Doctor and patient : $b Papers on the relationship of the physician to men and institutionsPeabody, Francis Weld
Science
Doctor and patient : $b Papers on the relationship of the physician to men and institutions
Peabody, Francis Weld
Medicine; Medicine -- Practice; Physicians
Here, for instance, is a poor fellow who has just been jolted to the
hospital in an ambulance. A string of questions about himself and his
family has been fired at him, his valuables and even his clothes have
been taken away from him, and he is wheeled into the ward on a truck,
miserable, scared, defenseless, and, in his nakedness, unable to run
away. He is lifted into a bed, becomes conscious of the fact that he
is the center of interest in the ward, wishes that he had stayed at
home among friends, and, just as he is beginning to take stock of
his surroundings, finds that a thermometer is being stuck under his
tongue. It is all strange and new, and he wonders what is going to
happen next. The next thing that does happen is that a man in a long
white coat sits down by his bedside, and starts to talk to him. Now
it happens that according to our system of clinical instruction that
man is usually a medical student. Do you see what an opportunity you
have? The foundation of your whole relation with that patient is laid
in those first few minutes of contact, just as happens in private,
practice. Here is a worried, lonely, suffering man, and if you begin
by approaching him with sympathy, tact, and consideration, you get
his confidence and he becomes _your_ patient. Interns and visiting
physicians may come and go, and the hierarchy gives them a precedence;
but if you make the most of your opportunities he will regard you
as his personal physician, and all the rest as mere consultants. Of
course, you must not drop him after you have taken the history and made
your physical examination. Once your relationship with him has been
established, you must foster it by every means. Watch his condition
closely and he will see that you are alert professionally. Make time to
have little talks with him--and these talks need not always be about
his symptoms. Remember that you want to know him as a man, and this
means you must know about his family and friends, his work and his
play. What kind of person is he--cheerful, depressed, introspective,
careless, conscientious, mentally keen or dull? Look out for all the
little incidental things that you can do for his comfort. These,
too, are a part of “the care of the patient.” Some of them will fall
technically into the field of “nursing,” but you will always be
profoundly grateful for any nursing technique that you have acquired.
It is worth your while to get the nurse to teach you the right way to
feed a patient, change the bed, or give a bed pan. Do you know the
practical tricks that make a dyspneic patient comfortable? Assume some
responsibility for these apparently minor points and you will find
that it is when you are doing some such friendly service, rather than
when you are a formal questioner, that the patient suddenly starts to
unburden himself, and a flood of light is thrown on the situation.
Public-domain text, read in full here on John Shaqi.
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