Quest Tammie E, Bone Placid
Department of Emergency Medicine, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA.
Emerg Med Clin North Am. 2009 May;27(2):333-9. doi: 10.1016/j.emc.2009.01.004.
Patients with malignancy and caregivers can present to the emergency department (ED) under stress and fatigue as a result of the intensity of energy required to cope with the physical, psychological, social, and spiritual aspects of their illness. When interacting with patients and families, emergency clinicians should be aware of patient, family, and caregiver coping, which may be impaired due to the chronic, serious illness. The emergency clinician should not be surprised that conflicts may arise between patients and providers as a result of fatigue and stress. Strategies to manage conflict can be employed.
患有恶性肿瘤的患者及其护理人员可能会因应对疾病的身体、心理、社会和精神层面所需的高强度精力而在压力和疲劳的状态下前往急诊科（ED）。在与患者及其家属互动时，急诊临床医生应了解患者、家属和护理人员的应对方式，由于慢性重症疾病，这些应对方式可能会受到损害。急诊临床医生不应惊讶于患者和医护人员之间可能因疲劳和压力而产生冲突。可以采用管理冲突的策略。
