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Updated: Aug 17, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
How Should Clinicians Ally With Patients Whose Health Is Unlikely to Be Improved by Even Numerous Clinical
Adam T Perzynski1, Kurt C Stange2
1Associate professor of medicine and sociology in the Population Health Research Institute at MetroHealth and Case Western Reserve University in Cleveland, Ohio.
Abstract:
Patients experiencing homelessness and mental illness face conditions and circumstances that deserve focused ethical and clinical attention. The first commentary on the case applies insights from qualitative research about social determinants of health to these patients' care and dignity. The second commentary describes 3 kinds of power wielded by physicians#x2014;charismatic, social, and Aesculapian#x2014;each of which is considered in terms of whether and to what extent physicians' power should be owned, aimed, or shared.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

