Author | Mendel, David. author |
---|---|
Title | Proper Doctoring [electronic resource] / by David Mendel |
Imprint | London : Springer London, 1984 |
Connect to | http://dx.doi.org/10.1007/978-1-4471-1367-6 |
Descript | XIV, 178 p. online resource |
1 The Job Description -- The Importance of Common-sense -- Polishing your Performance -- Craftsmanship -- Patient Handling, or Why Medicine Is Not Mechanics -- The DoctorโPatient Relationship from the Doctorโs End -- Doctors and the Media -- Too Clever by Half -- The Need for Role-Playing in Medicine -- Rehearsing your Role -- Type-cast by Nature -- Playing your Role -- Looking the Part -- Confidentiality -- 2 Taking the History -- Before Calling the Patient In -- The Patientโs Stance -- The Doctorโs Stance -- Meeting the Patient -- Taking the History: Why and How -- The Patientโs Story -- How To Ask Questions -- Getting the Answers -- How Am I Doing? -- Diagnosis -- โDifficultโ Patients -- Children -- Third Parties -- Confidentiality -- Writing Up the History -- Past History, Family History and Social History -- 3 Examination of the Patient -- Preparing for the Examination: Putting the Patient at Ease -- The Doctorโs Stance During the Examination -- Getting the Hang of Physical Signs -- The Actual Examination -- Evaluating the Physical Signs -- 4 In the Ward -- The Effect of Ward Life on the PatientTalking to Patients -- Decision-Making at the Bedside -- The Megaround -- Dodging the Column -- Changing the Medication -- Discharge from Hospital -- Ward Notes -- 5 Investigation -- Factors Influencing the Ordering of Tests -- Is the Test Worth While? -- Telling the Patient About Tests -- The Actual Investigation -- When Things Go Wrong -- The Patient Who Refuses To Have a Test Done -- The Interpretation of Tests -- Telling the Patient About the Results of the Tests -- Filing of Results -- 6 On the Art of Diagnosis -- The Logical Basis of Diagnosis -- Pattern Recognition -- The Physiological Approach; Goodness of Fit: The Basis of Pattern Recognition -- The Importance of โMechanismsโ -- Attitude to Information; Incommensurable Values -- Making the Diagnosis -- 7 Advice and Explanation -- Deciding What Advice To Give -- The Consultation -- Building Up the DoctorโPatient Relationship -- How Much To Tell the Patient; Explanation -- Reassurance; Helping the Patient to Adjust to the Facts -- If the Patient Rejects your Advice -- Drugs -- Fatal Diseases and Death -- 8 Attitude to Colleagues -- Hearsay Second Opinions -- Colleagues as Patients -- Relations with Non medical Colleagues -- Envoi -- The Response to Change -- Unchanging Aspects