With the patient to talk about death

I have patients ask, "You are life and deathPhD, recurrent and advanced cancer patients talk about death, do you not afraid of death?" The answer is: "I was a student of Pastoral Studies, specializing in advanced cancer are life and death matter Care of the soul, naturally include the death of the subject ; therefore referred to me as Dr. thanatology is not correct. but also must admit that I and most people like to be regarded as a scorpion died of poisoning??! I and ordinary people also like the annual medical check-ups on time, every day, drive carefully. that I value life, do not welcome the death . Ultimately, however, everyone must be familiar with the encounter  death. " 

Therefore, when patients face death approaching, we would need with a modest attitude, listened carefully to the patient's thoughts of death. 

Remember to listen carefully must include: the first death to manipulate their feelings and emotions; then patiently listen to and respond to the voice of the patient. In other words is to listen, ask and then respond. 

    • to listen to: SOAP, including four small steps -- 
    S (subjective)  patients what has been said. 
    O (objective)  Care From observation of the patient's personality, conversation between the semantic, the patient's living habits. 
    A (assessment)  care to assess the data. 
    P (plan)  care, first through prayer, and then set response plan. 

     To know death is the enemy of mankind is the outcome of evil. In God's creation of the original plan does not include death; and in the future eternal kingdom, there is no death, pain and tears. Thus, in human experience of death is painful. People of this painful experience, often due to personal character, background and depth of belief vary. In our opening advised (that is, the steps P-Plan) prior to the patient, preferably in accordance with the above-mentioned understanding of the steps one by one before speaking; Otherwise, visitors spent only advised for "packaging", but in reality it is speaking out of their own views on the death of the patient does not help. 

    • ask and respond to -- 

     In most circumstances, patients do not directly Road hearts of the whole story, so "ask" is to clarify the patient's mind an important element. U.S. may wish to refer to the following one example: 

     Patients 45 years old, single Chinese men, suffering from laryngeal cancer. 
     In a routine day visit, caring person and ask the ward and take care of the equipment has met the requirements, the patient suddenly staring afar (Objective), sighed (Objective) began to speak. 
     Patients: It seems that I would also like to stay here has been ... (Subjective). 
     (To say the tone with some sadness) (Objective). (Assessment: At this point the patient is no longer talking about a unit of equipment, but the prospect of him!) 
     Visitors: I have just heard you say "appears to have been here I would also like to live", you seem to be saying some important things, can you repeat it a little more? (Ask  Assessment) 
     Patients: everyone will have such a day of it! Doctor this morning to have him say that I left one month ... (Objective). (Patients no longer look to the distance) 
     Visitors: Doctor heard to say "left a month", you think the mood like? 
     (Usually when the patient talked about "only one month of his life", the visitors will become instant feeling heavy, feel sad, nervous and speechless  For when in fact the most important thing is to control their own emotions, calmly asking the patient mood, and not assume that he's feeling.) 
     Patients: good! Finally free! (Objective: It is obvious the patient's tone of fear and sadness a bit.) 
     (A: Due to the patient, as the death "with sadness relief", visitors need to be further put to him by the challenge, not silence, not to nod agreed. NOTE: Prior to the challenge, visitors are required to maintain the emotional stability .) 
     Visitors: You said the "relief", which means not to leave this world? 
     Patient: Yes. (Objective: the patient's head.) 
     Visitors: this left, you will go to get there? 
     Patient: ... ... (Objective: the patient's gaze visitors, visitors to use the comfort of the eyes and the patient's contacts, not to speak at once.) 
     Visitors: ... ... (in certain patients did not mean to speak only after reference to the following information, according to the voice of the patient to respond. Plan) 

     First of all, to respond to the patient's feelings of fear. 

     Furthermore, care are advised to refer to "Bible" in section IV of Psalm 23: God will accompany us through the valleys of the shadow of death. Travel like a person when their loved ones will only be able to board the plane with him farewell at the gates, wandering still have their own entry from the gate; but  The good news is that God is bound to receive us at the turnstiles Department. Another section of scripture reference is Psalm 90 in section I, is because "God is one of the homes from generation to generation," who believe that Jesus died, not only will not fall shadows, they enter the bright accommodation . 

It is not easy to talk about death! Let us learn, so that patients and their care and hope all well.