DeLisser Horace M
Department of Medicine, Pulmonary, Allergy and Critical Care Division, University of Pennsylvania School of Medicine.
Chest. 2009 Jun;135(6):1643-1647. doi: 10.1378/chest.08-2805.
When a patient is extremely ill and/or dying, and the family expects a miraculous recovery, this situation can be very challenging to physicians, particularly when there is certainty that the miracle will occur through divine intervention. A practical approach is therefore provided to clinicians for engaging families that anticipate the miraculous healing of a sick patient. This strategy involves exploring the meaning and significance of a miracle, providing a balanced, nonargumentative response and negotiation of patient-centered compromises, while conveying respect for patient spirituality and practicing good medicine. Such an approach, tailored to the specifics of each family, can be effective in helping a family come to a place of acceptance about the impending death of their loved one.
当患者病情极其严重和/或濒临死亡，而家属期望奇迹般康复时，这种情况对医生来说极具挑战性，尤其是当确定奇迹将通过神的干预发生时。因此，为临床医生提供了一种实用方法，用于与预期患者奇迹般康复的家属进行沟通。该策略包括探讨奇迹的意义和重要性，提供平衡、非争论性的回应以及协商以患者为中心的妥协方案，同时表达对患者灵性的尊重并践行良好的医疗行为。这种针对每个家庭具体情况量身定制的方法，有助于帮助家庭接受其亲人即将离世的现实。
