Rusin M J
Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA.
Arch Phys Med Rehabil. 1992 Oct;73(10):922-5.
Resuscitation discussions can elicit potent emotional reactions from both health care providers and consumers. In rehabilitation settings, decision making grows more difficult if decisions must be sought from family members or proxies of incompetent patients. There is ample room for emotions and lack of clarity to lead to dissatisfaction and heightened distress. This paper outlines legal, ethical, and psychological factors that must be managed if clear communication between health care providers and families is to occur. Issues are discussed that can clarify thinking at each stage of the communication process.
复苏讨论可能会引发医护人员和患者家属强烈的情绪反应。在康复环境中，如果必须向无行为能力患者的家属或代理人征求决策意见，那么决策就会变得更加困难。情绪因素和信息不明确很可能导致不满和更大的痛苦。本文概述了医护人员与患者家属之间要实现清晰沟通就必须处理的法律、伦理和心理因素。还讨论了有助于在沟通过程的每个阶段理清思路的问题。
