01 Relatie Medic-pacient 2016
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Transcript of 01 Relatie Medic-pacient 2016
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" Conflictul de interese implica o intersectie intre interesele personale si
cele publice (ale pacientului) decurgand din pozitia de decizie(publica/a pacientului) pe care o poate avea medicul
" Poate apare atunci cand interese proprii ori ale unor terti apropriati
ori membrii ai familiei (pana la gradul III) se intersecteaza cu datoria
oficiala/publica putand influenta indeplinirea cu obiectivitate a
acestora (art. 70 din Legea 161/2003 ). " -Incompatibilitatea este starea de natura a genera conflict de interese.
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Conflictul de interese in medicina
se poate manifesta in:! Alegeri
! ingrijirea medicala
! luarea unei decizii
! Cercetare
! Evolutia carierei profesionale
! publicarea stiintifica, etc.
L!VNP
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Model paternalist:
bazat pe atitudinea
paternalista a medicului(de inspira"ie european!)
Model informativ: bazatpe autonomia pacientului
in relatie cu medicul(deinspira"ie american!)
Model interpretativ
bazat pe autonomia
pacientului in relatie cumedicul
Modelul deliberativ:
bazat pe dezvoltarea
unei rela"ii
Principiul eticcare prevaleaz!
Beneficien!a asupraautonomiei.
Autonomia asupra beneficen!ei
Autonomia asupra beneficen!ei.
Beneficen!a se împlete#tecu autonomia.
Cine decide înmodelul de
rela"ie.Rolul medicului
Medicul
Medicul este în control. Medicul ca reprezentant al pacientului.
Pacientul
Pacientul este în control. Medicul ca un consultantmedical
Pacientul
Pacientul este în control Medicul ca interpret.
Pacientul .
Pacientul este în control Medicul ca prieten.
Alian!a terapeutic"
Construc"iamodelului de
rela"ie
i. Medicul estedepozitarulcunoa#terii
ii. Medicul staruie sa isi pastrezeindependenta
iii. Valorile mediculuisunt transferateasupra pacientului
i. Prin exercitiuldrepturilor sale,informare, libertate,
pacientul seautodetermina.
ii. Pacientul î#iadministreaz" singur
propriile valori
i. Prin intuitivismmedicul anticipeaz" dorin!ele pacientului.
ii. Medicul este unconsilier si uninterpret
iii. Medicul coboaralanga pacient pentrua-l ajuta sa isiregaseasca propriilesale valori în!elegandinforma!ia
i. Prin auto-dezvoltaremedicul oferacunoastere
ii. pacientul dobandesteel singur informatia,in cunostiinta decauza.
iii. Medicul ridica pacientul la nivelulintelegerii sale
iv. Alianta terapeuticav. Medicul este
prietenul pe care îl ai pentru scurt timp
vi. Decizia decurge
dintr-o negociere
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Avantajelemodelului de
rela"ie
i. Model umanist.ii. Medicul are libertate
profesional" de a-#ialege calea
iii. Medicul este lipsit decondi!ionalit"!i
iv. Medicul poate damasura valorii saledupa competenta
v. Implicare personal" amedicului redus"
vi. Timp minimconsumat
vii. Încrederea în medic
la cote ridicate
i. Model legalist.ii. Natura rela!iei nu se
bazeaz" pe umanism,ci pe competen!"
iii. Pacientul esteautonom
iv. Drepturile pacientului sunt prioritare, legalismuleste prioritar
v. Pacientul se implic" maximal în îngrijirea#i ia decizii
vi. Medicul nu este
implicat personal sir "mâne un consultantmedical
vii. Încrederea pacientului (rel.fiduciara) este la cotereduse
i. Model mixt.umanist-legalist
ii. Pacientul esteautonom, în controlulsau #i îl are al"turi pemedic care îl ajuta s"
se reg"seasc"iii. Încrederea (rela!ie
fiduciar ") în mediceste la cote ridicate
iv. Deliberarea se faceatat asupra valorilorce !in de starea des"n"tate cat #i asupra
valorilor pacientuluiv. Natura rela!iei ia in
considerareumanismul dar se
bazeaza pecompetenta
vi. Imp"rt vina unui e#ec
i. Model mixt.umanist-legalist
ii. Medicul #i pacientulau o rela!ie empatic"
iii. Cei doi conlucreaz" iv. Pacientul #tie c"
lucreaz" pentru sine#i este mândru deatitudinea sa delupt"tor
v. Încredere în medic(rel. fiduciara este lacote înalte (cele maiînalte) dublat" de
încredere în reu#it"vi. R "spunderea
medicului, chiardac" exist", estediluata în deciziacomun"
Li it l i R l !i i R l !i i R l !i i R l ti t
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Limitelemodelului de
rela"ie
i. Rela!iedezechilibrat":medicul este încontrolul actuluimedical:
ii. Deciziile provenind
din valorilemedicului pot s" nufie pe placul
pacientului.iii. Persoana medicului
devine importan!" prinalegerile/deciziile
sale #i competen!a sa.medicul providen!ialsau ca sursa anefericirii pacientului(totul sau nimic)
iv. Medicul poate ajunges" cunoasc" boala dars" nu î#i aminteasc"
numele pacientuluiv. Asumare integral" a
responsabilit"!ilor decatre medic
vi. Responsabilitateinalta
vii. Malpraxis
i. Rela!iedezechilibrata:
pacientul este încontrolul actuluimedical.! Este el apt s"
aleag"?! I#i dore#te s" aleag"?
! Poate el sa aleagaîntre optiuni,
beneficii si riscuri?i. Medicul nu e
independent
ii. Medicul nufinalizeaza planulterapeutic
iii. Cine r "spunde pentrudestinul pacientului?
iv. Cine r "spunde pentruactul medical?
v. Unde este umanismul
actului medical?vi. Malpraxis
i. Rela!ie u#ordezechilibrat": : unmedic lipsit de
intui ! ie spre a
în ! elege bine
dorin ! ele pacientului
ori un medic careinfluen ! eaz " potschimba deciziile
pacientului careastfel se dovede#te inmod real lipsit su
privat de o real" autonomie
ii. Pacientul poate primimai mult" sau mai pu!in" îngrijiremedical" decât #i-ardori.
iii. Persoana mediculuidevine important"
prin interpret"rile
saleiv. Comunicarea dificil "
sau incomplet " poate pava esecul.
i. Relatie aparentcongruenta siechilibrata
ii. Implicare afectiv" din partea medicului
iii. Timp mult consumat
iv. E#ecul actuluimedical si al rela!ieidevine e#ec personalce afecteazaimaginea medicului
v. Mare nevoie deobiectivitate
profesional":
subiectivismul poatedistruge rezultatulvi. Rela!ie continu" ce
nu poate fi întrerupt" f "r " daune
vii. Pacientul unui singurmedic
Ri il i Ri d i Ri d i i Ri d i i Ri d d lt
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Riscurilemodelului
i. Risc de eroaremedical"
ii. Risc de malpraxisiii. Încredere în#elat" iv. Rela!ie
depersonalizant" (în
extrem)
i. Risc de anomie arela!iei (indiferenta
profesional")ii. Risc de lipsa de
umanism medicaliii. Pierderea valorilor
profesionale #i adirec!iei actuluimedical
iv. Medic f "r " decizie,anomic, indecis,neimplinit
profesionalv. Absen!a încrederii
medicului in el si a pacientului in medicvi. Risc de malpraxis:
! Cineva raspunde! medicul preia
r "spunderealaboratorului
i. Risc de eroare prinlipsa intui!ieivalorilor personaleale pacientului
ii. Eroare profesional":adesea nu se
intervineiii. Risc de influen!areiv. Risc de malpraxis
i. Risc de dezvoltare arelatiei dincolo de
profesionalismii. Risc de eroare
medical" izvorât" din lips" de
competent",neglijent", u#urin!",temeritate
iii. Încredere în#elat"iv. Pacientul ramas fara
medic si farasperanta
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