Psychological Responses of Patients Receiving a Diagnosis of Adenocarcinoma

RN RabiaHaddad
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引用次数: 2

Abstract

In some health organizations, the patients kept ignored in relation to the true nature of their disease, the risks involved, and their prognosis. While in some cases a doctor and a nurse may still withhold information concerning certain details that might threaten the recovery of a patient who is unstable, nervous, or seriously depressed. Nowadays, the sharing of information is governed by the principle of autonomy that is, patients themselves take decisions on everything concerning their disease and must confirm their knowledge and acceptance of any tests or treatments that carry risks by signing an informed consent form Guerra-Tapia [1]. Therefore, before starting to discuss the case of Mr. X and how to inform him with his new diagnosis, more emphasis should be done to understand the definition of what we call it as “bad news”. Buckman (1984) [2], was the first person to define the bad news as “any information likely to alter drastically a patient’s view of his or her future” [3]. Although those information are as it was mentioned in the definition will altered Mr. X expectations for his future, he should be informed about his condition. Delivering unfavorable information is important for many reasons. Giving him the truthful and correct information about his condition can help him make informed choices about his treatment and take responsibility for his care, rise his understanding and awareness of his condition and support him to make appropriate plans for his future. Additionally, this practice will prevent him from undertaking heavy treatment and facilitate end-of-life care planning [4]. Mr. X should know everything he needs in order to participate in diagnostic and therapeutic decisions concerning his own disease. As a long term outcome, Mr. X will perceive the healthcare team as honest; he will experience an increase in his satisfaction, compliance, and coping mechanisms. Moreover, and in general, after a person’s death, memories of care at the end of life will remain with those who grieve the loss and can affect their perception of the facility, healthcare Case Report
确诊腺癌患者的心理反应
在一些卫生组织中,患者在其疾病的真实性质、所涉及的风险及其预后方面一直被忽视。而在某些情况下,医生和护士可能仍然会隐瞒某些细节信息,这些细节可能会威胁到不稳定、紧张或严重抑郁的患者的康复。如今,信息共享受自主原则的支配,即患者自己对有关其疾病的一切作出决定,必须通过签署一份知情同意书,确认他们了解并接受任何有风险的检测或治疗。因此,在开始讨论X先生的病例以及如何告知他他的新诊断之前,更应该强调的是理解我们所说的“坏消息”的定义。巴克曼(1984)是第一个将坏消息定义为“任何可能彻底改变病人对自己未来看法的信息”的人。虽然这些信息正如定义中提到的那样会改变X先生对未来的期望,但他应该被告知他的情况。传递不利信息很重要,原因有很多。向他提供有关他的病情的真实和正确的信息,可以帮助他对治疗作出知情的选择,并对自己的护理负责,提高他对自己病情的了解和认识,并支持他为自己的未来制定适当的计划。此外,这种做法将防止他承担繁重的治疗和促进临终关怀计划bbb。X先生应该知道他所需要的一切,以便参与有关他自己疾病的诊断和治疗决定。长期来看,X先生会认为医疗团队是诚实的;他将体验到满意度、依从性和应对机制的提高。此外,一般来说,在一个人死后,临终关怀的记忆将留在那些悲伤的人身上,并可能影响他们对设施的看法,医疗案例报告
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