Assisi Hospice, 820 Thomson Road, Singapore 574623.
Singapore Med J. 2011 Mar;52(3):140-5.
The study of narratives is increasingly noted for its value in the professional and personal development of doctors. We present the narratives of one of the author's experiences in the care of dying patients over a span of three decades. From the narratives, we identified three paradigms with which doctors respond to and care for dying patients and their families: 'No death', where there is a general denial of death and dying; 'Death', where the care provider's focus is directed to the facilitation of a 'good' death; and 'Life', where the doctor responds to the patients' death and dying as integrated and inseparable aspects of the patient's and family's life. The origins and implications of the paradigms are discussed. In addition to good communication, these narratives underscore the importance of personal reflection and insight when providing end-of-life care.
叙事研究因其对医生专业和个人发展的价值而越来越受到关注。我们呈现了作者在照顾临终患者方面的一段经历，跨度为三十年。从这些叙述中，我们确定了医生应对和照顾临终患者及其家属的三种模式：“无死亡”，即普遍否认死亡和临终；“死亡”，护理提供者的重点是促进“好”死；以及“生命”，医生将患者的死亡和临终视为患者和家庭生活的不可分割的方面。讨论了这些模式的起源和影响。除了良好的沟通外，这些叙述还强调了在提供临终关怀时进行个人反思和洞察的重要性。
