Sunday, November 14, 2010

Public Policy

Public Policy: laws, rules, regulations and mandates


It is rather difficult to create a law on minimizing and regulating stress, because it is different for each person and everyone responds to it differently.  There are ways, however, that doctors can help keep their patients from risk of developing cardiovascular problems due to stress. These methods still have yet to be put into action, yet if so, they may be useful for the public.

An article in Time Magazine talks about how we can use the medical community to create regulations in check ups.  Doctors and nurses need to find practical ways to help treat the kinds of stress, whether professional or personal. Currently, there isn’t a standard procedure for doctors, like cardiologists, to evaluate a person’s stress at work or struggling marriage. Right now, it isn't part of standardized practice for cardiologists, for instance, to evaluate their patients' feelings about a taxing job or a difficult marriage. Dr. Kristina Orth-Gomer, who has been studying cardiology for 25 years believes doctors should be asking these questions, and it is the responsibility of the medical community to make them  part of the routine.
One main reason why doctors don’t do this already is because they simply don’t have time. Dr. Daniel Brotman, director of the Hospitalist Program at Johns Hopkins Hospital believes this shouldn’t be required because it isn’t realistic for doctors to screen for stress in every patient.

What can be done, however, is the way doctors listen to the needs of the patients. For example, if a woman says she feels chest pains while she is “worked up,” the doctor should realize this as a sign for occurring only under stress, not physical activity, and should be treated accordingly. Again, this is something that is rather difficult to regulate or provide a law for, but it something that can be introduced to doctors and the medical community.