Disease surveillance

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

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.