how encounter impact the course of your drcisions

Why are physician outcomes so difficult?

Feb 01, 2010 · Significant factors include past experiences, a variety of cognitive biases, an escalation of commitment and sunk outcomes, individual differences, including age and socioeconomic status, and a belief in personal relevance. These things all impact the decision making process and the decisions made. Past experiences can impact future decision making.

What are the factors that affect the patient encounter?

1. Make your decisions in the morning. With a combination of serotonin and dopamine levels, and no decision fatigue to get you down, the morning is the best time to make big decisions. If you do have to make big decisions in the afternoon, you could try taking a nap or just a relaxing break to reset your brain first. 2. Eat first

How to manage difficult patient encounters?

These hormones enter the bloodstream and create feelings, sometimes negative and sometimes positive. So, to review, it’s stimuli, then emotions, then hormones and, finally, feelings. In other ...

Why are physician-patient interactions so difficult?

Some of these are relatively small, such as deciding what to wear or what to have for breakfast. Others are big and can have a major influence on the course of our life, such as deciding where to go to school or whether to have children. Some decisions take time while others must be made in a split-second. While we employ a number of different decision-making strategies, we also …

How do you impact decision making?

How your experiences affect the decision making in your life?

What difficulties do you encounter in making decisions?

How do experiences affect us?

Why is it important to learn how do you make decisions?

What are two things that can influence people's decision-making skills?

Why do people have difficulty in decision-making?

How can you improve decision-making?

When a decision is verbally framed as involving a gain, do humans prefer a sure outcome over

When a decision is verbally framed as involving a gain, humans prefer a sure outcome over a probabilistic outcome. When the same situation is framed as involving losses, people sometimes prefer to gamble.

Why do we need to take a break when making decisions?

Where decisions must be made at later times, taking a break without making any choices at all is recommended because ‘decision fatigue’ is difficult to fix without giving the brain a proper rest. If you know you are going to be making an important decision at say 4 pm, schedule some rest period immediately before that time.

How to make better decisions?

1. Make your decisions in the morning. With a combination of serotonin and dopamine levels, and no decision fatigue to get you down, the morning is the best time to make big decisions.

Why do we make better decisions in the morning?

According to this excellent video by Baba Shiv, we should make more of our decisions in the morning. This is when serotonin is at it’s natural high, which helps to calm our brain.

Why do we postpone decisions?

During the afternoon, Shiv says it’s common to postpone decisions because we favor indecision, or just avoiding making a choice at all.

What is decision fatigue?

Brian Bailey wrote about decision fatigue in an earlier post, which is essentially just a wearing-down of our decision-making abilities from overuse in a short period of time. The more decisions we make, the more tired our brain gets, leading us to either give less thought to our decisions or choose lower-risk, “safe” options simply to avoid the effort of making a difficult decision.

What happens when you get offered too many choices?

When we get offered too many choices, the same thing happens—we shut down, unable to decide. Often, we end up simply choosing anything, just to get the process over and done with.

Why does the brain need to update information?

Antonio R. Damasio, the brain constantly needs to update its information on the body’s state in order to regulate the many processes that keep it alive. And, it needs to translate those emotions into actionable feelings.

How does the body produce feelings?

That stimulus generates an unfelt emotion in the brain, which causes the body to produce responsive hormones. These hormones enter the bloodstream and create feelings, sometimes negative and sometimes positive.

What is the emotion that we feel when we feel threatened?

For instance, when we feel threatened by something, the initial emotion is labeled “fear. ".

Who said emotions influence, skew or sometimes completely determine the outcome of a large number?

According to Herbert Simon, American Nobel Laureate scientist, “In order to have anything like a complete theory of human rationality, we have to understand what role emotion plays in it.”. As Dr. Simon and others have pointed out, emotions influence, skew or sometimes completely determine the outcome of a large number ...

Can we use knowledge of emotions and feelings in decision making?

Only when we see this final result can we effectively utilize knowledge of emotions and feelings in the decision making process. Instead, if we try to understand that any particular emotion, say, disgust, will result in a feeling of, say, “loathing” or “judgmental” or “detestable," then we can better evaluate the matter and take the better action.

Why do we use heuristics in decision making?

Decision-making problems are often the result of relying too heavily on mental shortcuts that have worked in the past. A heuristic is a sort of mental shortcut or rule of thumb that we utilize when making a judgment or decision. These heuristics help to lighten the mental load when we make choices, but they can also lead to errors. 1 .

What are the advantages and disadvantages of heuristics?

First, they allow us to reach conclusions quickly. Second, heuristics also tend to work quite frequently. But as with all kinds of shortcuts, they can sometimes have disadvantages. They can sometimes lead us to make mistakes and misjudge situations. 1 .

What is the tendency to see relationships where none exist?

This tendency to see relationships where none exist is known in psychology as an illusory correlation. 7  In addition to leading to faulty beliefs, illusory correlations can also cause problems in the decision-making process.

What is availability heuristic?

The Availability Heuristic: This involves judging the likelihood of an event based upon how quickly we can call similar events to mind. For example, you might believe that plane crashes are more common than they really are simply because you can quickly think of several examples of high profile airplane accidents.

Why do we believe that two unrelated events have some type of relationship?

For example, we might believe that two unrelated events have some type of relationship simply because they occurred around the same time. In other cases, a one-time association between two different variables might lead us to assume that the two are somehow connected. For example, if you have a bad experience with a rude waitress, you might mistakenly believe that all waitresses are rude.

What is representativeness heuristic?

The Representativeness Heuristic: This involves judging the probability of an event based upon how similar it is to our existing prototype of such an event. For example, gamblers often judge the probability that they will win their next game based on whether or not they won the last game. 2  In reality, the games are not dependent upon each other and winning or losing is entirely up to chance.

Why is hindsight bias bad?

The hindsight bias can cause problems when it leads you to believe that you should have been able to foresee the outcome of situations that really weren't that predictable. As a result, you might make future decisions based on the information you learned from past mistakes. Rather than relying on factors related to the present situation, you might find yourself trying to guess the outcome based upon other, possibly unrelated experiences.

What to do after you have determined and understood the growth of your students?

After you have determined and understood the growth of your students, you are in a position to assess the impact of your teaching and consider how well you have enabled your students to progress. This can give you the chance to learn what is contributing to learning and what might need to change and improve.

Is learning always fixed?

some learning occurs incrementally along a learning continuum, but the rate and pace of learning is not always fixed and constant. learning can develop in more complex ways through a web of connectedness that is dependent on students developing understandings, capabilities and dispositions in concert with one another.

What does your behavior during difficult situations in the past reflect?

Your behavior during difficult situations in the past can reflect your values and ethics. Interviewers look with candidates who uphold their company's standards of fairness and ethical behavior. This question can show how a candidate follows company procedures and responds to ethical dilemmas, indicating their trustworthiness and desire to support their team.

How to make a good decision?

Describe the thought process you experienced when trying to make the best decision. Recognize different points of view but indicate the factors you thought were more important and why. Show that you took the decision seriously and thought carefully about its consequences.

Why do you ask about a time when you had to make a touch choice?

Asking about a time when you had to make a touch choice lets interviewers consider how self-aware you are about the impact of your actions and thought processes. This question shows how you perceive difficult situations and decide the best way to navigate them. Interviewers applying for jobs where people need to represent the company or brand ask this question to find candidates who understand how others might judge their choices and actions.

Why would an employer ask about a tough decision?

The reason your potential employer might ask about a tough decision you made depends on the role of decision-making in the job you're applying for. There are several characteristics an interviewer could look for to indicate that you would make good decisions for their company. Interviewers might ask you to describe a time you made a difficult decision to assess a number of skills and qualities, including:

What does it mean to discuss your career?

Discussing decisions that are relevant to your desired career shows the interviewer how you would behave in a similar role. If you don't have professional experience, think about decisions you made about your life or education that could indicate a desirable mindset for employers in your field.

How to explain conflicting choices?

Discuss why those conflicting choices made it challenging for you to select an outcome and acknowledge the different perspectives in the scenario to show awareness of the situation.

How to explain a decision in an interview?

Clearly explain the decision you made and the actions you took to enact it. The interview should be able to easily follow your line of thought explaining the decision. Show confidence in your choice and justify why you thought it was the right thing to do in that situation.

How to avoid clinical encounters?

Being aware of factors that contribute to difficult clinical encounters and being prepared to address them will go a long way toward preventing them. But don't underestimate the positive difference that good interpersonal communication skills can make in these situations and other, more typical encounters as well. For example, remain seated during the encounter, practice active listening, respond to “Oh, by the way” questions instead of dismissing them, and close the interview with a specific question, such as “Do you have any questions about what we discussed today?”

Why do physicians react negatively to patients?

Angry or defensive physicians. Physicians who are burned out, stressed and generally frustrated over near-term crises or long-term concerns are more likely to react negatively to patients, not just those with characteristics that may contribute to a difficult encounter. Recognizing our own trigger issues and knowing what personal baggage we bring into the exam room can be valuable.

What is a somatizing patient?

Somatizing patients. These patients present with a chronic course of multiple vague or exaggerated symptoms and often suffer from comorbid anxiety, depression and personality disorders. They often have “doctor-shopped” and likely have a history of multiple diagnostic tests.

What to do when a patient is afraid of a diagnosis?

If you sense that a patient is fearful about a diagnosis or treatment, encourage the patient to talk about it, and assess whether the fear is appropriate in proportion to the situation. This may help to establish a context for the fear, allowing the patient to deal with it more constructively.

How to manage manipulative patients?

The keys to managing encounters with manipulative patients are to be aware of your own emotions, attempt to understand the patient's expectations (which may actually be reasonable, even if his or her actions are not) and realize that sometimes you have to say “no .”. Somatizing patients.

How to break bad news?

Know who will be present for the discussion, allow adequate time and privacy, and review the clinical situation. In the early stages of the encounter, assess what the patient already understands or believes about the situation and how much more information he or she wants. Disclose the news directly, allowing adequate response time for the patient and others in the room to experience their emotions and process the information. After giving the news, discuss the implications, offer additional resources, agree on next steps, summarize the discussion and be certain to arrange for follow-up.

What are the characteristics of a difficult encounter?

1 Patient characteristics that suggest the likelihood of difficult encounters include the presence of depressive or anxiety disorders, more somatic symptoms and greater symptom severity, according to the study. Not all difficult encounters can be blamed on the patient side of the interaction. Physician attitudes about care, fatigue, stress and burnout can create circumstances in which physicians are responsible for the difficulties. Language barriers, cross-cultural issues and the need to relay bad news can also make for challenging encounters.

How to make sure you understand your medical condition?

Talk to your medical team in depth and research your health issues to make sure you fully understand your medical condition and your options.

How does cost affect healthcare decisions?

Decisions about your healthcare may be affected by your culture, religion or beliefs.

What to consider when making a decision?

There are many things to consider when making a decision that relates to your ongoing health or medical treatment. The cost, timing and regularity of medical treatment will affect your decisions, as will the potential impact on your family, friends and working life.#N#Getting involved in your healthcare can help you understand your health condition and medical treatment options so you can make healthcare decisions that are best for you. This may include researching your medical condition and treatment options, talking with your medical team and planning for the future.

Why is it important to get involved in healthcare?

Getting involved in your healthcare can help you understand your health condition and medical treatment options so you can make healthcare decisions that are best for you. This may include researching your medical condition and treatment options, talking with your medical team and planning for the future.

Why is it important to share decision making?

It ensures that you and your doctor are making treatment and healthcare decisions together. This process empowers you to make decisions that are right for you. Talk to your doctor or healthcare professional about the most appropriate shared decision-making tools for you. Shared decision making is not always the best approach.

What is decision support in healthcare?

It is up to you how you decide to work through the decision-making process. However, there are many useful health resources available through healthcare providers and online health websites that can help guide you through the process if you feel that you need assistance.#N#One popular decision-making tool is the Ottawa Decision Support Framework, which was developed to help people weigh up the advantages and disadvantages of different possible healthcare scenarios. It suggests a series of questions to help you come to a decision that you are more likely to be comfortable with and be able to live with in the long term.#N#The types of questions you are likely to encounter when making a decision include:

What is it called when you make your own decisions about your health care?

This is called shared decision making.

Why are other situations identified right away?

Other situations are the kind that occur quickly and are identified right away because you intuitively know they are important, potentially serious and need quick action or investigation.

When you encounter situations in which a decision is not what you consider the right one or the moral one, you are

When you encounter situations in which a decision is not what you consider the right one or the moral one, you indeed are challenged.

Why are dilemmas and decisions important?

Dilemmas and decisions are crucial, and no discussion of them would be complete without examining the moral distress they can cause and the moral courage you need to overcome that distress.

Why do nurses spend more time with patients than any other profession?

As nurses, you spend more time with patients than any other profession and deal with difficult patient situations frequently because of the front line position you hold within healthcare.

What is the principle of well being?

The principle of well-being, or beneficence, doing good and preventing harm, obliges the nurse to promote the health and safety of patients in decisions made by and for them. The principle of equity, or justice, requires that patients be treated fairly and equally in the decision-making process.

What is Florence Nightingale's first requirement in a hospital?

In Florence Nightingale’s well-known work, “ Notes on Nursing,” she wrote that “the very first requirement in a hospital is that it should do the sick no harm.”. As nurses, you follow that rule. It is the basic one you live and practice by.

Can dilemmas arise in any setting?

You can encounter dilemmas in almost any patient care situation. They can arise in any setting at any time, from an ordinary interdisciplinary discussion or family meeting to a patient care plan to a differential diagnosis, diagnostic or treatment choice.