front cover of First, Do No Harm
First, Do No Harm
Power, Oppression, and Violence in Healthcare
Edited by Nancy L. Diekelmann
University of Wisconsin Press, 2002

    First, Do No Harm shows how health care professionals, with the best intentions of providing excellent, holistic health care, can nonetheless perpetuate violence against vulnerable patients. The essays investigate the need to rethink contemporary healthcare practices in ways that can bring the art and science of medicine back into sorely needed balance.
    These ground-breaking studies by noted scholars question commonly held assumptions in contemporary healthcare that underlie oppressive power dynamics and even violence for patients and their families. The contributors discuss such topics as women and violence, life-support technologies, and healthcare professionals’ own experiences as patients. First, Do No Harm opens the discourse for reaching new understandings, from reassessing the meaning of "quality of life" to questioning the appropriateness of the very language used by healthcare professionals. It will be welcomed by healthcare workers and by scholars in nursing, medicine, and the allied health sciences.

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front cover of Health Work with the Poor
Health Work with the Poor
A Practical Guide
Kiefer, Christie W
Rutgers University Press, 2000

Christie Kiefer vividly brings home the meaning of poverty in peoples’ lives as he examines both their access to—and their lack of—health care.

            Aimed at both students and professionals in the field, this book argues that individuals serving the poor have the means and obligation to address the root causes of ill health of the poor, not just the symptoms. These causes, Kiefer argues, are overwhelmingly social and political. In a ringing indictment of the factors that perpetuate poverty, he declares that the work of healing at its best must include advocacy.

            Health Work with the Poor offers to both health workers and activists a wealth of practical information. Kiefer’s trenchant analysis of the factors that help cause and perpetuate poverty offers students the needed intellectual framework not only to accomplish short-term change but also to strive toward long-term social advocacy. Each chapter ends with a set of discussion questions—a real boon for instructors. Appendices on Internet resources for the study of poverty and on a proposed program detailing how to teach health workers in a way that promotes social awareness make this book a valuable resource for courses on poverty and health. It will also be an indispensable manual for all those who work with the poor.

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front cover of Patient Listening
Patient Listening
A Doctor's Guide
Loreen Herwaldt
University of Iowa Press, 2008
From the fictional portrayal of Dr. Gregory House to Jerome Groopman's bestseller How Doctors Think, both medical professionals and the general public recognize that there is more to the doctor's job than technical practice. Yet why do so many patients come away from their doctors' offices feeling dissatisfied with their interactions? In this welcome addition to the growing field of narrative medicine, physician Loreen Herwaldt uses the illness narratives of two dozen writer-patients to teach listening skills to medical students, residents, physicians, and other health care providers.

Herwaldt skillfully pares each narrative down to its most basic elements, rendering them into powerful found poems that she has used successfully in her role as a teacher and in her own practice. Drawing from narratives by writers who are both emerging and well known, including Oliver Sacks, Richard Selzer, and Mary Swander, each poem reveals the experience of illness and treatment from the patient's perspective. Patient Listening includes a detailed general introduction and a how-to guide that will prove invaluable in the classroom and in clinical practice.

This book will inspire thoughtfulness in everyone who reads it. It is also designed to foster discussions about all aspects of the patient experience from ethics to stigmatization to health insurance. Patient Listening is not just about bedside manner but also about how health care providers can gain the most from their interactions with patients and in turn offer more appropriate treatments, develop more cooperative and responsive relationships with their patients, and thus become better doctors.
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front cover of What Do I Say?
What Do I Say?
Talking with Patients about Spirituality
Elizabeth Johnston-Taylor
Templeton Press, 2007
Health care professionals, clergy, chaplains, social workers, and others who counsel people in medical crisis often find themselves faced with deeply painful questions: Why is this happening to me? Am I dying? Why should I live? I'm just a burden to others.
Here is a workbook that suggests healing verbal responses to such expressions of spiritual pain. The author, an internationally recognized expert in spiritual caregiving, points out that wanting to help is one motivation for learning these skills, but there are also evidence-based reasons: helping patients express their innermost feelings promotes spiritual healing; spiritual health is related to physical and emotional health; spiritual coping helps patients accept and deal with their illness; and patients tend to want their health care professionals to know about their spirituality.
Lessons, tips, and exercises teach how to listen effectively, with guidelines for detecting and understanding the spiritual needs embedded in patients' conversations. Suggestions are provided for verbal responses to patients who express spiritual distress, including tips for building rapport, using self-disclosure, and praying with patients. A FAQ section deals with frequently asked questions and miscellaneous information, such as:
•What do I do when a patient talks on and on and I have to leave?
•How do I answer a "why" question?
•What do I say to a patient who believes a miracle will happen to cure them?
•What if I'm not religious? How can I talk about it?
By practicing and using these healing techniques, Taylor explains, healthcare professionals will be able to provide patients responses to their questions that allow them to become intellectually, emotionally, and physically aware of their spirituality so they can experience life more fully.
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