Thursday, February 15, 2007

Hello all,
As you may remember my last blog was about Dug, the guy who wouldn’t share his PMH with me. Thanks to Minh and Nic for your advice, you brought up some important issues that I hadn’t really considered. To keep you up dated Dug came back in today, I decided that I would explore the PMH issue. I was quite firm and clinical in my approach, I avoided “dabbling” around the issue and just simply told him that I was a health professional, all information is confidential and that I wasn’t prepared to treat him if he couldn’t be honest with me. This worked better than I could have hoped for. He told me that he had been diagnosed with schizophrenia 10 years ago and had spent a substantial amount of time since then in grey lands hospital, he has also spent time in prison and has battled depression since he was a child. I think once he told me he relaxed, I guess once that was out in the open he felt that I was more likely to be able to help him. I was very pleased with how the situation ended, I think the lesson to be learnt is to… know clearly what you want and why you want it, be confident about getting it, and respect it once you have it. (guess this can be a metaphor for anything you want in life)
Jess

2 comments:

Madeleine Casey said...

Way to go Jess!!
Good on you for finding out this info.....I think that some ppl try not to discuss their PMH and social history especially with students as they're concerned regarding confidentiality and perhaps with what we'd think. I think you did really well telling him straight up that you're a health professional and everything is confidential.....you obviously got through to him.

Mads

Anonymous said...

Hi Jess,
well done with establishing an effective relationship with your patient. I thought a while over this blog -prior to your second entry. If I take on the role of a devils advocate I'd ask you to determine the possible consiquences of not knowing the PMH (seperate to issue with forming effective relationship)eg I wont do EPAs on pt unless I have a PMH with no reason to suspect cancer ie I'll assume cancer unless proven otherwise if I can't get a PMH. If you were to think along these lines you might like to reflect on what parts of your treatment you would and wouldnt change when you had no access to a patients PMH. Worth thinking about,
regards
Steph