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The elderly patient with multiple complaints

M E McCahill1, S A Brunton

  • 1Family Medicine Residency Program, University of California, San Diego, USA.

Hospital Practice (1995)
|December 15, 1995
PubMed
Summary
This summary is machine-generated.

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Physicians must address patients' unstated needs to build trust. Recognizing these hidden agendas is crucial for effective patient-physician relationships and treatment adherence.

Area of Science:

  • Medical Communication
  • Patient-Physician Relationship Dynamics
  • Clinical Decision-Making

Background:

  • Complex patient cases, often termed "thick chart" patients, present diagnostic challenges.
  • These patients may harbor both explicit and implicit treatment goals or concerns.

Observation:

  • Failure to acknowledge a patient's unstated agenda can erode trust.
  • This loss of confidence may lead patients to seek alternative medical care.

Findings:

  • Physicians must accurately diagnose conditions amidst ambiguous clinical data.
  • Establishing patient confidence requires active listening and shared decision-making.

Implications:

  • Addressing unstated patient needs enhances therapeutic alliance.

Related Experiment Videos

  • Improved patient-physician communication can lead to better health outcomes.
  • Empathy and patient involvement are key to managing complex cases.