Medical ethics

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There are cases when patients feel irritation and even hostility to certain representatives of the medical staff, complain about them, can dramatically to talk to them and even to offend. In these cases care should be calm, not to join with patients in explanation and not be justified in their presence. If there needs explanation, then give them the leader in the absence of patients.
Talk with the patient always requires knowledge of the disease and should be in General terms beforehand. It should be done in a careful manner. In particular, questions about the disease should serve as an incentive for the patient to talk about his condition.
When dealing with a sick person is very often of great value is the ability of the physician not only to speak but to listen and observe. This applies particularly to the average medical personnel, which by the nature of their service is among the patients significantly longer than the doctor, and comes into contact with them in a variety of situations. Careless word, rash questions, quick answers may cause the patient harm.
Professional conversations health workers on sick in his presence should be minimized, and it's better not to lead. You must bear in mind that patients quickly catch and feel the mood and tone of the conversation medical personnel. In addition, patients often wrong and always in the worst sense interpret heard that immediately causes anxiety, fear and even despair, i.e. the emotional reactions that contribute to the development of iatrogenic diseases (see).
In its activity the medic constantly connected with the need not only to assess for himself the state of the sick people, but to give regarding this clarification as to the most patient and his relatives. The greatest difficulties arise here, if necessary, to assess severe diseases, implying that a poor prognosis or death. In each case, you should consider the specific situation, the individual characteristics of the patient (his mentality, character), his relationship with relatives, family, and others In appropriate situations in conversation with the relatives of the patient, given that, in some cases at the beginning it is more reasonable to talk about the exact diagnosis and probable forecast, however, should not hide the severity of the disease, and only a few downplay its severity, not mentioning the worst possible outcomes. This gives a relative of the patient some hope, yet gives him the opportunity to get used to the idea of close severe illness with all the ensuing consequences. Relative for a certain period will learn to better control their feelings and be able to hide them from the patient. Recommendations should act as a medic in such situations, to give it is impossible, however, in such cases he is obliged to consider the health and psyche of the relatives of the patient and to spare them. Patient's full of truth in cases of severe and causes the death of diseases never say it is impossible. It is better to resort to such cases to the truth, giving, for example, the patient explained that he diagnosed although serious, but not a deadly disease.
It happens that patients in emphasis ask serving the nurses on the nature of their disease, being firmly confident in his dysfunctional (and even fatal) Exodus, and persistently asked to tell them "the whole truth". In such cases, it is sometimes appropriate to ask controlproc patient about what he thinks about the nature of their illness and to remove the need to answer yourself. Everyone, including the terminally ill, the person never loses hope of recovery, and the need to speak out, to be heard in a sympathetic listener, are available from the patient. During subsequent discussions, in which the initiative statements necessarily belong to the patient, he may not return to his original question. If this technique is what it has achieved, the average health care workers should refer to their ignorance in this matter and advise you to consult a doctor.