Friday, January 30, 2015

Negative communication between doctor and patient could make symptoms worse

Since your doctor does not do an objective diagnosis and has no written stroke protocols there is no chance of getting any good feelings from any encounter with your doctor. But you can meet your doctors' expectations by being in the 90% that don't get to a full recovery or become a 30 day death statistic..
http://www.news-medical.net/news/20150130/Negative-communication-between-doctor-and-patient-could-make-symptoms-worse.aspx
Doctors who unintentionally communicate to patients that they don't believe or understand them could actually make symptoms worse, a new study suggests.
The research by the Universities of Southampton and Exeter indicates that a type of 'nocebo' response, where patients perceive a lack of understanding or acceptance from their doctor, could create anger and distress - physiological conditions that can worsen illness.
"Our work indicates that the effects of patients feeling that their doctor doesn't believe or understand them can be damaging both emotionally and physiologically," says lead author Dr Maddy Greville-Harris, from the University of Southampton. "This could lead to worsening of illness, known as the 'nocebo response'.
"Patients bring certain beliefs and expectations to their health care professional, which are moulded by the culture they live in and their previous experiences. Their expectations will undoubtedly affect the outcome but improving communication in consultations could make a big difference to patient care. This is a small study and more research is needed on a larger scale."
Published in the American Journal of Medicine, the researchers recorded and analysed consultations at a pain management clinic involving five women with chronic wide-spread pain. During subsequent interviews, patients reported feeling dismissed and disbelieved by healthcare providers, encountering providers who did not invest in them or show insight into their condition.
Patients described feeling hopeless and angry after invalidating consultations, feeling an increased need to justify their condition or to avoid particular doctors or treatment altogether.

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