Regaining trust : the role of catharsis-education-action as a strategy / Michael Ian N. Sta. Maria.

Includes appendices and bibliographical references.

Abstract: Trust is a defining element in any interpersonal relationship, but is particularly central to the patient-physician relationship. The trust and rapport established in early patient encounters lay the groundwork for effective communication later on, when more difficult conversations regarding end-of-life care or disease progression may be needed. The objectives of this report are to describe how mistrust to health care providers can be a barrier in the delivery of care to patients and to discuss the different strategies in order to regain the lost trust. This is a case of a 56 years - old female presenting with a breast mass on the right who previously underwent Modified Radical Mastectomy of her left breast due to invasive ductal carcinoma. It presents the different circumstances, succeeding deaths of family members in the hands of health care providers, which led to the family`s mistrust to health care professionals. This became a barrier to achieve a good patient-physician relationship needed to proceed with the plan of management. This report shows the importance of interpersonal and social trust encompassing competence, compassion, integrity, and open communication. The report will highlight trust as a salutugenic approach in the adherence to the planned management. The importance of Catharsis-Education-Action as a strategy in regaining loss of trust.

Research - Department of Community & Family Medicine