Everyone has feelings, understand the emotional situation, certainly can help us unlock the sick minds. People are often heard called "the five stages of facing death," point of view. To facilitate the discussion and criticism are summarized below:
The first stage: denial and isolation period with others (Denial & Isolation)
Aware of their patients suffering from advanced disease, it is to keep track of people do not look ignore, mope alone; but denied suffering from advanced cancer, self-deception.
The second stage: anger or vent during others (Anger)
When the patient's condition deteriorated, or the patient can not self-deception to know when patients become easily angry mood. Take care of some family members not mind when they get into; or their reasons for seriously ill, put the blame on the past, doctors misdiagnosed, delaying rescue opportunities; or certain family members accused of bad treatment, so that the patient's depression into a disease and so on. In the vent period, the patient's relationship with his family will deteriorate spoken to each other harm or suffer in silence, anger buried in the bottom of my heart.
The third stage: bargaining period (Bargaining)
When patients know that we can not self-deception, but also know that no good vent, patients turn to God it of bargaining, asking for medical treatment. During this period, the patient and his family will be to pray to God, the hearts of the acquiescence of the various spirits to bless the commitment to repay, including vent intercombination, forbidden certain types of food or to pay money in return like ghosts.
Of four periods: the period of frustration (Depression)
The patient may feel powerless because of illness, so they feel depressed or frustrated.
Five periods: the period accepted (Acceptance)
When conditions deteriorate, the patient and his family had been expected to enter the mood of mourning; patient's state of mind shift to accept the reality and also to physically and mentally empty, to everything and keep things have become do not care.
This set of five stages of facing death, from an American woman doctor Elizabeth Kubler-Ross's book "Health and sent to the dead" (On Death and Dying). This book published in three decades, were still being valued, to become the classic theory of life and death.
In my opinion, this is a good book that helps readers to understand the patient's emotional responses and behind all kinds of cause. The author described the dialogue with the patient record (Verbatim), many of the brilliant, caring for persons with advanced disease refer to family and friends.
However, this "five stages of facing death" of error, it is the patient's emotional, it is impossible to approach the logic of one-way development. According to my many years in the new home Nanjing hospital cancer ward advanced clinical observations, patients on the 1st few emotions can even change from a very small stage, step-by-step to another emotional stage of development. Therefore, I agree that Mount Sinai, Dr. Michael Chiban medical social worker's view that Elizabeth Kubler-Ross's study of the lack of scientific data to support the society; because some respondents have not even aware of their suffering from advanced disease it!
Therefore, I have no objection to the "sent to the dead" as a conversation with the patient's way of reference, but it should not blindly in accordance with its five stages of the claim to act in order not to delay with the patient's confidence-building opportunities.
If you want to ask: So how does the patient's mood? I am pleased to introduce the works of Robert Buckman Doctor - "I don't know what to say" (For language words) of a book. The author of Nanjing in the new hospital practice, the book is easily one piece, suitable for the general reader reference.
Buckman noted that the patient's emotional development has three periods:
The first period: for the threat period (Facing the threat)
The patient's individual personality, their environment and are often affected his emotions.
The second period: the late period of disease symptoms appear (Being ill)
Patients realized that they were suffering from advanced disease by the beginning of the appearance of bodily functions are still capable of normal operation; but in the second period, the symptoms appear, they should not normally more than life, the need to rely on others to take care of daily living.
The third period: the final period (The last stage)
The patient will feel emptiness (void), bodily functions decline until near death. This, of course, will affect the patient's physical, but also lead to different psychological reactions.
About more than two stages of facing death, readers can judge what kind of argument is more useful, I personally think Buckman's theory, a more realistic situation; It is true that one's mood is not necessarily in accordance with the logic of development, therefore, I agree that patients should be suffering from emotional illness to its character and influence each other.
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