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沟通:兽医临终关怀中的艰难对话

Communication: Difficult Conversation in Veterinary End-of-Life Care.

作者信息

Lummis Mary, Marchitelli Beth, Shearer Tamara

机构信息

4 Paws Farewell: Mobile Pet Hospice, Palliative Care and Home Euthanasia, Asheville, NC, USA.

4 Paws Farewell: Mobile Pet Hospice, Palliative Care and Home Euthanasia, Asheville, NC, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2020 May;50(3):607-616. doi: 10.1016/j.cvsm.2019.12.009. Epub 2020 Feb 27.

Abstract

This article demonstrates how good communication sets the foundation to provide superior comprehensive care during the stressful time surrounding end of life. Communication addressing end-of-life care in veterinary medicine has significant impact on all involved: the patient, the client, the health care team, and the practice. These conversations require training and practice to achieve mutually satisfying outcomes. Suggested guides for facilitating these conversations and several typical scenarios are presented to provide methods for future evidenced-based evaluation in effective communication. The Critical Incident Stress Management is presented as a model for mitigation of adverse consequences related to traumatic events in veterinary practice.

摘要

本文展示了良好的沟通如何为在围绕生命末期的压力时期提供卓越的综合护理奠定基础。兽医学中关于临终护理的沟通对所有相关方都有重大影响:患者、客户、医疗团队和医疗机构。这些对话需要培训和实践才能达成双方都满意的结果。文中给出了促进这些对话的建议指南以及几个典型场景,以提供未来有效沟通中基于证据进行评估的方法。文中介绍了关键事件应激管理,作为减轻兽医实践中与创伤性事件相关的不良后果的一种模式。

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