Can Fam Physician. 1981 Nov;27:1817-22.
Preparation for death is a physical, psychosocial and spiritual process needing the active participation of both patient and physician. Physicians' denial of death leads to unrelieved symptoms, inappropriate treatment, and poor communication in the care of the terminally ill. This paper discusses strategies to minimize the effect of denial describing a goal-setting approach to terminal care and the use of quality of life indices. Several principles are presented on how to tell bad news to patients.
死亡准备是一个生理、心理社会和精神过程,需要患者和医生的积极参与。医生对死亡的否认会导致终末期患者的症状无法缓解、治疗不当和沟通不畅。本文讨论了尽量减少否认影响的策略,描述了终末期护理的目标设定方法和生活质量指标的使用。还提出了几条向患者传达坏消息的原则。