Respect :The Difference It Makes

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Chapter 1

• Respect The Difference It Makes

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Definition of Respect

• can be action tone of voice, approach
• can be feeling/attitude compassion
• usually combination

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Respect HCP and Patient Relationship

• must exist to accomplish task
• patient does respect HCP
• HCP must respect patient

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Glasers Three Realms of the Values System

• The good and virtuous society
• to be part of
• The good and virtuous institution
• conform to
• The good and virtuous individual
• personal importance

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Index of wealth

• Primary goods
• Social
• Rights, liberties, power, opportunities, income,
  wealth and self-respect
• Natural
• Health, vigor, intelligence and imagination

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Professional Values vs. Patient Personal Values

• basis for interaction is respect
• realize values change
• gain understanding of patient
• as HCP must understand our own values

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Chapter 2

• Respect in Institutional Setting of Heath Care

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Types of Health Care Institutions

• primary - MD office
• secondary - hospital
• tertiary - specialized center

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Modern organizational Structure of Health Care

• industrialization - separation of public and
  private
• urbanization - big cities
• specialization - coordination of care

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Public-Sector Relationships

• interaction with pateint
• quick introduction
• quick departure
• very specific

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Partial Institutions

• most common
• maintain a sense of autonomy

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Laws and Policies

• maintain standards
• federal and institutional
• protection OHA, JCOH, Universal precautions
• ethical

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Patient Rights

• patient bill of rights
• patient protection
• rights vs.privilege

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Informed Consent

• explain procedure
• explain risk
• ability to agree or disagree with treatment
• give options

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Chapter 3

• Respect in a Diverse Society

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Bias

• personal -personal significance -prejudice
  -experience, internalization, cultural
• cultural - cultural derived meaning

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Optimizing Interaction

• positive bias -halo effect - easier
  interaction
• negative bias - difficult interaction lack of
  respect
• appreciating differences

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Ice-berg Model

• Differences to Consider

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Competent and Sensitive Care

• knowledge
• mutual respect
• negotiation
• evaluate own bias