Saturday, August 31, 2019
Only the Truth Essay
Truthfulness for a patient enables effective goal attainment while in the healthcare system. However, according to Zahedi (2011) states, ââ¬Å"not telling the truth about cancer consisted of: worry that patients could not take the emotional impact, concern about not being able to manage the patientsââ¬â¢ emotional reaction after learning the truth, and protecting patients from harmâ⬠(p. 4). Yet, according to Bok (2007), ââ¬Å" an overwhelming majority of patients do want to be told the truth, even about grave illness, and feel betrayed when they learn that they have been misledâ⬠(p.489). Doctors should tell their patients the truth because is supports trusting doctor-patient relationships, upholds patients autonomy, and provides time to make end of life decisions. Truth is a foundation for doctor-patient relationships. Bok (2007) states ââ¬Å"truthful information, humanely conveyed, helps patients cope with illnessâ⬠(p. 489). An exchange of information is key in a patient feeling comfortable within the healthcare system, which is attainable from being told the truth. Wells and Kaptchuk (2012) indicate, ââ¬Å"truthful and meaningful communication is paramount in patient care as it affects not only patient satisfaction with care, but also patient knowledge and behaviourâ⬠(p. 26). Patient require to have low levels of anxiety when dealing with a disease, truth enables the decrease of distress. Eisen et al (2008) states, ââ¬Å"[h]ealth care settings is extremely important in contributing to the healing process, it is vitally important to identify what type of art supports stress reductionâ⬠(p. 173). Patients dealing with discomfort can manage it more easily after being told the truth due to it being the more vocalized. Milligan (2012) states, ââ¬Å"[r]elief of pain and other symptoms might be expected to be among the most prevalentâ⬠(p. 49). Truth telling stimulates hope for a patient by allowing them to have optimism toward their diagnosis, and that their aimed goal is achievable. Begley and Blackwood (2000) state that hope is, ââ¬Å"a mental state characterized by the desire to gain or accomplish a goal combined with some degree of expectation that what is desired or sought is attainableâ⬠(p.28). Security for a patient allows for them to create decisions they are confident about when dealing with procedures. Silva et al (2003) indicates that truth, ââ¬Å"increases the feeling of safety and the capacity of mature co-operation for decision makingâ⬠(p. 420). In addition, truth upholds patientsââ¬â¢ autonomy. Bok (2007) indicates that it allows them ââ¬Å"to make informed choices about whether or not to be a patient (p. 489). Truthfulness for a patient allows them to follow directions during treatment and procedures more willingly. Torres et al (2013) indicates, ââ¬Å"meta-analyses discussing this subject have suggested that compliance depends on the involvement of patients and healthcare providers in follow-up tasksâ⬠(p. 3). An autonomous individual has a ability to make his/her own decisions including decisions about how much information they would like to receive. Slowther (2009) writes, ââ¬Å"[p]roviding relevant information in a form that a patient can understand, minimizing barriers to decision-making caused by illness or medicationâ⬠(p. 174-175). Patients seek the knowledge and advice of more than one doctor to confirm a diagnosis and evaluate treatment options. Hall et al (2002) writes, ââ¬Å"general trust is related to certain patient attitudes and behaviours such as satisfaction with care, willingness to follow doctorsââ¬â¢ recommendations, desire to seek second opinions, and prior disputes with physiciansâ⬠(p. 1422). Complimentary treatments for a disease are being used by patients for the reason of allowing them to minimize signs and symptoms themselves outside of the healthcare system. Burstein (2000) states, ââ¬Å"[p]atients identified their desire to ââ¬Å"boost the immune system,â⬠enhance their quality of life, gain control over their life, prevent or treat their cancer, and treat side effects of cancer therapy as the principal reasons for using CAM. Patients credited their conventional practitioners with truth- fulness and technical knowledgeâ⬠(p. 2501). Patient that are truthfully informed about procedure options are given the opportunity to decide if they think it will be benefit for them. Hall et al (2002) indicates, ââ¬Å"[t]rust is critical to patientsââ¬â¢ willingness to seek care, reveal sensitive information, submit to treatmentâ⬠(p. 1419). Denying any procedures or treatments is capable from a patient that has been truthfully advised. Oââ¬â¢Brien (2012) states, ââ¬Å"[t]he autonomous right of competent adults to decide what happens to their own body and the corresponding right to consent to or refuse medical treatment are cornerstones of modern health careâ⬠(p. 7). Moreover, truth provides patients with time to make end of life decisions. Bok (2007) writes they consider ââ¬Å"whether or not the enter a hospitalâ⬠(p. 489). Patients that have been told the truth are made more comfortable to practice their spirituality in order to come in contact with a sense of worth when dealing with a terminating prognosis. Rahnama et al (2012) states spirituality, ââ¬Å"is a way through which human beings recognize the exalted meaning and value of their livesâ⬠(p. 21). Patients that require to enter a palliative care unit rely on being told to truth in order for the conversion to be done with ease. Ingleton et al (2011) indicates, ââ¬Å"continuity of care and multidisciplinary collaboration are crucial in order to improve the experience of patients making the transitionâ⬠(p.57). Arrangements must be made for a patient once in the stage of end-of-life, to secure unresolved personal affairs. Hash and Netting (2007) writes, ââ¬Å"legal rights, financial and property concerns require intentional planning, for once the partner dies it may be too late to rectify ownership issuesâ⬠(p. 72). The remaining time for a patient is crucial for making decisions about how to establish any preparations to avoid any distress. Conway (2008) indicates that, ââ¬Å"emphasizing the inevitability of death in old age as a normal part of human existence and the importance of registration procedures and funeral arrangementsâ⬠(p.406). Truthfulness for a patient allows them to have a comfortable experience when in their remaining days. Paulus states, ââ¬Å"[a]n integral part of palliative care, therefore, is to regard dying as a normal process and to help patients achieve a peaceful death. â⬠In conclusion, truth is a vital feature of self governed choices. Interpersonal relations among patients and healthcare professionals creates a fundamental base which enables security. Capacity for a patient to make decisions on their own allows for the obtainment of knowledge for treatments. Preparations to brace for oneââ¬â¢s passing gives a patient the ability to experience a tranquil moment preceding entering the afterlife. Truth reinforces patientsââ¬â¢ freedom and strengthens the ability to make provisions before bereavement. References Begley, A. , Begley, A. , & Blackwood, B. (2000). Truth-telling versus hope: A dilemma in practice. International Journal Of Nursing Practice, 6(1), 26-31. doi:10. 1046/j. 1440-172X. 2000. 00178. x Burstein, H. J. (2000). Discussing complementary therapies with cancer patients: What should we be talking about? Journal of Clinical Oncology, 18(13), 2501-2504. Conway, S. (2008). Public health and palliative care: principles into practice?. Critical Public Health, 18(3), 405-415. doi:10. 1080/09581590802191906 Da Silva, C. , Cunha, R. , Tonaco, R. , Cunha, T. , Diniz, A. , Domingos, G. , & â⬠¦ De Paula, R. (2003). Not Telling the Truth in the Patientââ¬âPhysician Relationship. Bioethics, 17(5/6), 417. doi:10. 1111/1467-8519. 00357 Eisen, S. L. , Ulrich, R. S. , Shepley, M. M. , Varni, J. W. , & Sherman, S. (2008). The stress-reducing effects of art in pediatric health care: Art preferences of healthy children and hospitalized children. J Child Health Care, 12(3), 173-190. doi:10. 1177/1367493508092507 Gardiner, C. , Ingleton. C. , Gott. M. , & Ryan. T. (2011). Exploring the transition from curative care to palliative care: a systematic review of the literature. BMJ Support Palliative Care, 1(1), 56-63. doi:10. 1136/bmjspcare-2010-000001 Hall, M. A. , Camacho, F. F. , Dugan, E. E. , & Balkrishnan, R. R. (2002). Trust in the Medical Profession: Conceptual and Measurement Issues. Health Services Research, 37(5), 1419-1439. Hash, K. M. , & Netting, F. (2007). Long-term planning and decision-making among midlife and older gay men and lesbians. Journal Of Social Work In End-Of-Life & Palliative Care, 3(2), 59-77. doi:10. 1300/J457v03n02-05 Lopez-Torres, J. , Parraga, I., Del Campo, J. M. , & Villena, A. (2013). Follow up of patients who start treatment with antidepressants: treatment satisfaction, treatment compliance, efficacy and safety. BMC Psychiatry, 13(1), 1-9. doi:10. 1186/1471-244X-13-65 Milligan, S. (2012). Optimizing palliative and end of life care in hospital. Nursing Standard, 26(41), 48-56. Oââ¬â¢Brien, S. (2012). Minors and refusal of medical treatment: a critique of the law regarding the current lack of meaningful consent with regards to minors and recommendations for future change. Clinical Ethics, 7(2), 67-72. doi:10. 1258/ce. 2012. 012007 Paulus. S. C. (2008). Palliative care: An ethical obligation. Retrieved from http://scu. edu/ethics/practicing/focusareas/medical/palliative. html Philip, J. , Gold, M. , Schwarz, M. , & Komesaroff, P. (2011). An exploration of the dynamics and influences upon second medical opinion consultations in cancer care. Asia Pacific Journal Of Clinical Oncology, 7(1), 41-46. doi:10. 1111/j. 1743-7563. 2010. 01330. x Rahnama, M. , Khoshknab, M. , Maddah, S. , & Ahmadi, F. (2012). Iranian cancer patientsââ¬â¢ perception of spirituality: a qualitative content analysis study. BMC Nursing, 11(1), 19-26. doi:10. 1186/1472-6955-11-19 Sharma, H. , Jagdish, V., Anusha, P. , & Bharti, S. (2013). End-of-life care: Indian perspective. Indian Journal Of Psychiatry, S293-S298. Doi:10. 4103/0019-5545. 105554 Slowther, A. (2009). Truth-telling in health care. Clinical Ethics, 4(4), 173-175. doi:10. 1258/ce. 2009. 009033 Wells, R. , & Kaptchuk, T. J. (2012). To Tell the Truth, the Whole Truth, May Do Patients Harm: The Problem of the Nocebo Effect for Informed Consent. American Journal Of Bioethics, 12(3), 22-29. doi:10. 1080/15265161. 2011. 652798 Zahedi, F. (2011). The challenge of truth telling across cultures: a case study. Journal Of Medical Ethics & History Of Medicine, 4(1), 1-9.
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