Kinzel T
Department of Medicine, Michigan State University, East Lansing.
Geriatrics. 1988 Jul;43(7):61-5, 68.
Effective palliative care is one of the most valuable skills a physician may acquire. It involves not only control of physical symptoms, but relief of emotional symptoms. Relief of emotional symptoms requires truth telling in a context of supportive, skillful communication. Important communication skills include empathy, legitimation, support, partnership, and respect. Using these skills and the development of a limited treatment plan, along with pharmacological intervention, when necessary, to treat anxiety, depression, and confusion, may provide a significant measure of relief for the suffering that often accompanies terminal cancer.
有效的姑息治疗是医生可以掌握的最有价值的技能之一。它不仅涉及对身体症状的控制，还包括对情绪症状的缓解。缓解情绪症状需要在支持性、技巧性的沟通背景下告知真相。重要的沟通技巧包括同理心、认可、支持、伙伴关系和尊重。运用这些技巧并制定有限的治疗计划，必要时结合药物干预来治疗焦虑、抑郁和意识混乱，可能会显著缓解晚期癌症常伴随的痛苦。
