Comunicar malas noticias en cuidados intensivos: Algoritmo CRISIS 123

Liliana Correa-Pérez , John Camilo García Uribe
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引用次数: 0

Abstract

In intensive care, it is common to have to provide unfavorable information to patients and families in poor recovery scenarios. The empathic and appropriate delivery of bad news provides confidence, acceptance and grief for the patient and family, while inappropriate communication can generate negative emotional reactions. Through a literature review of current concepts for delivering bad news in serious or critical conditions, a novel proposal is generated: the CRISIS 123 algorithm: a mnemonic for delivering bad news, consisting of three domains: the first promotes techniques for delivering CRISIS 1 information: Communication, Summary/Reasons, Information, Event, Unexpected, Simulation. The CRISIS 2 domain includes key aspects of the news itself: Content, Risks, Impact, Serenity, Introduce and Silence. CRISIS 3 domain explains the emotions that can be experienced by both the giver and the receiver of the news: Compassion/Empathy and Respect, Sensitivity, Irreparable and Sense. An educational and methodical strategy that allows to give greater depth to the values and emotions involved in the communication of bad news in intensive care, and in other settings such as the obstetric ICU, emergency services and palliative care.
在重症监护中传递坏消息:CRISIS 123算法
在重症监护中,在恢复不良的情况下,向患者和家属提供不利的信息是很常见的。同理心和适当的传递坏消息为病人和家属提供信心、接受和悲伤,而不适当的沟通会产生负面的情绪反应。通过对当前在严重或关键条件下传递坏消息的概念的文献回顾,产生了一个新的建议:CRISIS 123算法:传递坏消息的助记符,由三个领域组成:第一个促进传递危机1信息的技术:沟通,总结/原因,信息,事件,意外,模拟。危机2域包括新闻本身的关键方面:内容,风险,影响,宁静,介绍和沉默。危机3域解释了新闻发布者和接收者都能经历的情绪:同情/同情和尊重、敏感、不可挽回和理智。这是一项教育和有条理的战略,可以更深入地了解在重症监护室以及产科重症监护室、急诊服务和姑息治疗等其他环境中传播坏消息所涉及的价值观和情感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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