Steinmetz D, Gabel L L
Department of Family Medicine, Haemek District, Afula, Israel.
Fam Pract. 1992 Dec;9(4):433-6. doi: 10.1093/fampra/9.4.433.
Care for the dying patient is a difficult task which arouses many emotions in all participants. Many physicians feel inadequately prepared to cope with the many diverse challenges. A three-dimensional model is described which intends to help physicians better define their role in caring for dying patients. The model comprises direct involvement with the dying patients and their families, the physician's own needs and personal development and the co-operation with other care-givers. This model can be implemented at three levels, according to the physician's experience, skills, feelings, and the situation. The model can serve as a basis for extensive research and as a foundation for curricular innovation for students, residents and continuing medical education.
照顾临终患者是一项艰巨的任务,会引发所有参与者的多种情绪。许多医生觉得自己没有充分准备好应对诸多不同的挑战。本文描述了一个三维模型,旨在帮助医生更好地界定他们在照顾临终患者方面的角色。该模型包括直接参与临终患者及其家属的护理,医生自身的需求和个人发展,以及与其他护理人员的合作。根据医生的经验、技能、感受和具体情况,该模型可在三个层面实施。该模型可作为广泛研究的基础,也可作为学生、住院医生和继续医学教育课程创新的基础。