasses one wears say a lot about them. For that reason, LensCrafters providesa wide variety of frames that complement a person’s style, while at the same time fitting their lifestyle (Diamond 6). System Design LensCrafters offers a digital measurement system that ensures that their customers get glasses that are specifically crafted for them. This saves customers of the trouble involved in going through a variety of lenses and frames in search of the one that is fitting and desired. The eyewear design at LensCrafters offers has unique features such as the Virtual Mirror that enables one to take digital images. Service Encounter Design The company’s Customer Benefit Design also includes service encounter designs that are fashioned to cater for the customers with special lifestyles. For instance, the Ray-Ban design is a special modification to suit customers that live an active and vigorous lifestyle. The design includes a memory metal material fitted on the spectacles to force the frame into its design shape whenever it encounters pressure of any kind. Get your 100% original paper on any topic done in as little as 3 hours Learn More Lens Crafters’ Strategy LensCrafters’ survival strategies involve meeting their clients’ requirements quickly and consistently. For many years now, the company has managed to offer customers the desired eyewear within about one hour. This gives their customers the impression that the company understands that they operate in tight schedules. This drives a purchasing decision, especially those who do not have the time to shop around. The company has also diversified its products and services making it possible to make purchases at the same retail outlet. The three key characteristics of LensCrafters at this level are differentiation strategy, Customer Relationship Management (CRM) and Knowledge Management system (KM). Differentiation Strategy Differentiation strategy is whereby a company offers a product or service with unique features in the market. At LensCrafters, a lab situated at the premises is used to offer customers a one-hour period to pick a desired frame and lenses and have the ready spectacles. Whereas many other eyewear companies offer the same, LansCrafters does it at a record short period (Wilson 144-145). If a customer is not pleased with the purchased glasses, they can return them in exchange for desired ones within ninety days. The differentiation strategy also comes with the benefit of a see-now-pay-later program. The program makes it easy for everyone to afford the products because it provides customers with a twelve months of no interest purchase. The doctors at the company provide eye examinations that are comprehensive. Customer Relationship Strategy (CRM) This strategy is used by the company to gather information about the customers’ behaviors, preferences and needs. This gives them the ideas on how to offer better services and products.Customer Relationship Strategy includes automation of the sales force and support of the customers (Zemke and Schaaf 45-49). The strategy is also used to carry out a marketing campaign and analysis. For instance, the information obtained from the eye examinations conducted on the patients is used to prospect the needs of the customers. We will write a custom Research Paper on Lens Crafters Management specifically for you! Get your first paper with 15% OFF Learn More Knowledge Management system (KM) A Knowledge Management system is an IT system that can capture, organize and disseminate knowledge at all levels of the organization. This enables all the employees to be aware of the company’s facts, such as the patents, strategic operations and other sources of knowledge regarding the company. The sales force automation systems enable the company to track the lead of sales, forecast and liaise with the management accordingly. Competing Priorities LensCrafters operates in a market that is so diverse. This has forced the company to come up with various competing priorities that are logical. As one of the largest retail outlets in the world, LensCrafters has among the best competing priorities. The three key characteristics of LensCrafters at this level are vertical integration, use of the internet and a friendly view of the customer. Vertical Integration The company derives some of its competitive strengths from vertical integration applied in all the areas that are key to success. Such areas include product lines, consumers, retail shops, technological designs, promotion and the web. Their main competitors do not apply the concept of vertical integration and usually outsource some of the functions that LansCrafters own internally (Reese 10). Through vertical integration, the company has managed to provide quality products which keep the customers coming back, making it a great selling point for the company. Use of the Internet LensCrafters uses the internet for sharing information about the products, doing press releases, as well as giving information regarding the access to the various outlets. Many other companies use the internet as a tool of being in touch with current and potential customers. LansCrafters however uses the company’s website to provide the customers with links that can enable them find their desired products and designs. The website also provides the customers with a platform within which they can air their queries, suggestions and compliments. Large-scale retailers and even individuals can make orders over the company’s website, which facilitates huge sales. View of the Customer A key strength of LansCrafters is the way in which it views its customers as first priority. If a customer dislikes a company’s product, it loses its survival chances. LansCrafters has come up with various strategies that ensure that they keep up with the ever-changing world through satisfying the customer trends. Not sure if you can write a paper on Lens Crafters Management by yourself? We can help you for only $16.05 $11/page Learn More Their customer service is also very good. The company has established a culture of treating the customers as king, and this always brings the customer back. They have a way of attracting and satisfying customersbetter than their competitors. Works Cited Diamond, Michael. “A Decade Later, LensCrafters Sales Give Skeptics an Eyeful.”Cincinnati Business Courier. 03 May 1993: 6. Print. Reese, Shelly. “LensCrafters Leader in Eyeglass Retail Race.”Cincinnati Enquirer. 21 March 1993: 10. Print. Wilson, Marriane. “LensCrafters Polishes Image with Style.”Chain Store Age Executive with Shopping Center Age. 23 July 1998: 144-145. Print. Zemke, Ron, and Dick Schaap. The Service Edge: 101 Companies That Profit from Customer Care. New York: New American Library, 1989. Print.
  First, List the factors that affect public opinion and analyze their relationship to each other and their relative importance. Provide specific examples of each factor Second, Distinguish between public opinion and individual opinion and explain why policy makers are concerned about public opinion. Be sure to provide examples to back up your claims

Saint Thomas University Wk 3 Fatigue and Weakness Symptoms Discussion

Saint Thomas University Wk 3 Fatigue and Weakness Symptoms Discussion.

Follow rubric all the time, follow information of the patient belowDescribe your clinical experience for this week.( patient came to the clinic complaining of fatigue and weakness 2 to 4 time a days, patient said most part of the day is feeling tired and wanted to be in bed all day)Did you face any challenges, any success? If so, what were they?Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and possible differential diagnosis.What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?Support your plan of care with the current peer-reviewed research guideline.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Grading Rubric Your assignment will be graded according to the grading rubric.Discussion RubricCriteriaRatingsPointsIdentification of Main Issues, Problems, and Concepts5 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues, problems, and concepts.4 pointsExcellentIdentifies and demonstrates an accomplished understanding of most of the issues, problems, and concepts.2 pointsFairIdentifies and demonstrates an acceptable understanding of most of the issues, problems, and concepts.1 pointPoorIdentifies and demonstrates an unacceptable understanding of most issues, problems, and concepts.5 pointsUse of Citations, Writing Mechanics and APA Formatting Guidelines3 pointsDistinguishedEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.2 pointsExcellentEffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.1 pointFairIneffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.0 pointPoorIneffectively uses the literature and other resources to inform their work. Unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.3 pointsResponse to Posts of Peers2 pointsDistinguishedThe student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.1 pointFairThe student constructively responded to one other post and either extended, expanded or provided a rebuttal.0 pointPoorThe student provided no response to a peer’s post. 2 points
Saint Thomas University Wk 3 Fatigue and Weakness Symptoms Discussion

choose a toipic and write about it .

online dissertation writing choose a toipic and write about it .. I’m studying and need help with a Health & Medical question to help me learn.…
Using the website above– the entire guide must be read completely.
After doing so you will choose 4 topics. Each week one of the topics will be used for your journal entry. You will do additional research on each of your selected topics and provide the appropriate citation for your research– 2 additional references will be expected.
The length of your entry must reach 500 words. It can be written directly into the journal or attached as an RTF or Word document. this is the fourth topic . please use one topic we have not done before. I have done 3 topics which are :

Who should buy health insurance?
Which type of health insurance to buy
Essential Benefits of Health Insurance Planning

choose a toipic and write about it .

MGT 520 Saudi Electronic University Management Writing Question

MGT 520 Saudi Electronic University Management Writing Question.

I’m working on a management writing question and need support to help me understand better.

Here is the instruction for the assignments, and I attached some helpful document and the last assignments please check and see the professor comments to avoid it in this one. Also attached the APA 7d styleDescription: In January of 2020, you were hired as the HR Director by your close friend, the President of Technological Innovation and Practice, Inc. Technological Innovation and Practice, Inc. is a large, growing information technology company that serves businesses around the globe. Currently, the company employs over 40 full-time IT professionals, 15 customer service agents, and 11 administrative assistants. In February of 2020, the company projected that by January of 2021, it would employ over 480 full-time professionals. While the organization has a strong employee handbook in place, the performance management system is lacking. It appears that performance appraisals have been conducted once a year; however, employees often feel shocked by their appraisal.ScenarioMohammed, who has worked for the organization since its inception, has explained that the formal meetings, which take place annually, are problematic. He has informed you that upper-level management provides feedback to employees; however, employees are not allowed to contribute during the feedback process. In fact, Mohammed stated that employees are only present for the meeting and cannot provide any rebuttal if they do not agree with the rating given. Furthermore, the assessment used does not allow for comments and only utilizes a four-point Likert-type scale. In the assessment, all employees, regardless of position/roles and responsibilities, are assessed based upon three factors: (1) communication, (2) problem-solving abilities, and (3) ability to work with teammates.Based upon the information provided by Mohammed, address the following:What are the benefits and drawbacks associated with the annual performance review process, as it currently stands? What recommendations would you make to improve the annual performance review process?What information should be considered when creating a strong performance evaluation form? What are some of the issues associated with the current form? What recommendations would you make to improve the current performance appraisal form? Why?What is the relationship between an organization’s annual performance review process/evaluation assessment and employee motivation?Ensure to integrate sufficient support from scholarly resources throughout the assignment. Use suitable headings and subheadings to organize the work in an appropriate manner.Be sure to support your statements with logic and argument, citing any sources referenced.Your well-written paper should meet the following requirements: Use Saudi Electronic University academic writing standards and APA style guidelines.Support your submission with course material concepts, principles, and theories from the textbook and at least two scholarly, peer-reviewed journal articles.Plagiariism Policy!!!!!! (very important): Refrain from only copying and pasting large direct quotes in your papers and discussions. You will want to read, synthesize, critically think, and then apply reputable source material to support/substantiate your thoughts/writing.Cite all paraphrased sections of your paper. Be intentional in using citations. Do not simply place a citation at the end of a paragraph. You must cite exactly where you use a reference. Example: (Anderson & Moore, 2017).Ensure that you refrain from using direct quotes for more than 10% of your paper. Using more than 10% direct quotes in your paper does not show me that you used critical thinking in your discussion posts or critical thinking assignments. All direct quotes should be cited appropriately with quotation marks around the direct quote, and a citation for direct quotes using a page or paragraph number. Example: (Hamilton, 2015, p 57).If your Turn-It-In score is more than 25%, correct it before you submit your paper.IMPORTANT – If your paper has a sccore of 25% or less, you must still cite all material correctly. Failure to cite correctly or cite at all is plagiiarism regardless of the match score. For example, if I have a match of 12% and did not cite, or did not cite correctly, I still plagiarized
MGT 520 Saudi Electronic University Management Writing Question

Need Herb/Spice Identification Speech written

Need Herb/Spice Identification Speech written.

I’m giving a speech about herb identification for my menu planning and purchasing class in a couple days and I need it to be written for me. I will upload a paper that has all the instructions and what to write, research and do for it. I don’t need a bibliography and it should be one page at most. It should be 6 minutes long and well researched. There are seven points to focus on that will be shown on the sheet I upload and remember, the herb I’m assigned is MINT! I will give the buyer plenty of time to write out the speech I just want to be good enough to get me an A or B so if you’re gonna bs me, leave now.
Need Herb/Spice Identification Speech written