Van Rossem Kristof, Bolten Hans
KU Leuven Uitbreidingstraat 470, 2600 Berchem-Anvers.
Rev Belge Med Dent (1984). 2002;57(4):278-91.
This article gives an account of the experiences of 12 dentists (11 general practitioners and one periodontist) during a one-day Socratic dialogue, which took place at the International Conference for Dentists in Bruges 2001. The key question was: "When must I (or mustn't I) comply with the patient's wish?" The participants tackled an example from Edgar, general practitioner. His story went like this: on Christmas Eve, dinnertime, one of his patients--duly instructed beforehand--arrived just like that, and said: "I'm in pain". When the central question was applied to this example, uncertainty arose about the exact nature of "the patient's wish". In this article you read how the participants dealt with the "pain", with the uncertainty.
本文讲述了12位牙医(11位全科医生和1位牙周病医生)在2001年于布鲁日举行的国际牙医会议期间进行的为期一天的苏格拉底式对话中的经历。关键问题是:“我什么时候必须(或不必)遵从患者的意愿?”参与者们探讨了全科医生埃德加的一个案例。他的故事是这样的:在平安夜晚餐时间,他的一位患者(之前已得到适当指导)就这样来了,说:“我很疼”。当将核心问题应用于此案例时,出现了关于“患者意愿”确切性质的不确定性。在本文中,你将读到参与者们是如何处理“疼痛”以及这种不确定性的。