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Updated: Jun 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

[Patient centered practice in internal medicine].

Rui Carneiro¹, Elga Freire, Júlia Alves

¹Medicina Interna, Hospital Geral de Santo António, Porto.

Acta Medica Portuguesa

|June 2, 2011

Summary

Healthcare professionals recognize the need for patient-centered care in chronic disease, yet gaps persist in pain and symptom management. Many patients suffer due to insufficient palliative care strategies and end-of-life discussions.

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Last Updated: Jun 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Medical Education
Palliative Care
Chronic Disease Management

Context:

Cross-sectional study of 50 healthcare professionals (doctors and nurses) in a tertiary hospital Internal Medicine ward.
Focus on Patient-Centered Care in Chronic Disease, including symptom control, pharmacology, and palliative prognostic discussion.

Purpose:

To assess knowledge and practices regarding patient-centered care for chronic diseases.
Identify gaps in symptom control, pain management, and end-of-life care discussions.

Summary:

High belief (98%) in the need for symptomatic care strategies, yet significant patient suffering (68%) observed.
Limited community palliative care integration and underutilization of pain assessment scales (<50%).
Gaps identified in opioid use for moderate pain (38%), dyspnea management in COPD (20% contraindication), and formalization of end-of-life directives (1 case).

Impact:

Highlights a disconnect between recognizing patient suffering and implementing effective mitigation strategies.
Reveals deficits in pain, dyspnea control, and continuity of care, indicating a need for improved palliative care integration.
Suggests a need for enhanced training and systemic support for palliative care within Internal Medicine settings.