Derogatory Language in Charting: The Domino Effect

Authors

  • Bethany Davis, MA, LSWAIC Patient Safety Authority

DOI:

https://doi.org/10.33940/culture/2021.3.7

Abstract

“Dr. Smith” is meeting with a patient in Room 3 who has been admitted for abdominal pain and nausea. He suspects the patient may have appendicitis and will need her appendix removed. Dr. Smith begins to chart, “Ms. Dorian is a 34-year-old female; has a history of abusing alcohol; and is here to be consulted for an appendectomy upon admission for nausea, vomiting, and abdominal pain.”

The Room 3 nurse sits down at the computer to review Dr. Smith’s note on her patient. “Hmmm, maybe a consult for substance use would be helpful for this patient,” she thinks. The nurse puts in an electronic consult request for a social worker to meet with the patient in Room 3.

A few hours later, a unit social worker knocks on the door of Room 3. “Hello, I’m here to conduct an assessment for substance use and discuss alcohol-use resources.” The patient is holding her abdomen while she looks with wide eyes at the social worker. “I have been sober for 15 years. Why are you here?”

Author Biography

Bethany Davis, MA, LSWAIC, Patient Safety Authority

Bethany Davis (bethanydavis@mindfultherapygroup.com) is a social worker and has a private practice in Seattle, WA. She enjoys writing and going on walks with her niece and nephew.

References

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Leonieke C. van Boekel, Evelien P.M. Brouwers, Jaap van Weeghel, Henk F.L. Garretsen, Stigma Among Health Professionals Towards Patients With Substance Use Disorders and Its Consequences for Healthcare Delivery: Systematic Review, Drug Alcohol Depend, Volume 131, Issues 1–2, 2013,https://doi.org/10.1016/j.drugalcdep.2013.02.018.

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Leonieke C. van Boekel, Evelien P.M. Brouwers, Jaap van Weeghel, Henk F.L. Garretsen, Stigma Among Health Professionals Towards Patients With Substance Use Disorders and Its Consequences for Healthcare Delivery: Systematic Review, Drug Alcohol Depend, Volume 131, Issues 1–2, 2013, (http://www.sciencedirect.com/science/article/pii/S0376871613000677)

Published

2021-03-17

How to Cite

Davis, B. (2021). Derogatory Language in Charting: The Domino Effect. Patient Safety, 3(1), 74–78. https://doi.org/10.33940/culture/2021.3.7
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