Select one of the challenging patient situations and behaviors referenced in Chapter 2 of this
topic's assigned reading. Discuss best practices in managing this scenario in the context of
the focused history and physical examination encounter. How might ethical principles
informed by a Christian perspective be beneficial for Christians and non-Christians alike in
a situation like this? Support your response with a minimum of two APRN-approved
scholarly resources.
A challenging patient situation is a patient that is silent. Silence from a patient can mean that
the patient may be uncomfortable, may not be able to disclose what is going on with them and
maybe it is embarrassing, the patient is not able to describe their feelings of what is going on,
or they may not feel that they can trust you as the provider with the information. (Bickley,
2020). Addressing the patient with kindness, empathy, and concern can open up the room for
discussion. Reassurance to the patient that it is a safe and confidential environment may help
the patient feel more secure. Ensuring the patient is in a private room and asking if the patient
had a support person come with them that they would like in the room may also help the
patient’s feelings of un-comfortability. Asking the patient what they are feeling or thinking
about may also open up the conversation for the provider to better understand how the patient
is feeling and to get insight on the patient’s feelings and emotions. (Bickley, 2020). Patience is
needed with these types of patients and using open ended questions is best to discuss what the
patient may be feeling. Opening the conversation and having the patient talk about their
feelings may be a good way to also ask the patient if it is okay to do an examination and
explain exactly what you will be doing. Communication is key for the patient to feel
comfortable and asking permission during each step of the assessment may help better gain
trust without overstepping boundaries.
Using a Christian approach can help to provide empathy, kindness, trust, and honesty.
Promoting and protecting the dignity of people such as patients is crucial. Caring for one
another and encouraging human flourishing, freedom, and healing is important. A healing
relationship is one that is dynamic between a person who is vulnerable, suffering, or seeking
help and the other person such as a provider is looked at to restore health and wholeness.
(Perkins, 2021). The provider can use the act of profession with commitment to the person who
is sick and with a Christianity perspective by instilling these values into the profession such as
in the act of healing by using therapeutic interventions to restore the person health or if not
possible to relieve suffering or pain and provide comfort. (Perkins, 2021). Christianity is based
on these foundations of trust, love, empathy, commitment, and treating others with kindness
and respect. (Reno, 2020). The use of these methods on a patient that is silent will open the
door for a trusting patient-provider relationship. Even in non-Christian believers a provider that
has Christian values can still use these ethics, moral, and own values to provide care that is
empathetic and trusting without pushing the beliefs onto the patient.
Bickley, L. S. (2020). Bates' guide to physical examination and history taking (13th ed.). Wolters
Kluwer Health.
topic's assigned reading. Discuss best practices in managing this scenario in the context of
the focused history and physical examination encounter. How might ethical principles
informed by a Christian perspective be beneficial for Christians and non-Christians alike in
a situation like this? Support your response with a minimum of two APRN-approved
scholarly resources.
A challenging patient situation is a patient that is silent. Silence from a patient can mean that
the patient may be uncomfortable, may not be able to disclose what is going on with them and
maybe it is embarrassing, the patient is not able to describe their feelings of what is going on,
or they may not feel that they can trust you as the provider with the information. (Bickley,
2020). Addressing the patient with kindness, empathy, and concern can open up the room for
discussion. Reassurance to the patient that it is a safe and confidential environment may help
the patient feel more secure. Ensuring the patient is in a private room and asking if the patient
had a support person come with them that they would like in the room may also help the
patient’s feelings of un-comfortability. Asking the patient what they are feeling or thinking
about may also open up the conversation for the provider to better understand how the patient
is feeling and to get insight on the patient’s feelings and emotions. (Bickley, 2020). Patience is
needed with these types of patients and using open ended questions is best to discuss what the
patient may be feeling. Opening the conversation and having the patient talk about their
feelings may be a good way to also ask the patient if it is okay to do an examination and
explain exactly what you will be doing. Communication is key for the patient to feel
comfortable and asking permission during each step of the assessment may help better gain
trust without overstepping boundaries.
Using a Christian approach can help to provide empathy, kindness, trust, and honesty.
Promoting and protecting the dignity of people such as patients is crucial. Caring for one
another and encouraging human flourishing, freedom, and healing is important. A healing
relationship is one that is dynamic between a person who is vulnerable, suffering, or seeking
help and the other person such as a provider is looked at to restore health and wholeness.
(Perkins, 2021). The provider can use the act of profession with commitment to the person who
is sick and with a Christianity perspective by instilling these values into the profession such as
in the act of healing by using therapeutic interventions to restore the person health or if not
possible to relieve suffering or pain and provide comfort. (Perkins, 2021). Christianity is based
on these foundations of trust, love, empathy, commitment, and treating others with kindness
and respect. (Reno, 2020). The use of these methods on a patient that is silent will open the
door for a trusting patient-provider relationship. Even in non-Christian believers a provider that
has Christian values can still use these ethics, moral, and own values to provide care that is
empathetic and trusting without pushing the beliefs onto the patient.
Bickley, L. S. (2020). Bates' guide to physical examination and history taking (13th ed.). Wolters
Kluwer Health.
