Transcript of Narrative Medicine and Parallel Chart
Diagnosis of Type 2 Diabetes Symptoms/ Acute sequellae Comorbidities Therapeutic order drugs interventions
- Laboratory and imaging histories
- Physical exam
- Effective medical interviews
- Improve performance
- Creation of a therapeutic alliance with the patient
- Confidence and empathy
Case Elise a 42-year-old female
CC: type 2 diabetes, onset three years ago
- Needs advice on how to manage the condition better
- Aware of the need for watching hr does and exercising
Lives at home with the husband. A former city planner. Her hobbies include painting and sculpting. A mother of three with children living out of town.
Family history: a deceased father with mother currently admitted to a nursing home with dementia.
Medications: administration of 500mg of metformin with regular blood sugar level checks. Average levels are 7-8 ml/L
Practitioner experience: improved practitioner confidence and patient satisfaction
- Interviewing skills
- Improved compliance with medical attention
- Patient more involved in treatment regimen
- Trigger identification
- Enhanced awareness of the physician regarding patient’s condition
- Notification of unresolved issues through proper care management and planning
- Visit structured to achieve patient-centered care
To meet the goals of narrative medicine, I was required to obtain in-depth knowledge and underlining of the patient’s medical condition (Charon, 2006). This was accomplished by building confidence, competence, and patient-physician trust. Additionally, I had to arrange for individual meetings with Elise to identify mutual blind spots to facilitate my role as a healer. Nonetheless, despite these activities, it was important relaying to the patient the need for the use of powerful therapeutic interventions in controlling the condition. As a result, my ability to absorb, interpret and apply narrative medicine in providing care was improved significantly. With these points in mind, I have developed my comprehension of the role of the caregiver as it has developed self-knowledge, self-criticism, and manner contentment.
1. Charon, R. (2006). Narrative medicine: Honoring the stories of illness. New York, NY: Oxford University Press.