Clinical Sciences questions and
answers
What is the #1 rule for 21st century health care? ✅✅To provide care based on
continuous healing relationships
What are six critical elements of therapeutic PPR? ✅✅1. Honesty and integrity -
authenticity
2 Respect
3. Empathy
4. Whole person knowledge
5. Quality of communication
6. Patient trust
What is empathy? ✅✅Understanding the feelings of another AND expressing that
understanding
What is the paternalistic model of PPR? In what setting may it be useful? ✅✅-Parent-
child relationship
-Physician uses skills to determine what is best for patient, --informs authoritatively
-Patient role: assent
-Assumes shared values of what's best
-Patient well-being over autonomy
-Physician in control
*May be useful in an emergency setting
What is the informative or consumer model of PPR? ✅✅-Physician provides patient
with information, choices, patient chooses, physician executes
-Patient's values: known to patient, not a concern to physician
-Patient in control
-Problems: information gap, illness may threaten patient's autonomy, arms-length
*May be useful in a procedural setting
What is the partnership model of PPR? ✅✅-"Adult-adult"
-Physician helps patient help self reach goals -- often shared, reached through
discussion
-Power more equal; each brings something
*May be useful for chronic disease care, often offered as normative model
Define disease. ✅✅Objective biologic event involving anatomic/physiologic disruption
caused by physical pathology
, What is the biomedical model of healthcare? ✅✅The disease process is best
understood when its linked to a single abnormality in physiology or anatomy; a
reductionist approach (complex phenomena (illness) reduced to a single cause)
Define illness. ✅✅The patient's subjective experience of disease
What is the biopsychosocial model of healthcare? ✅✅Retains the biomedical model
but reconstructs it to include psychological, family/social factors
What is patient-centered care? ✅✅A way of providing care based on healing PPR's
relationship based in trust, good communication, and partnership
What is health and healing? ✅✅Health is more than absence of disease; it involves a
sense of wholeness and integrity. Healing is making one whole again; restoring that
integrity.
Define curing. ✅✅Eliminating disease or at least controlling it
Define caring. ✅✅Dealing with the patient's illness experience and aiding them in a
return to wholeness
What are five outcomes of good communication? ✅✅1. More accurate information
2. Increased patient (and physician) satisfaction
3. Better adherence to treatment plan
4. Better physical outcomes
5. Fewer malpractice claims
What are the four most common causes of malpractice claims? ✅✅1. Abandoning
patient
2. Devaluing patient's view
3. Delivering information poorly/unclearly
4. Failing to understand patient's perspective
What are the five components of a medical history? ✅✅1. Chief complaint (CC)
2. History of present illness (HPI)
3. Past medical history/other active problems (PMH)
4. Family history (FH)
5. Social history or patient profile (SH)
What are some examples of non-verbal behavior? ✅✅-Eye contact
-Facial expression
-Tension in facial muscles
-Body posture, position; muscle tension
-Arms, legs
-Voice: tone, volume, emotion
answers
What is the #1 rule for 21st century health care? ✅✅To provide care based on
continuous healing relationships
What are six critical elements of therapeutic PPR? ✅✅1. Honesty and integrity -
authenticity
2 Respect
3. Empathy
4. Whole person knowledge
5. Quality of communication
6. Patient trust
What is empathy? ✅✅Understanding the feelings of another AND expressing that
understanding
What is the paternalistic model of PPR? In what setting may it be useful? ✅✅-Parent-
child relationship
-Physician uses skills to determine what is best for patient, --informs authoritatively
-Patient role: assent
-Assumes shared values of what's best
-Patient well-being over autonomy
-Physician in control
*May be useful in an emergency setting
What is the informative or consumer model of PPR? ✅✅-Physician provides patient
with information, choices, patient chooses, physician executes
-Patient's values: known to patient, not a concern to physician
-Patient in control
-Problems: information gap, illness may threaten patient's autonomy, arms-length
*May be useful in a procedural setting
What is the partnership model of PPR? ✅✅-"Adult-adult"
-Physician helps patient help self reach goals -- often shared, reached through
discussion
-Power more equal; each brings something
*May be useful for chronic disease care, often offered as normative model
Define disease. ✅✅Objective biologic event involving anatomic/physiologic disruption
caused by physical pathology
, What is the biomedical model of healthcare? ✅✅The disease process is best
understood when its linked to a single abnormality in physiology or anatomy; a
reductionist approach (complex phenomena (illness) reduced to a single cause)
Define illness. ✅✅The patient's subjective experience of disease
What is the biopsychosocial model of healthcare? ✅✅Retains the biomedical model
but reconstructs it to include psychological, family/social factors
What is patient-centered care? ✅✅A way of providing care based on healing PPR's
relationship based in trust, good communication, and partnership
What is health and healing? ✅✅Health is more than absence of disease; it involves a
sense of wholeness and integrity. Healing is making one whole again; restoring that
integrity.
Define curing. ✅✅Eliminating disease or at least controlling it
Define caring. ✅✅Dealing with the patient's illness experience and aiding them in a
return to wholeness
What are five outcomes of good communication? ✅✅1. More accurate information
2. Increased patient (and physician) satisfaction
3. Better adherence to treatment plan
4. Better physical outcomes
5. Fewer malpractice claims
What are the four most common causes of malpractice claims? ✅✅1. Abandoning
patient
2. Devaluing patient's view
3. Delivering information poorly/unclearly
4. Failing to understand patient's perspective
What are the five components of a medical history? ✅✅1. Chief complaint (CC)
2. History of present illness (HPI)
3. Past medical history/other active problems (PMH)
4. Family history (FH)
5. Social history or patient profile (SH)
What are some examples of non-verbal behavior? ✅✅-Eye contact
-Facial expression
-Tension in facial muscles
-Body posture, position; muscle tension
-Arms, legs
-Voice: tone, volume, emotion
