In the United States, physicians have a responsibility to tell patients the disease, unlike other areas in Taiwan or in some cases a doctor will first diagnosis of patients tell their family members, and then decide whether or not to tell patients their families. But in the United States if the patient did not understand English, and to help the families of the translation will not tell patients the truth, the future will have communication problems. To hide the disease is usually the family in order to protect patients, for fear of hurting his feelings, can not afford. In fact, most patients have known it himself, and he should be the correct understanding of the disease, he can exercise the autonomy to make appropriate medical decisions and plan for the future.
When a patient was diagnosed with cancer, heart be worried, frightened, overwhelmed and so on, it is very normal phenomenon. In fact, families will have the same feelings. At this time, patients need the support of his family and encouraged to care for. In some cases, patients will be added due to family troubles feel guilt, when the patient needs to be comfort and affirmation. When a patient can feel the sincere concern for his family, his mind will be able to have a sense of security. On the other hand, patients have family members for their hard work and considerate to the heart of Thanksgiving with the family to face the impact of cancer.
Although cancer is a health crisis, but when the patients and their families can be treated each other with sincerity, and by appropriate means of communication, this may be the construction of a turn for the better family relations. Communication, we should respect each other, listen to each other's needs and feelings, to confirm each other's feelings, to give a caring and comfort, not judge or criticize.
How to communicate it? First of all, you want to become a listen. A person who listened patiently to be willing to listen to each other so far that he needs, from where he needs to answer, help him. The following are some ways to communicate:
The use of open-ended questions, let the other have a chance to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask each other, "you alright?" This question is usually only a very short answer, such as: "good" or "bad." If you ask him "how do you feel today?" In this way, the other side can have the opportunity to say something of his own feelings.
To be able to listen to people sensitive to the situation are located, have listened carefully to the words of the words, it is necessary to clarify your understanding, and guide each other to express inner thoughts and feelings. By listening, when you clearly understand each other's position and feelings of the time, then help him find a reasonable, workable response. Listen, you can use your own words you hear in response to the content and feelings.
In response to the content so as to make sure you get the correct information so you can ask the question a number of follow-up to understand each other's thinking and the real picture. For example: You can say: "I heard ..." or "Do you mean ..." If you think you understand the other side is wrong, he can clarify.
To respond to feelings, is to let each other know that you understand and to confirm his feelings. For example: you can say "you think ..." or "It sounds like you think ..." When you can be sure of each other's feelings when you are with each other virtually on the shorter distance.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: If a patient to tell you: "I am worried about my condition will deteriorate." You should not arbitrarily, said: "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question sentence.) Perhaps, when you asked patience, he will be really worried about things tell you. You can also at the right opportunity to express your feelings. For example: "I am also worried about ..." When patients and family members should be allowed to communicate sincerely treat each other, you will be able to support each other, face the problem together.
Do not gossip (especially other people's treatment and response), because each patient the treatment of choice and the response is unique. Met health care, drugs or care, it is best from the doctor, pharmacist or nurse there was a correct answer, to avoid mishandling.
In-depth understanding of the situation have not been before, not to rush to provide an answer. The best way is to assist each other to find the correct and reasonable answer. Because you have to offer potential benefit to patients, but harmful to him. You may win him the right to independent thinking, even when you do not really provide the answer, you would be complaining.
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