What are several generational, religious, and cultural differences between the 30-year-old health care profession
How has the patient's control over his own health care changed?
What part does negotiation play in patient education?
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
1. Define negotiation as it applies to patient education.
2. Explain how the change in the patient's status through the years has affected patient education.
3. List the pros and cons of negotiation.
4. Describe the general conditions that would be included in a patient contract.
5. Discuss old age and the baby boomer.
6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
8. List ways to best approach patient education of the elderly.
9. Discuss some cultural and religious beliefs about death that you have encountered.
10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
11. Explain how to teach a patient with a life-threatening illness.
In the past few decades, patient control over healthcare has changed in some important ways. In the past, medical records were stored in paper copies and only kept at certain facilities. Nowadays, medical records are stored online (Miller & Sim, 2004). Although this makes it easier to store and transfer patient information, it also opens up the possibility of hackers or third parties gaining unauthorized access to healthcare information. Most modern organizations go to great lengths to ensure patient information is kept private.
Patients have more control over their care in modern times than in the past. Digital records are only one aspect of this. The Internet has made large amounts of information rapidly accessible to the public for free. Someone can speak with a physician and use the Internet to research whatever information is provided to them by the physician. This ensures a higher level of accuracy in the healthcare system. In the past, patients may have been forced to go on whatever their physician said about a particular medical condition. Nowadays, they can take what is said and conduct independent research in order to determine if it is good advice.
Several online companies have created customer portals that allow an individual to search the existing medical literature on a particular topic. This saves the customer time and is much more efficient than if the customer went to a library or searched through thousands of books on the internet. Some online portals allow an individual to filter out results and to only include results from peer-reviewed journals. One example is
WebMD.com, which gives customers an easy and straightforward way to search for medical answers online. The system removes inaccurate results, so users can be sure the information they are reading is reliable.
Miller, R. H., & Sim, I. (2004). Physicians’ use of electronic medical records: barriers and solutions. Health affairs, 23(2), 116-126.
Patients have gained a considerable amount of access to their health information over time, empowering them to play a more active role in their health care. This has been made possible through healthcare bills, advancements in technology such as patient portals, availability of medical equipment/devices, and home health care options as well as the shift in healthcare that now focuses on providing patient centered care where patients are the driving force of the shared decision-making process. Additionally, patient education has become more tailored to meet the specific needs of the patient, through patient- provider collaboration, the transfer of knowledge and negotiation between the parties have enabled patients to assume more responsibility in their care.
Negotiation techniques. Case Management Study Guide. (2015, December 18). Retrieved from https://casemanagementstudyguide.com/ccm-knowledge-domains/case-management-concepts/negotiation-techniques/
Orchard, C. (2017, February 2). Negotiating and communicating with patients. Executive and Continuing Professional Education. Retrieved from
How has the patient's control over his own health care changed?
The concept of partnership between the patient and health professional has been changing since the 1970s because of social, cultural, and political changes. In 1978, the World Health Organization highly esteemed the concept of partnership when they introduced a social model of health that emphasized patients’ right and responsibility to be involved in their own health care. Three characteristics of partnership have been described as follows: relationship, power sharing, and negotiation. Partnership has a basis of patient-centered care, respects, and includes patients’ wishes, allows active patient participation, and leads to improved outcomes. The concept of patient-centered care has affected all areas of health care and leads to increased patient satisfaction and overall increased quality of care and patient adherence. The concept of patient-centered care when used in patient teaching consists of patient teaching displays a partnership and collaboration between the patient and the health professional. “Although health professionals may have the knowledge and technical expertise needed to provide the patient with information about his or her condition and treatment, the patient is the expert regarding his or her own body and life experience.”(Falvo, 2011). Therefore, the patient’s needs, goals, and preferences must be acknowledged and recognized, and incorporated into patient teaching interactions.
Patients are now expected to assume more personal responsibility for health outcomes, and patient participation in health and health care has been promoted as best practices. Involving patients in their own care empowers them and increases their sense of control and confidence. Effectiveness in patient teaching requires that the health professional think beyond providing information. Effective patient teaching emphasizes a more contextual approach by tailoring the recommendations to the individual and his or her life needs. Involving the patient is important in fostering an atmosphere of cooperation and collaboration between the patient and health professional. Health professionals must be aware of and acknowledge the patient’s expressed thoughts and feelings and respectfully come to a mutual agreement about recommendations as well as find strategies to promote the patient’s ability to carry out prescribed recommendations. Although part of patient teaching consists of providing patients with information, effective, patient-centered teaching is more involved. It refers to helping patients become actively involved in their health and health care, allowing them to make the necessary adjustments in order to improve or maintain their health. Communication is a key component toward reaching this goal, especially when communication is used to engender collaboration and help the patient to make informed choices.
In the past, patients were viewed as passive recipients of health care. The “good” patient was thought of as the one who sat passively, offering no criticism and asking few questions. As patients became more educated about health and health-related topics through the media, Internet, and other sources, faith in health professionals as the final authority decreased. The availability of self-help and patient information groups increased patients’ desires for increased involvement in their care. Media publicity altered patients’ view of health professionals as all-powerful guardians of their health; in some instances, some began to distrust health professionals themselves. At the same time, studies conducted in patient adherence indicated that many formerly held beliefs about patients and about giving patients information about their condition and treatment were in error. Health professionals began to realize that if information was conveyed properly, patients could understand explanations and that, through various strategies, their recall of information could be increased. Although health professionals now tend to agree that patients should be informed, it has also become increasingly evident that health professionals—if they are to affect positive outcomes in patient adherence—must take another step. Patients need to feel that they are not only recipients of information, but they also play an active part in their own health. Even though patients now receive more information, they still are often not actively engaged in the teaching process. It becomes increasingly obvious that effective patient teaching is a shared responsibility between patient and health professional.
Contrary to previously held beliefs, patients did want more information about their condition and treatment; rather than having more problems because of knowing what to expect, patients who were better informed had fewer problems. Also, in contrast to earlier beliefs, patients—instead of losing respect for the health professional because of having more information—were more satisfied with the care they received if adequate information was given. Patient teaching, if conducted efficiently, can save health professionals time by decreasing unnecessary phone calls and return visits. Withholding information can increase patients’ anxiety rather than decrease it. Patients frequently misinterpret a lack of information as meaning that the truth is so negative that it cannot be shared with them. In addition, patients are much more anxious if they do not know what to expect, even if by being informed they know they can expect pain or discomfort. Although increased information has many positive results, information alone is not associated with patient adherence.
Falvo, D. (2011). Effective Patient Education. Retrieved February 14, 2022, from
Negotiation in healthcare is used to engage the patient in their healthcare. As healthcare providers we have to make sure the patient understands and is willing to make lifestyle changes are made to improve their quality of life and prevent further harm. We have to gain the patients trust so that they are open and honest with us about any health issues and their needs. Instead of doctors using " do what I say" as a teaching style they are partners with the patients when it comes to decision making. Patients are more likely to change their habits and lifestyle if they are included in the decision making process. The physicians and nurses can find out what the patient enjoys as far as food and activities and incorporate that into a healthier lifestyle.
Negotiating and communicating with patients.
Patient teaching that is effective is often the result of participation and respect that is mutual between the patient and health professional (Falvo, 2011). Patients will have their own values and attitudes and health professionals also have their own personalities and values. These must be combined for effective patient teaching. Negotiation may be necessary, and this is a process through which the patient and health professional have a discussion to formulate goals that both can agree on and what can be compromised to reach these goals. Compromises can be made if the patient as well as the health professional can still maintain each of their standards.Reference
Falvo, D. (2011). Effective Patient Education: A Guide to Increased Adherence. Retrieved from Jones and Bartlett Publishers:
https://bibliu.com/app/#/view/books/9780763796181/epub/OPS/xhtml/chapter09.html#page_221DQ2 Quinetta Petite
Negotiations play a minimal role in patient education. Ultimately, it is up to the patient themselves if they would like to stay educated or not. Not all patients have the same attitude when it comes to healthcare. One patient may spend large amounts of time reading up on their condition in order to understand it better, whereas a different person may opt to take their physician’s word. If someone has less trust in their physician, then they will be more likely to conduct independent research. On the other hand, someone who trusts their physician and has been with them for a long time is less likely to conduct independent research on whatever they are told.
Negotiating does play a role in terms of patient recovery. Whenever someone is just starting a new recovery program, they may lack motivation. If they feel overwhelmed about doing an entire exercise routine, a physician can negotiate with them and get them to start by only doing a portion of it. However, medical professionals sometimes deal with difficult clients who do not want to take responsibility in their own recovery (Russell et al., 2003). This can lengthen the overall amount of time for recovery. On the other hand, there are some other patients who take a more proactive approach to healthcare. Each time they meet with a physician, they have first conducted online research pertaining to whatever questions they plan to ask their physician.
People who are skilled at negotiating are often good at remaining calm in stressful situations. This is a trait that many doctors and other medical professionals share. Even if a patient is being stubborn or uncooperative, a skilled medical professional can help calm the patient down and make them feel as if their perspective is understood.References
Russell, S., Daly, J., Hughes, E., & Hoog, C. O. T. (2003). Nurses and ‘difficult patients: negotiating non‐compliance. Journal of advanced nursing, 43(3), 281-287.