10 Pt Expectations, Placebo, Nocebo
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6 Terms
placebo
an inert treatment that causes a positive benefit
nocebo
an inert treatment or suggestions of adverse effects causing a negative effect
associations with outcome
lots of evidence indicates that pt preference can affect outcomes
when pts receive the treatment they preferred, and/or thought they received the treatment they expected to help them → their outcome was better as compared to those pts who did not receive their preferred tx
association between expectations and outcomes
if pt expected to get better then they were more likely to get better, expectations influenced outcomes
how to measure pt expectation
expectations with specific intervention, PT in general, recovery from diagnosis
ask pt if they’ve had PT and their goals with PT
how to sell PT
reshape the pt’s beliefs to be consistent with the best practice, if you can’t use pt’s beliefs expectations to the best advantage to optimize outcomes
give them some of what they expect to build trust then challenge them so they can get better