Gajic Ognjen, Anderson Ben D
Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Break Through, Inc., Rapid City, SD.
Crit Care Explor. 2019 Aug 1;1(8):e0030. doi: 10.1097/CCE.0000000000000030. eCollection 2019 Aug.
For best outcomes, clinicians in the ICU need to attend not only to the immediate clinical needs of the critically ill patient, but also to higher human needs including psychologic, social, and spiritual. Understanding your patient as another human being with her or his fears, desires, preferences, and accomplishments is obviously important in order to provide compassionate care and achieve goal concordant outcomes. In an ever-evolving technological ICU environment, this may not be an easy task. All too often, we focus on monitors, devices, electronic records, and ignore the human being. Patients labeled with a disability are particularly vulnerable. Recently, I had the privilege to participate in the care of a Mayo Clinic patient with a history of cerebral palsy. In the midst of a life-threatening emergency, by paying attention to the human touch, the ICU team learned the story of a truly remarkable person. The essay below summarizes the patient's and physician's perspectives.
为了获得最佳治疗效果，重症监护病房的临床医生不仅要关注重症患者的即时临床需求，还要关注更高层次的人类需求，包括心理、社会和精神需求。显然，将患者理解为有恐惧、欲望、偏好和成就的另一个人，对于提供富有同情心的护理并实现目标一致的治疗效果至关重要。在不断发展的技术化重症监护病房环境中，这可能并非易事。我们常常过于关注监测器、设备、电子记录，而忽视了患者本人。被贴上残疾标签的患者尤其脆弱。最近，我有幸参与了梅奥诊所一位有脑瘫病史患者的护理工作。在一场危及生命的紧急情况中，通过关注人文关怀，重症监护病房团队了解到了一个真正非凡之人的故事。以下文章总结了患者和医生的观点。
