01 Relatie Medic-pacient 2015-2016 Bis

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CAP. I Principiile fundamentale ale exercit!rii

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Model paternalist:

bazat pe atitudinea

paternalista a medicului(de inspira"ie european!)

Model informativ: bazatpe autonomia pacientului

in relatie cu medicul(deinspira"ie american!)

Model interpretativ

bazat pe autonomia

pacientului in relatie cumedicul

Modelul deliberativ:

bazat pe dezvoltarea

unei rela"ii

Principiul eticcare prevaleaz!

Beneficien!a asupra

autonomiei.

Autonomia asupra

beneficen!ei

Autonomia asupra

beneficen!ei.

Beneficen!a se împlete"te

cu autonomia.

Cine decide înmodelul de

rela"ie.

Rolul medicului

Medicul

Medicul este în control.

Medicul ca reprezentant al

pacientului.

Pacientul

Pacientul este în control.

Medicul ca un consultant

medical

Pacientul

Pacientul este în control

Medicul ca interpret.

Pacientul .

Pacientul este în control

Medicul ca prieten.

Alian!a terapeutic#

Construc"iamodelului de

rela"ie

i. Medicul este

depozitarul

cunoa"terii

ii. Medicul staruie sa isi

pastreze

independenta

iii. Valorile medicului

sunt transferateasupra pacientului

i. Prin exercitiul

drepturilor sale,

informare, libertate,

pacientul se

autodetermina

(exercitiul drepturilor

sale civile).

ii. Pacientul î"iadministreaz# singur

propriile valori

i. Prin intuitivism

medicul anticipeaz#

dorin!ele pacientului.

ii. Medicul este un

consilier si un

interpret

iii. Medicul coboara

langa pacient pentrua-l ajuta sa isi

regaseasca propriile

sale valori în!elegand

informa!ia

i. Prin auto-dezvoltare

medicul ofera

cunoastere

ii. pacientul dobandeste

el singur informatia,

in cunostiinta de

cauza.

iii. Medicul ridica pacientul la nivelul

intelegerii sale

iv. Alianta terapeutica

v. Medicul este

prietenul pe care îl ai

pentru scurt timp

vi. Decizia decurge

dintr-o negociere


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Standardul de calitate NU prevede ca PROCEDURA DE NEINCEPERE A

MASURILOR DE RESUSCITARE este admisibila ci DIN CONTRA PREVEDE

EXPLICIT OPUSUL ACESTEI PROCEDURI, respectiv CONTINUITATEA

INGRIJIRLOR respectiv, citam:


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Medicilor din Romania

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01 Relatie Medic-pacient 2015-2016 Bis

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Transcript of 01 Relatie Medic-pacient 2015-2016 Bis