Changes

  Among the qualities of nursing staff, Upacharajnata means knowledge of preparing different forms of medicine, healthy recipes, dispensing, administration of various purification procedures etc. The staff should be skilled to handle a situation, compassionate towards the patient, possess hygiene, and should be able to understand the prescription of the physician. In modern era, an ideal attendant (nurse) should possess the relevant knowledge , skills and credentials required for nursing, with excellent communication skills, empathy for patients and their families, flexible working, attentiveness, responsiveness, and problem-solving skills. These characteristics have been examined further in the fifteenth chapter of the Sutra Sthana, titled “Upakalpaneeya Adhyaya”. [8]

  Among the qualities of nursing staff, Upacharajnata means knowledge of preparing different forms of medicine, healthy recipes, dispensing, administration of various purification procedures etc. The staff should be skilled to handle a situation, compassionate towards the patient, possess hygiene, and should be able to understand the prescription of the physician. In modern era, an ideal attendant (nurse) should possess the relevant knowledge , skills and credentials required for nursing, with excellent communication skills, empathy for patients and their families, flexible working, attentiveness, responsiveness, and problem-solving skills. These characteristics have been examined further in the fifteenth chapter of the Sutra Sthana, titled “Upakalpaneeya Adhyaya”. [8]

Patient:

Patient:

The patient should follow the instructions of the doctor, be intelligent enough to understand his disease, and should be able to express his condition openly with the physician.  Smriti [memory] is an important character of the patient for him/her to explain the course of disease. Nirdeshakaritvam [ability to follow instructions] is also an important characteristic, because some drug must be taken at specific time. If the patient does not follow the physician’s instructions, adverse reactions may occur and desired effects cannot be obtained. Rogaṇam jnapakatvam [information about the disease] is important. If patient is unable to pinpoint the location of pain or other symptoms properly,  then diagnosis of disease would be difficult or not accurate. He should openly convey all the details about his ailment to the physician. If he does not do this, the physician may not be able to properly decide the line of treatment. He should not have fear. He should trust his physician and be ready to undergo any treatment prescribed. If he is scared and not ready for surgery or panchakarma, for instance, it will be difficult for the physician to manage as there may not be a suitable alternative always. Depression and anxiety in patients are the foremost factors that worsen disease conditions[Cha.Su.25/40]. [9]

The patient should follow the instructions of the doctor, be intelligent enough to understand his disease, and should be able to express his condition openly with the physician.  Smriti [memory] is an important character of the patient for him/her to explain the course of disease. Nirdeshakaritvam [ability to follow instructions] is also an important characteristic, because some drug must be taken at specific time. If the patient does not follow the physician’s instructions, adverse reactions may occur and desired effects cannot be obtained. Rogaṇam jnapakatvam [information about the disease] is important. If patient is unable to pinpoint the location of pain or other symptoms properly,  then diagnosis of disease would be difficult or not accurate. He should openly convey all the details about his ailment to the physician. If he does not do this, the physician may not be able to properly decide the line of treatment. He should not have fear. He should trust his physician and be ready to undergo any treatment prescribed. If he is scared and not ready for surgery or [[Panchakarma]], for instance, it will be difficult for the physician to manage as there may not be a suitable alternative always. Depression and anxiety in patients are the foremost factors that worsen disease conditions[Cha.Su.25/40]. [9]

Good clinical practice:

Good clinical practice:

Research has shown that patients who feel that their physician has made a genuine empathetic connection - an attempt to understand how they feel and how their condition is affecting their everyday life - will actually experience a reduction in pain. A vaidya should be a friend of the whole society. The society can be divided into apparently healthy persons and the ailing community and the vaidya should have compassion towards the ailing. The patients can be divided into curable and incurable. The vaidya should devote himself to the curable. For the patients who are incurable, he/she should have the approach of upeksha which means to observe or monitor closely. Many of these patients may not respond to the treatment and approach death (terminal patients). He/she should have a sense of detachment towards such patients. If the vaidya is too attached to the patient, he is likely not going to pay proper attention to the patients who are curable , and may neglect them as a result.

Research has shown that patients who feel that their physician has made a genuine empathetic connection - an attempt to understand how they feel and how their condition is affecting their everyday life - will actually experience a reduction in pain. A vaidya should be a friend of the whole society. The society can be divided into apparently healthy persons and the ailing community and the vaidya should have compassion towards the ailing. The patients can be divided into curable and incurable. The vaidya should devote himself to the curable. For the patients who are incurable, he/she should have the approach of upeksha which means to observe or monitor closely. Many of these patients may not respond to the treatment and approach death (terminal patients). He/she should have a sense of detachment towards such patients. If the vaidya is too attached to the patient, he is likely not going to pay proper attention to the patients who are curable , and may neglect them as a result.