introduction to physiology课件

1、Care of Dying Patients and Their Families J. Andrew Billings 对垂死病人及其家庭成员的护理10/24/2021Words and Phrases10/24/2021ThwartMorassmotalityClinicianTerminally illDismissalIntroduction10/24/20211 Death can be viewed as? personal failure reminder of the limitations of medicine Inevitability of loss and suffe

2、ring in life Mortality2 The current condition of physicians facing death uneasy uncertain helpless avoid terminally ill patients3 Hearing from clinicians Nothing more can do vital, active, satisfying role4 Good care for a personTalking with Dying Patients10/24/2021 The ability to listen carefully Tu

3、mble out of discreetly empathic tactfully elaborationSit downAttend in a relaxed, unhurried mannerFacilitate and encourage discussion and elaborationTolerate silencePay close attention to verbal and nonverbal communicationEncourage expression of emotionProvide empathic responsesProbe difficult topic

4、s guides the discussionFour Key Issues10/24/2021Pain and symptom controlShared decision makingPsychosocial and spiritual supportAlternatives sites of careIs the Patient Comfortable?10/24/2021Words and phrasesMeticulousDisagreeableImpairDyspneaPleural effusionAlleviateRehearsal DosageMorphineIntracta

5、bleElicitsuffocateIs the Patient Comfortable?10/24/2021 A First Step meticulous attentionAssessment precede treatmentTreatment of the terminally ill patients not need to await determination some predictable and preventable symptoms anticipate and plan Eliciting and addressing concerns about anticipa

6、ted sufferingIs the Patient Comfortable?10/24/2021Words and PhrasesTerminal illnessOpioidLaypersonPharmacologicDeliriumEradicateBenzodiazepineAntimusearinicsProgestationalAnorexiaProkineticGastroparesisGlucocorticosteroidsIs the Patient Comfortable?10/24/2021Words and PhrasesViscusMeurolepticsartificial salivaXerostomiaPsychos