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dr. ronald e. mcnair acknowledgements - University of St. Thomas

dr. ronald e. mcnair acknowledgements - University of St. Thomas

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Oluwademilade Adediran<br />

Psychology Mattering<br />

finding from this study was doctors made patients feel like<br />

they mattered when they took the time to talk, answered<br />

questions, and view the patient as a person who wanted to<br />

be able to have good quality <strong>of</strong> life after treatments. The<br />

results also indicated women felt they were merely cancer<br />

patients when they were given their diagnosis over the<br />

phone and by nurses who did not have sufficient<br />

information. Results from the current study coincide with<br />

findings from previous research from Janssen & MacLeod,<br />

(2010) which also found that patients dislike being treated<br />

as only as their cancer and not as people.<br />

This research also investigated whether or not patients<br />

perceived whether doctors took their life and livelihood<br />

into account when prescribing treatments. It seems some<br />

doctors are still focused on the elimination <strong>of</strong> the cancer<br />

and fail to look at long term effects <strong>of</strong> cancer treatments.<br />

Some doctors failed to ad<strong>dr</strong>ess the side effects <strong>of</strong> treatments,<br />

which led to patient difficulty in regaining their livelihood<br />

(Schmalenberger, S., Giebenhain, Gessert, & <strong>St</strong>arr, 2011;<br />

Schmalenberger, Giebenhain, <strong>St</strong>arr, & Gessert, 2011). The<br />

patients from this study remarked if the doctor could give<br />

them back their lives but take away their means <strong>of</strong><br />

providing for themselves, their quality <strong>of</strong> life had been<br />

greatly diminished. Being musicians is their passion,<br />

identity, and way <strong>of</strong> life. These women have trained for a<br />

lifetime to make music, and therefore cannot merely switch<br />

pr<strong>of</strong>essions.<br />

Medical treatments are essentially universal and not<br />

individualized. Doctors usually follow the same protocols.<br />

In the present study, largely ignored? Or downplayed the<br />

fact these women were musicians whose careers depend on<br />

their finely tuned physical abilities. Results from this study<br />

indicate when dealing with patients, they perceived the<br />

doctor was concerned with the cancer to the exclusion <strong>of</strong><br />

anything else. Some doctors asked the patient how<br />

treatments were affecting them, but the major focus was<br />

on getting rid <strong>of</strong> the cancer, everything else came second.<br />

Research indicates more women than ever are found to<br />

survive breast cancer. This rise in survival rates can be<br />

attributed to better methods <strong>of</strong> detection and intervention.<br />

Because we are more likely to survive cancer today, it makes<br />

sense that health care providers need to broaden their focus<br />

to include individualized treatments to successfully<br />

eliminate the cancer as well as minimize threats to patients’<br />

careers. This will help maintain the patients’ quality <strong>of</strong> life<br />

after treatments are over.<br />

Taking into consideration the concerns <strong>of</strong> the present<br />

sample, recommendations for improved holistic health care<br />

might include the following: in order for doctors to better<br />

suit their patients and do no harm as the Hippocratic Oath<br />

states, doctors could facilitate better communication with<br />

patients. This could help patients perceive they matter as<br />

people and are not just a name on a chart. Patients ought<br />

to be able to tell their doctors they are a mechanic, surgeon,<br />

pr<strong>of</strong>essional athlete, or ballet dancer, and therefore must (if<br />

at all possible) be able to do specific activities after<br />

treatments have ended. Doctors ought to share with the<br />

patient all possible treatment options, probabilities <strong>of</strong><br />

success, as well as the pros and cons <strong>of</strong> each treatment<br />

option. This will ensure the patient has input about how<br />

they would like to be treated. Furthermore, health care<br />

pr<strong>of</strong>essionals might consider creating a relationship that<br />

conveys they care for the patient. The relationship need<br />

only include specific characteristics which include: 1) the<br />

doctor could listen to the patient and direct them to<br />

resources which could give the woman further information<br />

about treatment options; 2) the doctor could keep the lines<br />

<strong>of</strong> communication open by making sure that meetings with<br />

the patient last as long as they need to; 3) doctors ought to<br />

take their time when meeting with each patient and not<br />

try to hurry through the process. This patience exhibited<br />

by the doctor could imply to the patient they can share<br />

their thoughts.<br />

The recommendations stated above were found to be<br />

what the ideal doctor should engage in according to study<br />

conducted by Theisel (2010). This “ideal” interaction does<br />

not facilitate more work for the doctor who has many<br />

patients to help, but helps him or her understand where<br />

the patient is coming from. The complaints from the<br />

women were not just that the doctor did not take his or<br />

her time. It was that the doctor was not purposeful in the<br />

use <strong>of</strong> his or her time. A patient explained “I see my surgeon,<br />

oncologist, and radiation oncologist every couple <strong>of</strong> months. And I<br />

have to tell you, when I go in for my treatment there, the visits get<br />

quicker and quicker.” Practical constraints in the age <strong>of</strong><br />

managed care imply it is hard for a doctor to be able to give<br />

each patient the attention they might deserve. Though this<br />

is the case, doctors ought to make their patients feel they<br />

matter by purposefully using the time they are allotted per<br />

9

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