Barakat L P, Sills R, LaBagnara S
Division of Oncology, Children's Hospital of Philadelphia, PA, USA.
Pediatr Rev. 1995 Nov;16(11):419-23; quiz 424.
Assisting families facing a death necessitates constant reevaluation of each family's adaptation to the illness. Protracted terminal illness is particularly difficult because the prolonged stress, suffering, and pain may be much more difficult to cope with than the death itself. Successful management requires acknowledging the families' emotions, assuring them that their responses are normal, and providing them a balanced perspective through supportive, honest, and open communication. In so doing, the pediatrician can help families predict reactions, manage problems, and avoid long-term psychological consequences.
协助面临亲人死亡的家庭需要不断重新评估每个家庭对疾病的适应情况。长期的绝症尤其困难，因为长期的压力、痛苦可能比死亡本身更难应对。成功的应对需要承认家庭的情绪，向他们保证他们的反应是正常的，并通过支持性、诚实和开放的沟通为他们提供一个平衡的视角。这样做，儿科医生可以帮助家庭预测反应、解决问题并避免长期的心理后果。
