Good doctor-patient communication has the potential to help regulate patients' emotions, facilitate comprehension of medical information, and allow for better identification of patients' needs, perceptions, and expectations.4,7,17 Patients reporting good communication with their doctor are more likely to be satisfied with their care, and especially to share pertinent information for accurate diagnosis of their problems, follow advice, and adhere to the prescribed treatment.1,6,7,9,14,16,18–23 Patients' agreement with the doctor about the nature of the treatment and need for follow-up is strongly associated with their recovery.10
Studies have shown correlations between a sense of control and the ability to tolerate pain, recovery from illness, decreased tumor growth, and daily functioning.16,20,24Enhanced psychological adjustments and better mental health have also been reported.6,10,16,25,26 Some studies have observed a decrease in length of hospital stay and therefore the cost of individual medical visits and fewer referrals.1,27
A more patient-centered encounter results in better patient as well as doctor satisfaction.1,5–7,9,13,15,18,19,22,25,26,28–30Satisfied patients are less likely to lodge formal complaints or initiate malpractice complaints.1,5,9,19,22,28 Satisfied patients are advantageous for doctors in terms of greater job satisfaction, less work-related stress, and reduced burnout.4,26
THE PROBLEMS
There are many barriers to good communication in the doctor-patient relationship, including patients' anxiety and fear, doctors' burden of work, fear of litigation, fear of physical or verbal abuse, and unrealistic patient expectations.31
Deterioration of Doctors' Communication Skills
It has been observed that communication skills tend to decline as medical students progress through their medical education, and over time doctors in training tend to lose their focus on holistic patient care.32 Furthermore, the emotional and physical brutality of medical training, particularly during internship and residency, suppresses empathy, substitutes techniques and procedures for talk, and may even result in derision of patients.32
Nondisclosure of Information
The doctor-patient interaction is a complex process, and serious miscommunication is a potential pitfall, especially in terms of patients' understanding of their prognosis, purpose of care, expectations, and involvement in treatment.12 These important factors may affect the choices patients make regarding their treatment and end-of-life care, which can have a significant influence on the disease.33 Good communication skills practiced by doctors allowed patients to perceive themselves as a full participant during discussions relating to their health.10 This subjective experience that influences patient biology is the “biology of self-confidence” described by Sobel, which emphasized the critical role of patients' perception in their healing process.
people who are more physically active tend to have a faster metabolism than those who are not. thus, their bodies break down foods faster and process those nutrients at a quicker pace than the latter.
1. The cells of the SA node at the top of the heart are known as the pacemaker of the heart because the rate at which these cells send out electrical signals determines the rate at which the entire heart beats (heart rate).
2. septum : The septum is a thick wall of muscle that divides the heart. It separates the left and right sides of the heart.
3.The respiratory and circulatory systems work together to maintain homeostasis. The respiratory system moves gases into and out of the blood. The circulatory system moves blood to all parts of the body.
Aerobic exercise reduces the risk of many conditions, including obesity, heart disease, high blood pressure, type 2 diabetes, metabolic syndrome, stroke and certain types of cancer. Weight-bearing aerobic exercises, such as walking, help decrease the risk of osteoporosis.
The superior mesenteric vein arises from the small instestine, asceding colon, and transverse colon. It carries blood through the hepatic portal vein into the liver's hepatic portal system, rather than returning this blood the the heart.
