昨天聽大家分享教案初稿 才發現 自己接了一個看似簡單 其實 很難客觀量化的題目 告知壞消息 雖然背景故事已經有主意 但是 如何針對溝通技巧 壞消息告知這個部分 定出客觀的衡量標準 還真的不太容易 查完房 找了十幾篇paper 至少有個開始 _____________________________________ Telling the truth to Asian patients in the hospital setting THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association NZMJ 28 November 2008, Vol 121 No 1286 Telling the truth to Asian patients in the hospital setting This paper examines how to tell the truth in a culturally sensitive way with particular emphasis on breaking bad news, identifying the locus of decision-making within a family, and end-of-life decision-making. The three models that are discussed in this context are patient autonomy, nonmaleficence, and beneficence. 紐西蘭醫師寫 怎麼告知 亞洲病人壞消息 挺有意思的 其中 Guidelines for breaking bad news based on the autonomy model were developed by Rabow and McPhee8 and later adapted by VandeKieft9 (ABDEE, Advanced preparation, Building a therapeutic relationship, Communicating well, Dealing with patient and family reactions and Encouraging and validating Emotions). There is also the SPIKES approach (Setting up, Perception, Invitation, Knowledge, Emotions, Strategy and Summary) which attempts to accommodate different cultural expectations of health care. 至少談到幾個面向 另外 ACGME既然把溝通列為六大核心能力 應該有一些量表可以查詢 我好想在NB螢幕上方 貼一張便利貼 偶爾打混一下不會死啦!
Posted on: Tue, 08 Jul 2014 05:42:09 +0000
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