Critchley E M, Mitchell J D
Br Med J (Clin Res Ed). 1987 May 9;294(6581):1203-5. doi: 10.1136/bmj.294.6581.1203.
Patients are often told of the diagnosis of a neurological disability in less than ideal circumstances such that they may not fully comprehend it. Clinicians must be able to sense when the patient's understanding is imperfect even if superficially he or she appears to take in what has been said and its implications. A programme of further counselling is often required to follow this up. A critical look at current procedures will show how these problems arise. It is suggested that improvements in the care of neurologically disabled patients would follow from improved communication between the many agencies that the concerned in their care and from providing books and other material explaining disability and its treatment. A logical development would be for disabled living centres to be established adjacent to existing neuroscience units.
患者常常是在不太理想的情况下被告知神经功能障碍的诊断结果，以至于他们可能无法完全理解。临床医生必须能够察觉到患者的理解并不完善，即使表面上他或她似乎理解了所说的内容及其影响。通常需要进一步的咨询计划来跟进此事。审视当前的程序会发现这些问题是如何产生的。有人认为，改善对神经功能障碍患者的护理，需要加强参与其护理的众多机构之间的沟通，并提供解释残疾及其治疗方法的书籍和其他资料。一个合理的发展方向是在现有的神经科学单位附近设立残疾生活中心。
