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Combining touch with technique: fusing technology with the art of medicine

Joshua Weiss, Maggie Yau, James M Oleske

Abstract


It does not take long walking through a modern hospital to appreciate how much the practice of medicine is influenced by advanced technology that impacts diagnosis and treatment as well as greatly enhancing overall patient outcomes. This technology has allowed us to increase diagnostic efficiency and accuracy as well as managing complex illnesses. However, these advances in diagnosis and medical/surgical management have sometimes led to a sacrifice in the patient-doctor relationship that has impeded patient’s perception of personal interaction and care leading to a climate of distance and distrust. Ultimately, if a patient is diagnosed correctly with minimal care and compassion, have we truly met our responsibilities as physicians? Lacking in the current teaching of medicine is often an explicit discussion of the importance of touch as a therapeutic modality rather than just a consequence of a thorough physical examination. Allopathic medicine would do well to incorporate the basic principles of osteopathic medicine’s emphasis on touch in the everyday practice of medicine. Physicians can provide compassionate care only when empathy is present, which is reinforced by direct contact with patients. Technology should be used to supplement, not replace, the physician-patient relationship. The great challenge in medicine is not in the learning of our professional skills, rather it is in its competent and compassionate administration within the confines of the modern medical world. Within the constant spectre of disease and its complications, our central role as physicians is to blend the technology to diagnose and treat with the compassion and imperative to relieve suffering and by doing so, adding to the joy of life.


Keywords


Care, compassion, detachment, doctor-patient relationship, electronic medical record (EMR), empathy, humanism, person-centered healthcare, responsible integration, technoscientific medicine, therapeutic touch, touch

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References


Johnston, C.C., Rennick, J.E., Filion, F., Campbell-Yeo, M., Goulet, C., Bell, L., Tucci, M. & Ranger, M. (2012). Maternal Touch and Talk for Invasive Procedures in Infants and Toddlers in the Pediatric Intensive Care Unit. Journal of Pediatric Nursing 27 (2) 144-153.

Abdallah, B., Badr, L.K. & Hawwari, M. (2013). The efficacy of massage on short and long term outcomes in preterm infants. Infant Behavior & Development 36 (4) 662-669.

Freire, N.B., Garcia, J.B. & Lamy, Z.C. (2008). Evaluation of analgesic effect of skin-to-skin contact compared to oral glucose in preterm neonates. Pain 139 (1) 28-33.

Feldman, R., Eidelman, A.I., Sirota, L. & Weller, A. (2002). Comparison of Skin-to-Skin (Kangaroo) and Traditional Care: Parenting Outcomes and Preterm Infant Development. Pediatrics 110 (1 Pt 1) 16-26.

Shorey, S., Hong-Gu, H. & Morelius, E. (2016). Skin-to-skin contact by fathers and the impact on infant and paternal outcomes: an integrative review. Midwifery 40, 201-217.

Board, R. (2004). Father stress during a child’s critical care hospitalization. Journal of Pediatric Health Care 18 (5) 244-249.

He, H.G., Pölkki, T., Pietilä A.M. & Vehviläinen-Julkunen, K. (2006). Chinese parent’s use of nonpharmacological methods in children’s postoperative pain relief. Scandinavian Journal of Caring Sciences 20 (1) 2-9.

Elkiss, M.L. & Jerome, J.A. (2012). Touch-More Than a Basic Science. Journal of the American Osteopathic Association 112 (8) 514-517.

Post, S.G., Ng, L.E., Fischel, J.E., Bennett, M., Bily, L., Chandran, L., Joyce, J., Locicero, B., McGoven, K., McKeefrey, R.L., Rodriquez, J.V. & Roess, M.V. (2014). Routine, empathic and compassionate patient care, definitions, development, obstacles, education and beneficiaries. Journal of Evaluation in Clinical Practice 20 (6) 872-890.

Hardy, C. (2016). Empathizing with patients: the role of interaction and narratives in providing better patient care. Medicine, Health Care and Philosophy 20 (2) 237-248.

de Silva, J.V. & Carvalho I. (2016). Physicians experiencing intense emotions while seeing their patients: What happens? Permanente Journal 20 (3) 31-37.




DOI: http://dx.doi.org/10.5750/ejpch.v6i1.1419

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