Aetcom 1.2 What is meant to be a patient?

1. AETCOM 1.2 What does it mean
to be a Patient?
Dr. Unmesh Dave

2. • Latin verb "patior" meaning "to suffer" both in
the sense of feeling pain and in the sense of
forbearance.
• "patient" -- as a noun denoting "someone who
suffers"
• and as an adjective meaning "to bear with
forbearance“

3. • A person who requires medical care.
• A person receiving medical or dental care or
treatment.
• A person under a physician's care for a
particular disease or condition.
• A person who is waiting for or undergoing
medical treatment and care

4. Types of patient
• Passive dependant
• Flexible
• Independent skeptic
• Angry

5. Doctor Patient relationship
• The evolution

6. • https://www.thehindu.com/news/national/telan
gana/covid-patients-attendants-assault-medico-
at-gandhi/article31791116.ece

8. • https://www.newindianexpress.com/nation/202
0/aug/01/covid-19-mob-attacks-doctor-after-
woman-dies-10-booked-in-gujarat-
2177843.html

12. Empathy
• Empathy is the capacity to understand or feel
what another person is experiencing from
within their frame of reference, that is, the
capacity to place oneself in another's position

16. Equanimity
• Equanimity is a quality of emotional stability
and composure, particularly in times of high
stress.

19. Stoicism
• Implies an apparent indifference to pleasure or
especially to pain often as a matter of principle
or self-discipline

21. Empowered patient
• Is it being informed about the various health
aspects, wellness status and disease state to
gain maximum health benefits?
• Or is it being an active participant in receiving
healthcare services?

22. Patient centered care
• Systems must be designed to serve the needs
of patients;
• ensure patients are fully informed,
• retain control,
• and participate in care delivery whenever
possible;
• and ensure patients receive care that is
respectful of their values and preferences

23. • Discuss the benefits and risks of each
treatment option.
– Know the benefits and risks of each option
– Understand how they relate to your patient’s
situation and condition.
• Use evidence-based decision-making resources
to compare the treatment options

24. • Outcomes that matter to patients may include:
– Quality of life
– Mobility
– Ability to carry out certain tasks
– Ability to focus
– Ability to return to work
– Side effects/risks of treatment
– Symptoms (e.g., pain, nausea)
– Survival

25. What should we as Doctors do?
• Listening
• Physical mental and emotional comfort
• Educate and inform
• Giving patients our time
• Holistic approach

26. SAQs
• What are the roles of a doctor?
• What is empathy?
• What is equanimity?
• Which one is better?
• How will you interact with a patient or his/her
relatives about a mistake or a medical
negligence on the part of the self or the
hospital?

27. • Would you be comfortable treating your own
family members?
• Should hospitals have a system of recording
patient feedback? Why?
• To what extent should the physician respond to
empathic opportunities?