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浅谈与 family member's communication
作者:USMedEdu
发表时间:2008-12-06
更新时间:2008-12-06
浏览:2114次
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发信人: MEIMEIZ2007 (caregiver), 信区: MedicalCareer
标 题: 浅谈与 family member\'s communication )1
发信站: BBS 未名空间站 (Sat Dec 6 12:22:36 2008)

Here seems nice to me (a ICU nurse). I would like to talk about the
communication between physicians and family members from a nurse\'s viewpoint.

I am working in a busy ICU as a RN. Patients there are very sick. I saw a
phenomenon which lead me into thinking. During the admission those
physicians/residents usually tell family members that what test (CT, MRI,
Ultrasound etc), what procedure, and what med will do for patients. However,
there forget to update for family members.

As a result, the family members chase nurses regarding the test results,
which put nurses into an awkard situation. It is not appropriate for a nurse
to tell test results and discuss the results. First, what about if our
explanation different from the physicians? we all get into trouble. Second,
even if we able to tell results, we may not able to tell family members the
whole picture as well as physicians. We may just tell them from nursing
perspective.

One misunderstanding from family members is that if I would not tell them
results, they assume the results are really bad. Otherwise why you don\'t
tell me? Sometimes some family members really get irritated. Usually what I
do is to tell family members I will let DOCs know their concerns. Meanwhile,
I will leave a note in the front of chart to DOCs. However, some of docs
just not pay attention and did not follow up.

During school, our teachers tell us that most often it is family members to
sue physicans/nurses instead of patients themselves. Don't picking family
members, what my favortie teacher told me.

Sometimes if we able to do tiny thing for family members ,it will make a big
difference. One time, I got a report from day shift RN and told me the
patient's wife was really demanding and difficult to deal with. This couple
came from other state, and the patient got brain damage from a car accident.
The progrosis is not very promising. Afer the visitation (8:00pm-9:00 pm),
the wife told me she would not go back to INN and would stay in the waiting
room overnight. Then I brought some blankets and a pillow to the waiting
room to her. During the next early morning visitation, I updated the
patients's condition to his wife. This wife express extensive appriciation
to me.

What I want to say, try to walk into other's shoes. Be empathic.

--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 67.64.]


发信人: againstwind (逆风而行), 信区: MedicalCareer
标 题: Re: 浅谈与 family member\'s communication )1
发信站: BBS 未名空间站 (Sat Dec 6 13:18:55 2008)

很多时候不是不想,是miss掉了。nurse是一直在病房里的,医生不是的。不可能等在
那里来一个家属就告诉一个。

我的解决方法是,找POA(power of attorney),看哪个家属是最关键的。在急诊的时
候就跟家属交流,问他们如果要临时找,应该找谁。

重要的检查报告,比如肿瘤的CT,需要cath/手术,打电话找POA或者那个最关键的联系
家属,让他们在某个时间来病房跟我一起讨论,然后告诉他们可以告知其他家属一起聆
听讨论。

如果家属临时要求询问情况,护士有责任告知医生,一般都会上来跟家属交流的。
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.252.]


发信人: roamer2 (angie), 信区: MedicalCareer
标 题: Re: 浅谈与 family member\'s communication )1
发信站: BBS 未名空间站 (Sat Dec 6 13:52:15 2008)

If I recall right, without patient\'s permission, physician can\'t tell the
test result to patient\'s family member because it violate the HIPAA
regulation. Patient has the right to hold the his/her own test result to his
/her family member.
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 24.29.]

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