The rules and restrictions of a hospital
order the practitioners to respect the patient’s autonomy, beneficence and
non-maleficence. A doctor should support a patient’s independent decision
making and avoid putting pressure on the patient for persuasion. Also doing
what is best for the patient’s interest and having the desire to do positive
actions is a requirement in the hospital. In addition to that, avoidance of
malpractice or any intended harm to patient will protect you from getting sued.
These three main policies of any hospital can be achieved by:

v Consent:

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   The doctor must take consent from patients
before any procedure and respect their autonomy if they do not want to complete
the process of treatment. As I already mentioned, YYY was not completely
comfortable with us (me and my colleagues) but the doctor clarified that we are
here to learn so he agreed to continue the interview. After that I heard the
doctor asking YYY if he is fine with the blood tests with a curtain applied and
any further biopsy needed, and it will be done after taking consent again. This
is the professionalism that every doctor should acquire.

v Confidentiality:

   Confidentiality
is a main factor of the legal issue because it is the trust between a
practitioner and his patients. It requires the physician, nurse, or any
observer student to not reveal any kind of information that lead to disclosure
of the patient’s identity. It can only be breached for the public interest and
prevention of crimes. To protect the confidentiality, the clinic should be
private and not allow anybody to enter it unless he is allowed to or the nurse
opens the door for him. In this case, an angry patient was knocking the door aggressively
and even tried to open the door while the doctor was interviewing YYY, so the
doctor ordered an internship student to explain for him that there is an
overcrowding of appointments and respect the patient inside.

v Sociological aspect:

– The
political aspect:

   The Saudi government, especially ministry of
health, provides a free of cost healthcare services for all Saudi inhabitants
and foreign inhabitants who work in a governmental entity. Ministry of health
also provides a public medical center in almost every neighborhood in Saudi
Arabia with a small pharmacy available in weekdays only.

– Economic aspect:

   Non communicable diseases, such as
hypertension and diabetes cost the government a fortune, but it still provides
it for no cost. In this case, the doctor prescribed hepatitis C medications for
YYY for free, and when I looked up for the cost, I found that these medications
were way to expensive, so ministry of health should raise awareness and
encourage citizens to do scheduled health checkups to avoid these costs.

– culture
aspect:

   Respecting culture is critical in doctor-patient
relationship because it is the “key” to change their believes or making them
understand the illness widely.  A doctor
normally encounters patients from different areas, and some have believes on things
that will cure them completely and there won’t be any need to see a doctor,
such as thinking that swabbing olive oil on the area of pain will fully cure it.
Therefore, a doctor should explain and let them choose whether they continue on
alternative medicine or take effective drugs.

– social
aspect:

  
The patient YYY is a Saudi male who currently lives in Dammam with his
wife, one daughter and 1 son, but has 3 daughters and one son. He ages 53-year-old
and retired from an industry in AL-Jubail industrial city. His financial status
is very good since he was an engineer and the people around him are supportive,
so he is happy and stable in his life.

v Self-care and lifestyle:

– Education:

   YYY studied abroad
in the united states and eventually graduated as a chemical engineer with a bachelor’s
degree, which means that he is well educated.

– Stress managements:

   YYY manages his
stress by praying each prayer in the mosque and reading the holy Quran daily
for at least 30 minutes.

– Spirituality:

   Since AAA is a
Muslim, he said that this disease is the god’s will and it is a test for his
patience, so he should not be sad and depressed because of it.

– Exercise:

   He is not very
interested in fitness and exercises, but he walks around the house during
winter.

– Nutrition:

   YYY notified that he
always eats rice and chicken for lunch, but his wife cooks it in a bit healthy
way. Other meals vary from day to day.

– Connectedness:

   After retiring, YYY
had the free time to meet his relatives more often and visit his old mother to
provide her with the care she needs.

– Environment:

   As I mentioned
earlier, he lives with a supportive family who provide him with the enthusiasm
he needs to solve any conflict or difficulty until he overcomes it.