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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Healthcare Agencies I01:18

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Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
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Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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For Clinicians to Do Less, Organizations Must Do More.

Pallavi Juneja1

  • 1Neurology resident at New York Presbyterian/Columbia University Irving Medical Center in New York City.

AMA Journal of Ethics
|December 15, 2022
PubMed
Summary

Slowing down, resting, and mindfulness can reduce medical errors and burnout. However, systemic barriers prevent equitable access to these practices, necessitating institutional change for clinician well-being.

Area of Science:

  • Medical ethics
  • Occupational health
  • Sociology of medicine

Background:

  • Medicine emphasizes constant activity, leading to potential bias, error, and burnout.
  • Individual coping strategies like slowing down, resting, and mindfulness can mitigate these issues.
  • Systemic power structures (gender, race, capitalism) create inequities in accessing restorative practices.

Purpose of the Study:

  • To explore the tension between the 'doing' nature of medicine and the need for 'non-doing' for clinician well-being.
  • To highlight how systemic inequities make restorative practices an unattainable privilege for some clinicians.
  • To advocate for institutional responsibility in ensuring equitable access to 'non-doing' for all healthcare professionals.

Main Methods:

  • Conceptual analysis of medical practice and clinician well-being.

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  • Examination of the impact of power structures on access to restorative practices.
  • Ethical and sociological critique of systemic barriers in healthcare.

    • Main Results:

    • Constant activity in medicine contributes to bias, error, and burnout.
    • Individual clinicians face barriers to rest and stillness due to systemic power dynamics.
    • Equitable access to 'non-doing' is currently restricted by societal structures.

    Conclusions:

    • Institutions must address systemic power structures to support clinician well-being.
    • Radical solidarity is needed to ensure 'non-doing' is a shared opportunity, not a privilege.
    • Achieving equitable 'non-doing' is crucial for a just and sustainable medical profession.