Questions deontology

Getting started identifying issues of diagnostics, treatment and care of gynecological patients, although we believe it is necessary to briefly dwell on the issues of deontology. The term "deontology" comes from the Greek word "Dean", meaning "tribute".
Thus, deontology mean when translated into the Russian language, the teaching of proper".
N. N. Petrov, who wrote a book devoted to surgical deontology, as follows defines the tasks of medical deontology:
"We have in mind the principles of organization of medical work in the hospital and clinics, where it is performed by teams of doctors and their assistants, the accounting principles doctors psyche of their patients, the law of physicians on the medical and diagnostic experiments, questions of consciousness doctors of their human and medical debt before the sick, graciously entrusts them their lives, and thus the well-being of his family"1. The task of the medical deontology also includes the organization of a healthy friendly relations between medical workers "from small to big" any medical institution.
Work is well thought out and organizationally, coordinated on the basis of a correct understanding of all staff of their responsibilities and relationships between them, is the key to success in the treatment of patients. No less important is the constant regard to the state of mind of patients for treatment outcomes and protection of this mentality, prevention of any injury.
Never forget that the mentality of patients could easily be injured badly spoken word. And the sick man especially wary listens to the words proceeding out of the mouth of the medical staff. Heard sick carelessly thrown medical personnel word, sometimes not even directly related to his disease, can cause serious consequences, long spanning the recovery of the sick. Therefore, in the presence of the patient should not take it apart diseases, to talk about the diagnosis, how the condition in which the patient is (deterioration, failure of surgery, radical treatment and so on).
You must always remember, writes N. N. Petrov, "the patient is always the human personality with all the difficulties and worries."
Medical staff should always be mindful of the need to protect the patient's mind, regardless of where it works, whether it polyclinic, hospital ward, dressing or operating.
Not a patient in the clinic to report such diagnosis as "cancer"to tell the patient that the operation had been impossible due to the neglect of the disease, not at the hands of the patient to issue a written certificate with indication of the exact diagnosis. This behavior to the sick is certainly wrong. You should never take a sick hopes for a favorable outcome. You cannot tell the patient that they have cancer, and you should replace this term other, not threatening the patient, for example, "tumor" or "the plague". The more you should not tell a proper diagnosis of the patient with the incurable disease stage, conversely, to give him confidence that it treated you, though it takes a long time. Help with the proper diagnosis, if required, should be sent to interested institutions by mail, or through relatives, or at least to give the patient only in a sealed envelope.
Gynecological diseases often violating of reproductive function in women than complicate her family life. Forecast for infertility so you need to set carefully, not to Express a categorical conclusion that the patient will not be able to have children. Losing hope of having a child causes severe injury to the woman, and at the same time, there are cases when pregnancy in women came, despite significant changes in the genitals in connection with those or other diseases.
The mentality of the patients may be injured in hospitals hospitals and clinics, especially when crawls with students who reported diagnoses of the examined patients, resulting in patients experiencing severe experiences. Here also you should not say such diagnoses as cancer, sarcoma, metastasis", or to say that the operation is impossible. Even if this is the case, then the patient need to say that to him operation is not shown.
You need to specify the service personnel, that when dealing with patients must not lead to unnecessary conversations that can influence the mood of patients and cause even the slightest doubt in a favorable treatment outcome.
Staff should instill confidence in a positive outcome of treatment, and not to give rise to a depressing psychic experiences, even if all these facts are actually took place.
At realization of those or other medical manipulations not only operating but even in the dressing is necessary to pay special attention to the anesthesia. It is of great importance for the same purposes eliminate mental trauma. Therapeutic procedures should be painless.
You also need to strive as possible to hurt the feeling of prudence women, especially in cases when the doctor has other physicians or students. With this purpose, the woman is asked to lie on the examination table for the study of vaginal, taking smears or production colposcopy only after assembled a history and prepared the appropriate tools. Gynecological center should be prepared a place behind a screen where the patient could undress and dress.
Pausing briefly on the statement of the deontological rules, we want to emphasize again that, talking with patients, caring for the sick, producing certain operational benefits or treatment, we cannot forget the ethical approach.
Oblivion rules of deontology can cause serious harm to the patient.

1. Petrov N. N. Issues of surgical deontology, Leningrad, 1947, S. 13.