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Transcript of Narrative Medicine and Parallel Chart

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Disease surveillance

Diagnosis of Type 2 Diabetes Symptoms/ Acute sequellae Comorbidities Therapeutic order drugs interventions

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  • 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

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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

Social:

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

Patient outcomes:

  • Interviewing skills
  • Empathy
  • Compassion
  • 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.

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