Coulombe L
Department of Family Medicine, University of Ottawa.
Can Fam Physician. 1995 Mar;41:423-37.
Talking with dying patients is different in some ways from talking with patients who do not have life-threatening illness; it can be frightening for physicians who have little experience. It is important to realize that, ultimately, the principles remain the same, and that the differences arise in the context and goals of the intervention. This article draws upon bedside experience to define several principles useful in talking with dying patients. Case examples illustrate each principle.
与临终患者交谈在某些方面与和没有生命威胁疾病的患者交谈有所不同;对于经验不足的医生来说,这可能会令人恐惧。重要的是要认识到,最终原则仍然是相同的,差异出现在干预的背景和目标中。本文借鉴床边经验来定义一些在与临终患者交谈时有用的原则。案例示例说明了每个原则。