Friday, August 1, 2014

Patient Dignity 09: Patient's Point of View

I have had some negative feedback from some providers who just don't get it. I also get the Machiavellian excuse "we are saving lives." Can you not save lives without dignity (I mean the patient's dignity, not yours)?

When I learned to do couples counseling, I learned a valuable insight that has applied to any situation when people describe what happened:
"There his version of the story, there her version of the story, and there is what really happened."

Take the 2008 movie "Vantage Point:"
Seen from seven different perspectives, the President of the United States - who's really a body double of the prez - is shot during a speech in Madrid, while the real President (in a nearby hotel) is kidnapped by terrorists. 
I have learned that each person interprets the same situation differently. Even if a provider (physician, nurses, etc.) claim that they had been patients, their point of view is still different than the patient who has never worked as a healthcare provider.


Mark Twain says that once he became a river boat captain, he could never look at the river the same way he had looked at it as a child.
The vision we get of the river in "Tom Sawyer" and "Huckleberry Finn" was gone. The innocence was gone. There was beauty, but it was a different kind of beauty. As a river boat captain, he was looking for snags and deadheads, and learned to "read" the river in a different way. 

Let's take the issue of patient modesty in the emergency department:

Here is what really happens:


This is what the patient sees:


This is what the physicians and nurses see:





It is wrong for a healthcare provider to assume that the patient experiences no trauma from having their dignity compromised. Patients walk of a hospital having their physical body healed but feeling like their  psyche has just been run over by a truck.

The following illustrates the fallacy of a healthcare provider denying a patient's feelings about having their body exposed when the healthcare provider is the one wearing the clothes:




Are you thinking yet? 
Are you feeling yet? 
Are you empathizing yet?

1 comment:

  1. In the trauma picture you see a male who is uncovered. Female trauma patients
    are always covered, the males are not.

    ReplyDelete

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