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l believe this patienfs telling me the truth

I believe this doctor will do the right thing for me

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Doctor Patient Attitudes and beliefs

Trust

Cynicism

i dont believe what this patient s telling me_

I don't have much confidence in this doctor

D

}

This patient deserves the best care I can proyide_

I think she's a very good doctor

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Respect

Scorn

}

This patient needs to puli himself together_

I don't think much of her

\ These are the choices. My ) recommendation would be...

id like morę time to think about it

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Autonomy

Patemalism

^>This is what l'm going to do... Jj Whatever you say, doctor    ^

hope he takes the tablets but perhaps he won't

l’m hoping for the best but realise there are limits

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Realistic

\ If you stop smoking you'll farę f much better after the operation

Reasonable

Distorted

Not amenable to reason

yThistesfs always right. so you f dont havt

You must be able to cure this, it's your job...

have prostatę cancer

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-<

Smoking never hurt me or my father/ ^ he died at 82 of stornach cancer \    )

E

The main thing is to get you fit in time for your daughters wedding

Common . vision

Asymmetrical \ \ff

ition^ f of

perception^

The main thing is to get you out "'i ' hospital___)

Behaviours and roles

ł

l get the feeling you re worried about something?

Listenmg/

heanng

Not listening/\ ^Any fever^? Jaundice⁷ TB⁷ hearing^ f I

Indigestion?

There's slight inflammation in your

kidneys causing red blood cells to leak out in the urine

Clarity

Jargon

^mi

You have IgA nephropathy causing ] microscopic haematuria_)

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OK, can I just ask you to go over those symptoms again?

Calm

Anger,

irritation

Mr Jones, as long as you continue to smoke l'm really wasting my time

Weil done, Mr Jones. you've lost 6 pounds and your blood pressure’s down

Thank you, doctor, for your good work_

I

Praise

Criticism

>You can t expect to lose weight if you eat 4000 calories a day

l ve been waiting 30 minutes out there, doctor

© Elsevier. Boon et al.: Davidson's Principles and Practice of Medicine 20e - www.studentconsult.com

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