Nahum Sidonie
Service d'Anesthésie-Réanimation, EMSP, AP-HP, Hôpital Saint Louis, 75010 Paris, France.
Presse Med. 2007 Feb;36(2 Pt 2):303-7. doi: 10.1016/j.lpm.2006.10.010. Epub 2006 Dec 11.
Stages of communication: prepare the patient before the diagnosis - suggest that the disease may be serious, know how the patient wants to be told. Prepare the announcement as soon as the diagnosis is certain - choose a quiet, private setting, have a therapeutic plan ready and explore alternatives. Tell and support the patient - announce the news clearly and simply, accept and handle the emotional reactions, provide support and be available.
在诊断前让患者做好准备——暗示疾病可能很严重,了解患者希望如何被告知。一旦确诊,尽快准备告知事宜——选择一个安静、私密的环境,准备好治疗方案并探讨其他选择。告知并支持患者——清晰、简洁地宣布消息,接受并处理情绪反应,提供支持并随时待命。