Patient Prognosis: A Case Study

The therapist was initiate this conversation as an interrogation to evaluate the patient prognosis (Do (you) feel any improvement?). This considered as a usual process in the medical conversation. Here, the therapist put forwarded a patient centred approach by knowing the patient opinion about his prognosis. So, a mutual power relationship can identify in this part of the conversation. The patient answer was a direct speech act in the form of assertiveness about what he felt regarding the recovery, this can identify in the line ‘I don’t feel any improvement’. The lines ‘I don’t feel any improvement’ and ‘I think it’s still the same’ are considered as an expression of patients concerns about his recovery.
Therapist accepted the patient …show more content…
So, here in this quote PTR7 described that doctors may be refer back the patient because of the confusion creating in the absence of an outcome measure. This may possibly increase patients waiting time, increase professional work load or decrease professional fulfilment and reduce the treatment time. All these were negatively influence therapeutic relationship. So, this evidence illustrate that an introduction of an outcome measure enhance not only the patient satisfaction but also the satisfaction of the professionals in different …show more content…
The therapist recognised the patient’s non-compliance to the treatment and related issues were the reason behind the patient’s dissatisfaction. As mentioned in chapter 5 the age-related attitude may be leading cause of non-adherence and less satisfaction. This, in turn affect the patient- therapist relationship in different forms; for instance, in the form of blaming each other. This is what explained PT S10 through the line ‘they don’t get any improvement and blame us’. Here, PTS10 and PTA11 were the young aged therapist. So the above quotes could be considered as the perspectives of young age therapist on older age patients. This kind of perspective from the therapist might be originated as the result of the challenges that they experienced during their practice to satisfying the patients with the older age group. However, the previous literature in the medical field emphasis the existence of the relation between patient’s age groups with their satisfaction and therapeutic encounter (Thiedke, 2007, Peck 2011). For instance, Peck (2011) an American based study identified that Patient age is associated with style of interaction, which is, in turn, associated with patient satisfaction and therapeutic