[問題] 如何有效安撫垂死病人
看板medstudent作者monkeyjessi (SUPERsheep)時間7年前 (2016/08/16 09:17)推噓24(24推 0噓 56→)留言80則, 25人參與討論串1/8 (看更多)
小妹最近實習run到急診
碰到一名喝農藥自殺的年輕人
喝的是半罐paraquat
照理說喝這麼毒的,可以說是死意堅決
病人也說喝之前就知道很毒了
不過從病人的諸種表現,看得出來真正面對死亡時,其實還想活著,並且非常後悔
負責的醫師有告知過死亡的可能
不過病人仍然處於驚慌失措與毒性發作疊加的痛苦狀態,持續清醒了很長一段時間,且身
邊沒有家人陪伴
看著受苦的病人,其實很希望可以做些什麼來減輕他的不安,幫助他以不那麼驚慌的方式
走完最後一程
不過因為缺乏訓練,其實不太知道面對這類病人該如何做才能幫助他在死前達到心靈的寧
靜
為了讓自己下次面對類似情形時能有更好的對策,想徵求一下版上前輩的建議,照顧垂死
/重症病患時究竟說什麼/如何說才能讓病人內心比較平安呢?
(由於沒有受過相關訓練,因此這次只是增加探視次數,且因為怕說錯話,所以大多數時
候只是默默站在床邊陪伴,頂多問候一下狀況或幫忙倒個水,希望能有更深入病患內心的
方法)
另外還有兩個相關問題:
1. 對這類垂死的病人,或因慢性疾病非常depressed的病患,想藉會談提供病人一些心理
建設卻不曉得如何做,有沒有推薦的書籍或訓練管道?
2. 想問精神科訓練對這方面能力的幫助程度?
>>過去也曾因為這樣的原因對psy有興趣,但是真的run到精神科又覺得與想像中不同;會
診時對於因病導致的抑鬱仍然以開藥為主,比較少和病患深入聊,不曉得是practice方
式因人而異,或者各家醫院都是這樣處理~
感謝各位撥冗看完,我不冀望自己像神一樣話到心病除,只希望自己對於病人的諸般驚惶
恐懼能提供些許安定的力量
還請有經驗的前輩不吝提點相助~
感謝之至!
--
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※ 編輯: monkeyjessi (114.35.29.110), 08/16/2016 09:23:15
※ 編輯: monkeyjessi (114.35.29.110), 08/16/2016 09:24:02
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