Hockley J
St Columba's Hospice, Edinburgh, UK.
Acta Oncol. 2000;39(8):905-10. doi: 10.1080/02841860050215864.
The dynamics surrounding the patient and family facing a death as the 'unit of care' is discussed. Aspects of communication, openness within the family, especially concerning children and teenagers, and factors that enable a family to function under the stress of a loved one's terminal illness are explored. The use of a genogram in palliative care to help to piece together the family dynamics and available support is fundamental to the care for the whole family.
本文讨论了以患者及其家庭作为“护理单元”面对死亡时的动态情况。探讨了沟通方面、家庭内部的开放性，尤其是关于儿童和青少年的情况，以及使家庭能够在亲人绝症压力下维持运转的因素。在姑息治疗中使用系谱图来梳理家庭动态和可用支持，对于照顾整个家庭至关重要。
