Is Patient Empowerment a Myth?

Xavier Prida dr.xavier.prida at GMAIL.COM
Mon Oct 16 10:44:19 UTC 2017


Mark, K D, Peggy,
                              The American Heart Association has framed
this effort to optimize patient engagement by defining and operationalizing
the concept of "Self Care"- for disease prevention and managment. The
document is oriented to CV diseases but it elements would apply in other
domains- with, I may add, attention to the psychosocial context of health,
health behaviors and disease(and attached) :

http://jaha.ahajournals.org/content/6/9/e006997


Xavier

On Mon, Oct 16, 2017 at 12:04 AM, Peggy Zuckerman <peggyzuckerman at gmail.com>
wrote:

> The very fact that this discussion exists reflects the changing dynamic
> that is beginning to occur in the medical world.  Patients rarely would
> describe themselves as 'empowered', nor would they say the same about their
> banking 'relationship'.  The very use of that term implies that the patient
> has received something, has been granted the ability or skills by someone
> else--someone in authority and with the right to pass on to the patient
> something which is not their own to claim independently.
>
> Patients who seek to become more involved or engaged in their own care may
> seek the knowledge which has previously been withheld from them in the
> medical world. The unique set of skills which doctors hope to possess is
> not available to all, and though generally admired.  However, the barriers
> which have thereby separated the medical world from the patient have
> created a mistrust between those parties.
>
> A patient is told not to try to learn about his symptoms, not to seek out
> Dr. Google, but then is unable to understand the medical jargon or the
> ramifications of the suggested treatment. When the doctor values the desire
> of the patient to learn about his own body's functioning, what the symptoms
> may signal, and how the prescribed treatment might be treated and
> monitored, the adult relationship is strengthened.
>
> It is indeed, the engagement of the patient and doctor with one another
> which likely strengthens the relationship and the potential for improved
> outcomes.  And it is the lack of engagement, and the lack of mutual trust
> which leaves the patient vulnerable to the siren calls of the huckster.
>
> Peggy Zuckerman
>
> Peggy Zuckerman
> www.peggyRCC.com
>
> On Sun, Oct 15, 2017 at 12:05 PM, K D <kvdavis at cox.net> wrote:
>
>> The ancient Greek myth of Pandora's Box had Hope in the same box (urn)
>> with the myriad curses of mankind. The ancient Greeks had a good bit more
>> insight into human nature than we do today.
>> "Empowerment" is a word with no real meaning. People who participate in
>> their own welfare, in any form, are behaving in a fashion consistent with
>> "adult" behavior. Those who engage in magical thinking in any form are not
>> engaging in adult behavior. I have had patient's bring reams of paper from
>> internet searches and patients use the term "direct knowing" (
>> http://ascensionglossary.com/index.php/Direct_Knowing) to attempt to
>> guide my treatment of their ailment. I fully understand that "we" don't
>> know everything. However the eradication of many of the pathogens that once
>> were scourges is a testament to the efficacy of the scientific method in
>> Western medicine. Those patients who grasp the basic tenets of modern
>> western medicine are the ones who are more apt to engage in a therapeutic
>> doctor/patient relationship. Those who are apt to use the word "empowered"
>> don't generally fall into that camp.
>>
>>
>> On October 15, 2017 at 7:38 AM Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.
>> ORG> wrote:
>>
>> Many of us are hoping engaged patients will improve diagnosis.  Will it
>> happen ? …..
>>
>>
>>
>> Medscape members can read this here
>> <https://www.medscape.com/viewarticle/886159_3>, and the article is also
>> attached.
>>
>>
>>
>>   Mark
>>
>>
>>
>> Mark L Graber, MD FACP
>>
>> President, SIDM
>>
>> Senior Fellow, RTI International
>>
>> Professor Emeritus, Stony Brook University, NY
>>
>>
>>
>>
>>
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>>
>> Moderator:David Meyers, Board Member, Society for Improving Diagnosis in
>> Medicine
>>
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>>
>>
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>
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-- 
Xavier E. Prida MD FACC FSCAI
Assistant Professor of Medicine
Program Director Cardiology Fellowship Training
USF Morsani College of Medicine
Department of Cardiovascular Sciences
2 Tampa General Circle
STC 5 th Floor
Tampa, Fl 33606
813 259 0992(O)






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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