Noll Donald R, Ginsberg Terrie, Elahi Abdul, Cavalieri Thomas A
J Am Osteopath Assoc. 2016 Jan;116(1):42-7. doi: 10.7556/jaoa.2016.005.
The objective of this article is to discuss effective communication strategies between elderly patients and their physicians from the perspective of osteopathic heritage. The patient-physician communication styles of Andrew Taylor Still, MD, DO, and early osteopathic physicians (ie, DOs) may have influenced how DOs today communicate with their patients. Historical literature describes how Still would discuss with his patients the causes of their health problems using analogies and language they would understand, and how, when caring for a patient at the end of life, he empathically provided emotional support for both patients and their families. Early DOs advocated setting clear expectations for patients regarding clinical outcomes and carefully listening to patients to build trust. The Osteopathic Oath, which calls for the DO to view the patient as a friend, may also affect patient-physician communication. Early osteopathic philosophy and culture, as modeled by Dr Still in his approach to elderly patients, should inspire today's DOs in their communication with their elderly patients.
本文的目的是从整骨疗法传统的角度探讨老年患者与其医生之间有效的沟通策略。医学博士、整骨疗法医生安德鲁·泰勒·斯蒂尔以及早期整骨疗法医生（即整骨疗法医生）的医患沟通方式可能影响了如今整骨疗法医生与患者的沟通方式。历史文献描述了斯蒂尔如何使用患者能理解的类比和语言与他们讨论健康问题的成因，以及在照顾临终患者时，他如何共情地为患者及其家人提供情感支持。早期的整骨疗法医生主张就临床结果为患者设定明确的期望，并认真倾听患者以建立信任。《整骨疗法誓言》要求整骨疗法医生将患者视为朋友，这也可能影响医患沟通。斯蒂尔博士在对待老年患者的方法中所体现的早期整骨疗法理念和文化，应能激励当今的整骨疗法医生与老年患者进行沟通。
