Friday, 21 June 2019

Communication in Healthcare Between Doctor and Patient

Many of us have one time or another found it very hard to fall asleep. Sometimes this is attributed to a condition like insomnia, but this may not always be the cause. Many times the trouble with sleep has more to do with our sense of safety and how we feel than anything else.

I'm not talking about anxiety or any other clinical condition, but rather the fact that we all like and need to be held. Children need to be touched or they will die. And often times, just to get them to sleep, what do we do? We pick them up and rock them to sleep. But it is not only that. For instance, when my kids were small, my wife and I would often hold them or just lay with them until they went to sleep.

The sad thing is that many of us never got this when we were small. But even if we did, it wasn't consistent. Regardless of that, most adults, even married ones, ever really get the touch they need. I'm not talking about sex here, though it is relevant to the conversation since many people often have sex just to be touched. The thing that many people crave is just to be touched, sometimes skin to skin, but even if it is not that close, just having a warm body close by makes a difference. This is one reason why activities like cuddle parties or even recreational events like wrestling are so popular. We all need to be touched.

But what does this have to do with sleep? A lot. When people are distressed, just having a person next to them is soothing. But think about how it is for children when they get hurt. Doesn't their mother stroke them, hold them? Well, we need that. And studies show that when people get that touch, they just feel better.

How do we know this? People who get massaged regularly sleep better and have stronger immune systems. People who are in healthy marriages, where they live with and sleep with their spouses, also often sleep better and have stronger immune systems. They certainly live longer.

So, if you are having trouble sleeping and are in a relationship, try being cozier with them, be more physical with them. You will see how quickly and well you sleep. Or let's say you are not in a committed relationship and are having trouble sleeping, but have a really good friend. It is possible for you to ask them just to hold you for a bit. Whether it is the whole night, or just for a little while, you will find that it will go a long way in helping you sleep. Maybe that was what Diana Ross meant when she sang "Touch Me in Morning."

Try it and let me know.

FREE LIFE CONSULTATION   Looking for ways to transform your life? Have you been doing your best and feeling that it might not be enough? Why work so hard to make things happen and not get the results you want. Whether it's weight, kids, relationships, complex problems, or health issues, we all can use support in making life easier and more elegant.  My exercise routine includes at least one day of dancing - moving my body in rhythm with music. I experimented with many videos and my favorite is the Zumba. When I first saw Zumba dancers I wondered why people got so excited in 1950s about Elvis Presley moving his hips. In a Zumba routine you gyrate and shake every part of your body. It is liberating and also fun. It is also a great way to keep fit and lose weight.

Zumba is a Colombian dance fitness program created by dancer and choreographer Alberto "Beto" Perez in the 1990s. The legend has it that Beto forgot his normal aerobics tape one day for his class and he improvised using the tapes of salsa and merengue music which he happened to have in his bag. The class was such a success that he continued using South American dance music instead of the more traditional aerobics music. After the initial success in Colombia, Beto moved to USA in 2001, and the rest is history.

Today some 14 million people take weekly Zumba classes in over 140,000 locations across 150 countries. Then there are millions more like me who follow the program at home on video. Part of Zumba's popularity is its adoption by such celebrities as Jennifer Lopez, Victoria Beckham and Jackie Chan.

Music can retrain the brain

Such music-cum-dance has benefit way beyond keeping fit and losing weight. It is being used for those who suffer from neurological disorders or have had a stroke. The thesis is that the brain has a high degree of plasticity, and even when it is damaged, music can create new pathways to the brain. There are learned scientific treatises on how music can indeed be used to retrain the brains. The knowledge in this area is evolving rapidly as new brain-imaging techniques confirm the brain's plasticity (i.e. its ability to change) and identify networks that music activates in the brain.

One man puts this knowledge into practice. Ronnie Gardiner is a jazz drummer turned healer who thought of committing suicide some 30 years ago. He changed his mind and, reinvigorated to live and looking for a new purpose, he went on to develop the Ronnie Gardiner Rhythm and Music Method. This is a way to teach people to memorize a series of coordinated movements set to music with a steady beat.

Ronnie, in his mid 70s, lacks any sort of medical training but more than 200 physical and occupational therapists in his hometown in Sweden are using his method to help people with neurological disorders. The method is meant to supplement physical therapy and medical treatment, not to replace them. The results so far are reported to be encouraging. Doctor/patient communication in healthcare is the exchange of information between the two parties for evaluating a patient's health, diagnosing a health condition(s) and treating a health condition(s). The communication is bidirectional in that information is exchanged from doctor to patient and from patient to doctor. The communication can be direct or indirect, depending upon the health literacy, cognitive state and the communicative capacity of the patient.

The communication in healthcare that occurs from doctor to patient includes the exchange of information regarding test results, a recent diagnosis or diagnoses, prognosis and treatment instructions. Patient education to increase a patient's understanding of test results, a diagnosis or diagnoses, factors determining prognosis and treatment options is also a part of communication in healthcare between doctor and patient.

Communication in healthcare that flows verbally from patient to doctor is the subjective information which a patient provides in order to enable the doctor to perform an adequate health evaluation, make a diagnosis and/or provide appropriate treatment. Subjective information differs from objective information in that it is what the patient feels or perceives with the senses, as opposed to what can be observed or measured. Subjective information consists of symptoms and their relationship to time and factors that bring them on, make them worse, or make them better. Subjective information also includes a description of the symptomatology in relationship to time in terms of onset, duration and changes in severity or relationship to other measurable variables such as physical activity, weight gain or weather conditions.

Objective information is that which is observed and/or measured by a physician. It is obtained by means of a physical examination or diagnostic testing. Although it is not verbal communication in healthcare from patient to doctor, it is a form of communication in that it is what the patient's body tells the doctor. This nonverbal patient to doctor communication, in turn has a considerable impact on subsequent doctor to patient communication.

An indirect form of communication in healthcare is that between a doctor and a patient proxy because of the inability of the patient to effectively participate in the communication process. Insufficient health literacy is a common cause of the need for proxy communication in healthcare. Other reasons include cognitive deficits related to conditions such as dementia or mental illness, deafness, blindness and muteness.

Patient education is becoming an increasingly important component of communication in healthcare because of the changing healthcare climate which emphasizes patient engagement or getting patients more involved in their healthcare. The patient-education-information exchange can be between doctor and patient or between doctor's staff and patient. It can be verbal, written, or a combination of the two. With the increasing doctor shortage and the diminishing amount of time doctors can spend with patients, online information provided by a healthcare professional is an effective alternative form of communication which can achieve positive results of increasing health literacy and promoting quality improvement in healthcare. There are many factors that cause flabby, loose skin. Gaining and losing weight, having a baby, things you eat, and toxins can cause your skin to lose elasticity. Your body thrives on proper nutrition, balance, and pure ingredients to nourish your skin. It needs a formula that is absorbed through the skin, and by a special process, breaks down fat cells and pulls the toxins out of your cells. Doing this will tighten, firm, and tone your abs. Sounds pretty amazing, right? It is, and you are about to discover exactly what it is to get tighter abs in no time!

Of course, as you may or may not already know, you should be mindful of your diet. Your body is a blank canvas, so you should choose wisely what you put into it. This will not only affect how you feel, it will also affect how you look. So as you are on your way to achieve tighter abs, it is important to focus on eating whole foods. This means simple ingredients that you can understand, food in its most natural state. Avoid foods that come in a box as much as possible, shop the perimeter of the grocery store rather the center aisles. 'Foods' that are in center aisles tend to have the most chemicals and preservatives that your body just doesn't understand and cannot properly use those ingredients. In addition to eating as healthy as you can, drinking more water will also assist in achieving tighter abs.

This is because maintaining hydration can provide you will healthier, firmer skin. Drinking water aids in weight loss and flushing toxins out of your system. It is recommended that you drink half your body weight in ounces. And lastly, to achieve tighter abs, maintaining your exercise routine is so important. Exercise helps prevent excess weight gain, helps maintain weight loss, and it improves your muscle strength.

If you are anything like me and you do all the above the best you can and still come short of achieving tighter abs, I understand. The simple explanation is toxic buildup. All you have to do is cleanse your body and skin from toxins and your results will appear. Toxins are everywhere. Even if we are mindful of what we eat, it is impossible to avoid. They are in the air we breathe, detergents, even stress causes toxins to form in our body. A simple, healthy cleanse for your body is what it needs. And I'm not referring to a starvation diet or drinking something horrible. Not at all. You will actually enjoy doing this and it is so easy. There is a lot of talk about football these days. Even though it remains America's favorite pastime, all of that talk is not so good. Even though there are millions of us who love to watch our favorite players streak across the turf in their personalized football jerseys, we are becoming more and more aware of some of the hazards inherent in this sport. We see news shows featuring former football stars who are now suffering debilitating health issues stemming from injuries incurred on the field. We know that many of them are saying they would never encourage their own children to play the sport that made them famous and made them rich. And yet... it is hard to deny the passion that many Americans feel for this age old sport and the enthusiasm which greets the beginning of each new season. It is also difficult to dismiss the advantages that this sport offers.

Thousands of athletes credit their football playing experiences with life lessons that they have found extremely valuable. They have learned the importance of working hard and giving it your best. They have learned to play as a team and to work together for something significant. They have experienced the highs of success and the bitterness of defeat, both of which are part of life's experience. They have learned how much time and effort it takes to stay in peak physical condition.

Sadly, another thing learned by those who have played the game is that not everyone they play against or even play with demonstrates the kind of the emotional discipline that one would hope to have. There are those who care only about winning and who do not seem to care who gets hurt in the process. There are those who belittle and ridicule and intimidate. It is especially harmful when these actions come from their coaches as has been the case for many. In addition, recent stories about the bullying taking place even in professional locker rooms has dismayed millions of fans.

So, what is right for your child? One has to evaluate the various factors and decide if the benefits out weight the hazards. There is a lot of positive learning that can be associated with playing football and a lot of life lessons that can be learned through this sport There are also a significant amount of negativity and potential harmful aspects associated with the game. Perhaps talking with your youth about those pros and cons is a good first step in deciding how involved they will be.

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