6.Scenario #2—Vivian Vivian has been having abdominal pains for the past week. Now that she has started her new job and received her new health insurance, she is finally able to schedule an appointment with a doctor. As Vivian arrives in the waiting area of the new doctor’s office, she notices the simple interior design: gray walls, black chairs, and two notes on the walls stating, “Turn off cell phones” and “Have co-pay ready.” She signs in at the front desk and hopes to talk to someone about the urgency of her pain. As she begins to speak, however, the assistant interrupts her, instructing her to take a seat, then quickly calls a waiting patient up to the desk. Vivian sits down and tries to suffer through the pain quietly. When Vivian is finally called back to the examining room, the doctor walks in and begins talking as if he were in a race. “Hi, Vivian. I’m Doctor Walls. I’m just going to listen to your breathing.” He tells her every step he is taking during her examination, then asks her the following questions: “When did you start feeling the pain?” “How often do you get the pains?” “Does any other part of your body hurt?” Vivian responds to his questions and watches as he quickly writes notes in her medical file. He prescribes pain medication, stipulates that she may have an ulcer, and instructs her to set up another appointment for an ultrasound. “Do you have any questions?” he asks as he is about to walk out the door. A bit overwhelmed, she replies, “No, I guess that’s it.” For this project, you will choose one scenario from the list of three located at the end of Appendix A. Each scenario describes patients you might come in contact with when working in the health care field. You will examine the role of communication for each key player. The paper will include a description of the scenario, an analysis of each key player’s perspective and role in communicating within the chosen patient scenario, communication implications, and methods for resolving the chosen patient scenario. You will be introduced to these concepts and terms throughout the course; your readings and activities will help prepare you to design your paper. For your final project, you will write a 2,100- to 2,800-word paper that covers the following elements: 1.Introduction 2.Description of the chosen patient scenario: Summarize the patient scenario you chose, considering the following questions. •What major components of health communication are present, if any? •Is promotion of collaborative communication (verbally, nonverbally, environmentally) immediately recognizable? 3.Key Player Perspectives: Describe the perspective of each key player for your chosen scenario. Note: Some scenarios may not involve all the key players listed below. •Patient: Provide the perspective of the patient. How does patient socialization and characteristics affect his or her perspective? Consider the patient’s illness and personal identity. Is the patient of a marginalized population? If so, how can this impact the patient’s perspective? •Caregiver : Provide the perspective of the nurse or physician. How might the socialization process, physician-centered communication attributes, stress, burn-out, etc., impact his or her perspective? •Family or friend: How does the family member or friend perceive the situation? What does his or her attitude or behavior exhibit? How would the relationship to the patient impact perspective? •Medical assistant: How does the medical assistant perceive the situation? What does his or her attitude or behavior exhibit? How would his or her job description impact his or her perspective? 4.Communication implications: What factors might contribute to poor communication? How might key players’ differing perspectives impact communication and compliance? You may want to consider the following in your response: Biomedical and biopsychosocial perspectives Patient and caregiver roles Cultural views Over- or under-supporting strategies Boundaries of job parameters 5.Communication resolution: Discuss tips or techniques that each key player should exhibit or utilize to promote open communication and collaboration. Also, consider changes the organization may implement to address the communication issues involved. You may want to consider the following in your response: •Health communication technologies •Tone of voice, body language and gestures, and facial expressions •Medical reform efforts •Factors that promote effective teamwork •Social support groups and strategies •Environmental restructuring tips •Organizational culture improvements 6.Conclusion 7. 8.Final Project Scenarios