Saturday, June 6, 2020

Family Medicine: Human Centered Care in the Modern Era

Respect:  Myself, my office staff, the patients and their families, the system in which we are allowed to engage, the community in which we live and work, the nation in which we reside, the world with which we exist and interact, the biosphere which is amazing, God who is beyond understanding.

Protect:  The patients and persons involved in patient care in and through my office today; their time to express themselves; the objects, air and persons from toxins and pathologic microbes.

Connect: Via an appropriate medium to the patient and their values, goals and dreams.  Our humanity through our respective roles that support exploration via communication.  Our hearts as necessary during our interactions.

Detect:  Our individual and mutual alignment or misalignment with our values, goals and dreams as it relates to the purpose of the interaction today. The "Chief Complaint" and other issues to be considered during the visit and later.  The context in which the patient raises the "Chief Complaint" or purpose of the visit.  The differential diagnosis using a simple and complex model that expands the list of considerations for the cause of the patient's Chief Complaint and other problems/issues.

Inspect:  Information that is available and the patient to clarify the search/ testing strategy that will best explain the patient's problems and possible solutions.

Correct:  The phenomena that cause the patient's misalignment with current or future values, goals and Dreams.  The perspective of me and/or the patient about the context, information, processes, values , goals and dreams of both of us.

Reflect:  On the above in thought and by preserving a record of the interaction in appropriate media and form as desired/ required.  On the continuing connection between the patient and the process of health/ care.

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