The "difficult patient" reconceived: an expanded moral mandate for clinical ethics

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dc.contributor.authorFiester, Autumn M.en
dc.date.accessioned2020-10-15T11:40:02Z
dc.date.available2020-10-15T11:40:02Z
dc.date.issued2020-10-13
dc.descriptionTuesday, October 13, 2020; noon to 1 p.m.; via Zoom. "The 'Difficult Patient' Reconceived: An Expanded Moral Mandate for Clinical Ethics". Autumn M. Fiester, Ph.D., Associate Professor of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.en
dc.descriptionDue to technical difficulties, only a portion of the lecture is available for viewing.en
dc.description.abstractBetween 15%-60% of patients are considered "difficult" by their treating physicians. Patient psychiatric pathology is the conventional explanation for why patients are deemed "difficult." But the prevalence of the problem suggests the possibility of a less pathological cause. I argue that the phenomenon can be better explained as responses to problematic interactions related to healthcare delivery. If there are grounds to reconceive the "difficult" patient as reacting to the perception of ill treatment, then there is an ethical obligation to address this perception of harm. Resolution of such conflicts currently lies with the provider and patient. But the ethical stakes place these conflicts into the province of the ethics consult service. As the resource for addressing ethical dilemmas, there is a moral mandate to offer assistance in the resolution of these ethically charged conflicts that is no less pressing than the more familiar terrain of clinical ethics consultation.en
dc.description.sponsorshipUT Southwestern--Program in Ethicsen
dc.formatMPEG-4 movieen
dc.format.extent00:37:57
dc.identifier.oclc1204606340
dc.identifier.urihttps://hdl.handle.net/2152.5/9049
dc.language.isoenen
dc.subjectGrand Roundsen
dc.subject.meshEthics Consultationen
dc.subject.meshFrustrationen
dc.subject.meshMoral Obligationsen
dc.subject.meshNegotiatingen
dc.subject.meshPatient-Centered Careen
dc.subject.meshPhysiciansen
dc.subject.meshProfessional-Patient Relationsen
dc.subject.meshTeaching Roundsen
dc.titleThe "difficult patient" reconceived: an expanded moral mandate for clinical ethicsen
dc.typeVideoen

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