Doron Adiel, Mendlovic Shlomo
Lev-Hasharon Mental Health Center, Netanya, Israel.
Isr J Psychiatry Relat Sci. 2008;45(2):141-4.
General hospital staff is experienced in dealing with the death of a patient. However, aside from cases of sudden death among psychiatric inpatients, psychiatric medical staff faces such situations considerably less frequently. Many chronic psychiatric patients do not have a family or home, a situation which may become even more painful if the patient is dying of a physical illness. Coping with a terminally-ill oncology patient is a difficult task for the multidisciplinary staff and for fellow patients in chronic care psychiatric departments. The authors describe the slow deterioration of two psychiatric inpatients who were also diagnosed with advanced cancer, and present the dilemmas involved with continued treatment of terminal oncology patients in a psychiatric ward when the psychiatric status no longer warranted inpatient psychiatric care.
综合医院的工作人员在处理患者死亡方面经验丰富。然而，除了精神科住院患者的猝死情况外，精神科医护人员面对此类情况的频率要低得多。许多慢性精神疾病患者没有家人或家庭，如果患者因身体疾病濒临死亡，这种情况可能会变得更加痛苦。对于多学科工作人员以及慢性护理精神科病房的其他患者来说，应对身患绝症的肿瘤患者是一项艰巨的任务。作者描述了两名同时被诊断患有晚期癌症的精神科住院患者的病情逐渐恶化的情况，并提出了在精神状态不再需要住院精神科护理时，在精神科病房继续治疗晚期肿瘤患者所涉及的困境。
