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Related Concept Videos

Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
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Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Ethical Dilemmas I01:17

Ethical Dilemmas I

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Reason and Intuition01:37

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Related Experiment Video

Updated: May 28, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

When Technical Rationality Fails: Thinking about Terminally Ill Patients.

A Still1, C Todd

  • 1University of Durham, UK.

Journal of Health Psychology
|October 25, 2011
PubMed
Summary
This summary is machine-generated.

General practitioners use rhetorical skills, not just technical rationality, when discussing end-of-life care with terminally ill patients. Their thinking involves a hierarchy of goals, strategies, and tactics to ensure patient comfort and dignity.

Related Experiment Videos

Last Updated: May 28, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

Area of Science:

  • Medical Sociology
  • Communication Studies
  • Philosophy of Medicine

Background:

  • General practice consultations form the core of social interaction in primary care.
  • Doctors typically manage consultations using 'technical rationality'.
  • Technical rationality faces challenges in end-of-life care discussions with terminally ill patients.

Purpose of the Study:

  • To investigate the theory that thinking is modeled on the social activity of argument.
  • To explore general practitioners' (GPs) views on managing consultations with terminally ill patients.
  • To analyze the cognitive models GPs employ in complex end-of-life communication.

Main Methods:

  • Qualitative analysis of general practitioners' perspectives.
  • Examination of communication strategies in terminal care consultations.
  • Application of an agonistic model to describe GPs' thinking processes.

Main Results:

  • Technical rationality is often insufficient in terminal care consultations.
  • Rhetorical skills become crucial when technical rationality fails.
  • GPs' thought processes can be structured as an agonistic model with objectives, strategies, and tactics.
  • A primary objective is maintaining patient comfort and dignity, supported by specific strategies and rhetorical tactics.

Conclusions:

  • Thinking, particularly in complex medical scenarios like end-of-life care, can be understood through an agonistic framework.
  • The study highlights the importance of rhetorical competence alongside technical skills for GPs.
  • Effective communication in terminal care requires a strategic, goal-oriented approach grounded in patient well-being.