دانلود کتاب The moral distress syndrome affecting physicians: how current healthcare is putting doctors and patients at risk

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Cover......Page 1
Half Title......Page 2
Title Page......Page 4
Copyright Page......Page 5
Dedication......Page 6
Table of Contents......Page 8
About the Author......Page 16
Why Write Tthis Book?......Page 18
What Iis Moral Distress?......Page 22
Section 1 The Issues Fueling Moral Distress Syndrome......Page 28
Chapter 1 Two Old Friends......Page 30
1.1 Definition of Moral Distress......Page 33
Suggested Reading......Page 34
2.1 Moral Distress Syndrome......Page 36
2.2 Moral Pain......Page 38
2.4 Moral Distress......Page 40
References......Page 41
3.1 Definition and Symptoms of Litigation Syndrome......Page 44
3.2 Burnout and Suicide......Page 45
3.3 Emotional Detachment......Page 46
Suggested Reading......Page 47
4.1 Causes of Burnout......Page 50
4.3 Suicide and PTSD......Page 51
4.4 Depression Symptoms Even in Medical Students......Page 53
4.5 Must Be Healthy to Get Licensures......Page 54
References......Page 55
Suggested Reading......Page 56
5.1 Risk of Suicide in Physicians......Page 58
5.2 Stress Factors and Side Effects......Page 59
5.3 Suicide in the USA......Page 60
5.4 Lack of Policies......Page 61
Suggested Reading......Page 63
6.1 Stressful Profession......Page 64
6.2 Lack of Satisfaction......Page 65
6.3 Lack of Recognition......Page 66
6.4 Physicians Are at Risk......Page 67
6.5 Fear of Losing the License......Page 68
References......Page 69
Suggested Reading......Page 70
7.1 Aggressive Environment to Work In......Page 72
7.2 Distress of a Lawsuit......Page 73
7.3 Guilty till Proven Innocent......Page 74
7.4 Communicate with Patients......Page 75
Suggested Reading......Page 77
8.1 Financial Pressures......Page 78
8.2 Hamster in a Wheel......Page 79
8.3 Lack of Respect toward Physicians......Page 80
Suggested Reading......Page 83
9.1 Corporate Culture......Page 84
9.2 Increasing Denial of Insurance Services......Page 86
9.3 Refusing Clinical Evidence......Page 87
9.4 Locum Company Cartels......Page 89
Suggested Reading......Page 90
10.1 Lost Goals......Page 92
10.2 Medicine Is an Art, Not Just a Business......Page 94
References......Page 95
11.1 Managers Who Lack Clinical Training......Page 96
11.2 Managers and Physicians Have Opposing Aims......Page 98
11.3 Medicine Is Not a Cook Book......Page 99
Suggested Reading......Page 100
12.1 Emotional Trauma......Page 102
12.2 The Similar Symptoms of Concussion and Moral Distress......Page 103
12.3 Brain Zapping......Page 104
Suggested Reading......Page 106
13.1 Physician Divorce Study......Page 108
13.2 Specialty Traits......Page 109
13.3 Divorce in the USA......Page 111
13.4 Average First Marriage Duration......Page 112
References......Page 114
Suggested Reading......Page 115
14.1 Difficulties in Obtaining Malpractice Insurance......Page 116
14.2 How Malpractice Insurance Is Obtained......Page 118
14.3 Premium Increase......Page 119
14.4 The Price of Liability......Page 120
References......Page 122
Suggested Reading......Page 123
15.1 The Stress of Prescribing Opioids......Page 124
15.2 The Opioid Epidemic......Page 125
15.3 Expenditure on the Opioid Crisis......Page 126
15.4 Opioid Abuse......Page 127
15.5 Physicians Left Alone with Increasing Patient Demands......Page 128
15.6 The Need for State and Federal Rules and a Database......Page 129
References......Page 130
Section 2 The Doctor, the Person......Page 132
16.1 Foreign Physicians......Page 134
16.2 The Doctor and the Man......Page 135
16.3 Getting a Research Fellowship......Page 137
16.4 Discrimination......Page 138
17.1 Double Residencies......Page 140
17.2 Pyramid Systems......Page 141
18.1 Work Overload and Loss of Family......Page 144
18.2 My First Lawsuit and Downfall......Page 145
18.3 Rebuilding Yourself......Page 147
18.4 Travel and Research......Page 148
18.5 Unnecessary Suicide......Page 149
19.1 Justice Is Blind......Page 152
19.2 Lawsuits Kill Souls......Page 154
20.1 Challenging Yourself: The Paranoia......Page 156
20.2 Second-Guessing......Page 158
20.3 Fibrin or Pus?......Page 159
20.4 Your CV Is Not Good Anymore......Page 160
Suggested Reading......Page 161
Section 3 Society and the Suffering Physician......Page 162
21.1 Tort Reform and Safe Tax Dollars......Page 164
21.2 Societal Responsibilities......Page 165
21.3 Unhappy Patients Write Bad Reports, Happy Patients Don’t Write......Page 166
Suggested Reading......Page 168
22.1 Emotional Detachment......Page 170
22.2 Patients Need to Give Full Disclosure......Page 172
Suggested Reading......Page 173
23.1 Patients Have No Rules......Page 174
23.2 We Need Professional Patients......Page 176
23.3 Physician-Centered Healthcare......Page 178
Suggested Reading......Page 179
24.1 Physicians Like to Be Physicians......Page 180
24.2 The High Standards We Must Follow......Page 181
24.3 Decreased Reimbursement and Free Care......Page 182
24.4 Difficulties Being a Surgeon and Making Decisions in Seconds......Page 184
Suggested Reading......Page 186
25.1 Physicians Are Alone......Page 188
25.2 Loneliness Is Pain......Page 190
Suggested Reading......Page 191
26.1 Divorce Rate for Physicians Being Sued......Page 192
26.2 Marriage Weak Spot......Page 194
26.3 My Marriage Was Not There for Me......Page 195
26.4 Vindictive Ex-Wife......Page 196
Suggested Reading......Page 198
27.1 Bringing the Moral Injury Home......Page 200
27.2 Reinventing Yourself......Page 202
Suggested Reading......Page 204
28.1 Lack of Satisfaction......Page 206
28.2 The Birth of Moral Injury......Page 207
28.3 Physicians Are Not Just Scorecards......Page 208
28.4 Why Is Moral Injury a Syndrome?......Page 209
28.5 Physician Wellness Program......Page 210
Reference......Page 211
Suggested Reading......Page 212
29.1 Physicians Cannot Share the Pain......Page 214
29.2 Physician Discrimination......Page 215
Suggested Reading......Page 216
30.1 The AMA and Moral Distress......Page 218
30.2 Physicians Are the Worst Patients......Page 219
Suggested Reading......Page 220
31.1 Needing a Circle of Friends......Page 222
31.3 Difficult Battle......Page 224
31.4 Needing a Safe Space......Page 225
Index......Page 228