sexypablo’s blog

Contact Program Day 2

31/7/2007

Dr. P.S. Reddy

Hospital Administration

Beautifying the Mind —- Edward De Bono

Functions of Management:

PODSCROB (acronym denoting planning, organizing, directing, etc.)

Intensive care therapy is very expensive.

Hospital Laws and Medical Ethics

It is very important as on the basis of this a number of litigations are made for improper service in healthcare.

Legislative body makes the law.

National Laws:  Indian Penal Code, Welfare Code, and Administrative Code.

Implied consent:  A consent that is not told but is implied, say when a patient visits a doctor, the implied consent is the patient wants treatment, so tests are done by injecting syringes and blood taken, etc.

IPC sec. 90 —- Consent

IPC sec 88 —– Medicine

IPC sec 80 —- Accident in doing a lawful act

IPC sec 92 —–Act done in good faith for benefit without consent

IPC sec 320 —- grievous hurt

IPC sec 336 —– rash and negligent act endangering life

IPC sec 304 A —–Causing death by negligence

IPC sec 269 and 270 ——Negligent act likely to spread infection of disease.

Indian Medical council  act 20 —– confidentiality

Break the bad news — it is difficult for a doctor to tell the bad news of the disease to the patient, say if he suffers from blood cancer or any thing like that.

The method is called SPIKE:

S—-Setting up

P —- Perception.

I — Information.

K —– Knowledge

E—- Empathy

Terry Schiavo Case

——She was a model who wanted to be slim.  She wanted to be slim so she vomited food after eating called bulimia (a form of eating disorder).

—–Teenager with bulimia

——Potassium (K+) deficiency —it lead to cardiac arrest.

——Anorexic brain damage in 1990

——Removal of feeding tube.

——She died on March 31, 2005 due to dehydration.

Mary and Jodie

—-they are conjoined twins

——Mary uses Jodie as life support machine

——Separation might kill Mary as Jodie uses some organs of Mary to survive.

——continuation will kiss both.

Contact program Day 1

Dr. P.S. Reddy

We spent 3 trillion dollars on healthcare around the world

In US, 1.3 trillion dollars spent on healthcare.

In terms of expenditure, US ranks 37^th, 36^th Puerto Rico, Slovenia 38^th.

Functions of management:

1. Leadership
2. Delegation
3. How to get along with people.

Concept:  Transaction Analysis.

Management was there in the building of the Pyramids of Egypt.

Transaction Analysis was proposed by Eric Berne.

Eric Berne was a Swedish Psychologist.

He wrote a book called: "Games People Play."

Penfield did research on temporal lobe epilepsy

He stated that human mind is like a small tape recorders.

Human being has multifaceted personality.

Transaction is the basic unit of human interaction.

Ego

Superego —- Controlling/restricting.

Id—— Intuitive/instinct behavior

He found that out of 100, words share 7%, body language 55%, and paralingual the rest.  It shows that human body language has a major role to play in the human communication.  We get to know more about body language:  http://en.wikipedia.org/wiki/Body_language

There are 3 types of ego:  http://en.wikipedia.org/wiki/Ego

Parent Ego

Adult Ego

Child Ego

Ego?behavior thoughts and feelings

Parent ego—– nurturing parent

                ———critical parent

Child ego— can be divided into happy child and destructive child.

Destructive child can be divided into Rebellious child and compliant child.

Parent ego ' Taught concept of life.

                —–Child ego— felt concept of life.

Sigmund Freud  was an Austrian Neurologist and Psychiatrist (http://en.wikipedia.org/wiki/Sigmund_Freud)

It is always advised to use soft words in hard arguments.  In a hard argument, when the manager talks in a soft tone.  He gets the situation under control otherwise it would be a total chaos. 

Building Adult Ego:

—-Recognize your child

—–Recognize your parent

—–Recognize others child

—-Be sensitive to child in others

—–Count ten.

—–When in doubt, leave it out.

Thomas Harris—-Life Positions

I am ok. You are ok. —-natural child

Strokes —- gives recognition

A stroke can make you feel good or bad.

People work hard for strokes.

Argument is worst sort of conservation.