Set short-term, achievable goals
Decompression of the Road, or looking for outside help
bad habits (tobacco, alcohol, drugs, gambling, pornography) and to stay away from this kind of Friend
A balanced diet and nutrition
Fixed movement, rest
Fundamental solution:
On the right will and reason to overcome the
Do not let the worries and did not deal with the crime to block God's love (as soon as possible plea deal with out repentance)
Precious Blood of Christ through a clean
Lord by His love to heal your broken heart and memories
Are often filled with the Holy Spirit
Go back to God the Father, the
Rely on the name of Jesus Christ to resist, than the devil's tactics and attacks
Will be a short life and all people, things on an eternal time and space to measure those important natural on the obvious
God, grant me the serenity to accept the things I cannot change,
courage to change the things I can, and wisdom to know the difference.
Ah God! For you gave me calm to accept the things I can not change, gave me the courage to change the things I can change, give me the wisdom to distinguish the difference.
Some useful chapters in the Bible:
Psalms chapter 34, section 4-8
I sought the Lord,promised to me, save me from all fear. Who look up to Him, it is glorious. Their faces will not disgrace. I invoke the hardship of people, they answered the Lord, save me from all adversity. Jehovah's messenger, in awe of people around his camp, rescue them. You want to taste the taste of Grace, we will know that He is good. To join His people blessed.
Philipians Chapter 4, section 4-6
No one should worry, as long as everything by prayer, praying, and thanks to you to tell God. God is giving surprising Ping'an will in Christ Jesus, conservative ideas of your mind.
1 Peter Chapter 5, section 7-10
To all the worries you have passed the buck to God, because He you. Treasury to move forward, wake up call. Because of your enemies devil, as roaring lions, over the procession, looking for people who can. You should resist the strong confidence in it, because you know people in the world of the brothers, but also through such suffering.
Thanks to all sorts of grace that God has called you in Christ, enjoy His glory Forever, and after you have suffered temporarily, if necessary, to fulfill you, you strong, give strength to you.
James Chapter 4, section 7-8
Therefore, you must submit to God. Treasury to ward off the devil, the devil bound to leave you ran away. You closer to God, God come closer to you.
Romans chapter 8, section 35-39
Who can make our relationship with the love of Christ, then cut off? Is that what adversity is what hardship is forcing Mody, Mody hunger is naked Mody, Mody is dangerous, is what the sword. If it is written: 『us for your reason, killed all day long. People will be slaughtered if we watch the sheep. 』
However, relying on love of our Lord, in all these things have been more than a winner. Because I am convinced that neither death, is born, is an angel, is in power, there is a will, is now a matter for the future than anything else, the height is lower, is another creation, can not tell us God's love and isolation. This love is in our Lord Jesus Christ's.
John one book chapter 4 section 15-18a
Where the recognition of Jesus as the Son of God, God lives in him on the inside, he also lived in God inside. God love our hearts, we also know that the letter also. God is love. Living in the love inside, that is, living in God there, God also live in him inside. In this way, love in our fully inside, we can in the trial day, calm and without fear. Because of Him, we also how in this world.
Love not fear. Love it completely, put fear removed.
John Chapter 16 33
Jesus said: "I will tell you these things is to tell you I have Ping'an inside. In the world you have suffering, but you can rest assured, because I have won the world."
Showing posts with label Communication. Show all posts
Showing posts with label Communication. Show all posts
Monday, February 9, 2009
Friday, February 6, 2009
Pressure as a driving force (1)
When you own or your loved ones suffering from cancer, most people would feel at a loss. Some people feel as if the live. Hit in the mood, some may deny that shocked, indignant indignant anger, bargaining, low frustration, but also some people to accept the fact, to be positive. Your heart may have a variety of concerns, but do not let down your worries. So that the pressure to become an engine for growth of your life.
General cancer patients and their families concerns as follows:
The threat of death
Physical disability and mental suffering
From cancer or treatment affected the ability to work or activity
Medical costs and economic pressure
Afraid of family members or their families drag
Balance of care for cancer patients and the pressure of work responsibilities
Loss of control or the ability to grasp the situation
Changes in identity and status, self-esteem and self-worth by the impact of
And health care workers have difficulties in communication
Guilt, fear of cancer genes onto their children is now re -
Orthodox treatment of no confidence in the blind pursuit of unreliable, unsubstantiated alternative therapies or prescriptions
With their families and friends the relationship between the alienated relapse
Future uncertain
Facing death and terminal cancer and their loved ones farewell
From these concerns:
Out of their own imagination
Hidden or metastatic (due to past experience or to overcome the fear of)
Have been taught to the (negative)
True
Occasional
The devil's attacks
Worried about the results is:
Physical, health affected
Thinking, ideas affected
Interpersonal relationships affected
The next generation of the affected
Relationship with God affected
Ways to overcome concerns:
Recognize it, accept the situation can not be changed
Say it out (to find a reliable friend or counseling pour out)
Identify the cause or source of
Refuse to be its control (efforts before)
Positive face of it, looking for outside help
To forgive others or their own fault (forget behind)
Resist the devil (because it is a lie)
Trust in God (love is not only completely, they fear to remove)
Thanksgiving to God always keep the heart
Pressure as a driving force:
The appropriate pressure is desirable
To alert the extent of pressure
Attention to physical symptoms
Pressure to identify the causes and sources of
Importance of importance and urgency of Urgency to deal with the pressure of the reasons for the decision to prioritize
General cancer patients and their families concerns as follows:
The threat of death
Physical disability and mental suffering
From cancer or treatment affected the ability to work or activity
Medical costs and economic pressure
Afraid of family members or their families drag
Balance of care for cancer patients and the pressure of work responsibilities
Loss of control or the ability to grasp the situation
Changes in identity and status, self-esteem and self-worth by the impact of
And health care workers have difficulties in communication
Guilt, fear of cancer genes onto their children is now re -
Orthodox treatment of no confidence in the blind pursuit of unreliable, unsubstantiated alternative therapies or prescriptions
With their families and friends the relationship between the alienated relapse
Future uncertain
Facing death and terminal cancer and their loved ones farewell
From these concerns:
Out of their own imagination
Hidden or metastatic (due to past experience or to overcome the fear of)
Have been taught to the (negative)
True
Occasional
The devil's attacks
Worried about the results is:
Physical, health affected
Thinking, ideas affected
Interpersonal relationships affected
The next generation of the affected
Relationship with God affected
Ways to overcome concerns:
Recognize it, accept the situation can not be changed
Say it out (to find a reliable friend or counseling pour out)
Identify the cause or source of
Refuse to be its control (efforts before)
Positive face of it, looking for outside help
To forgive others or their own fault (forget behind)
Resist the devil (because it is a lie)
Trust in God (love is not only completely, they fear to remove)
Thanksgiving to God always keep the heart
Pressure as a driving force:
The appropriate pressure is desirable
To alert the extent of pressure
Attention to physical symptoms
Pressure to identify the causes and sources of
Importance of importance and urgency of Urgency to deal with the pressure of the reasons for the decision to prioritize
Listening skills
Hearing is the first human on the possession, but the last to leave the life-support capability. The fetus as early as within his mother's womb, who will be able to listen to; however, after a standstill in the heart, brain waves show that are still ringing in our ear. Shows that hearing is the heaven of people a special gift.
Able to understand the patient's hearing voices, together with an appropriate response; sick mind the plight of / hard knot to release it. Such use of hearing God gift to alleviate the hardship in the way people listen to guitar. Was born hearing, but the use of hearing to help people, certainly in need of some on the listening skills.
The face of advanced cancer patients, doctors need to know how to take care medicine; nursing home care will need to master the road; and spiritual care who must first know how to fine-preferred to listen, to learn how to manage their own inner feelings, In addition, he will have to know how to bring love to listening skills to enter the patient's heart, the final truth, the ability to respond to the plight of the sick to the release of their distress.
In other words, listen to the late cancer must include the following four skills:
Listening carefully to the patient's aspirations to strike a balance between the patient's verbal, emotional and behavior. Different people have different personalities, and their attitude in the face of death threats, and all too often varies from person to person. Therefore, spiritual care need to look closely at the attitude of patients to find out through verbal, emotional and behavior to reveal character, and understand their feelings. Not to be "the heart than the others" to the assumption that the patient's heart; not yet listened to before they made the consolation.
Management to listen to their own inner emotional in the time to visit the patient must be totally put aside his own emotions, to listen wholeheartedly. Care should not go in the visitors who will be past their own feelings into the life that, even crying tears.
Method to follow-up question (verbal following call) into the patient's heart lies knot in order to respond to the patient's verbal, emotional or behavioral, caring needs to follow up this issue or clarify the patient's semantic view to reaching as far as the patient's knot lies. Follow-up methods include:
a. question (furthering) such as: "There are not?", "could speak a little more .."
b. Restatement (paraphrasing) such as: "You just talk about things, is not it so?"
c. in order to "yes" or "no" problem (close-ended question) to clarify the patient's heart; to open-ended questions (open ended question), so that the patient expressed his feelings more.
d. timely pull back to the topic, so that patients can focus on the mind.
e. With regard to the patients make a summary of the mind in order to understand the patient's mind.
Ability to the truth, the release of the patient's best knot after a multi-listen, pray for the patients only after the truth to the Bible's teachings, and prayers for the sick. Avoid in patients unable to fully grasp knot circumstances, hastily made to teach, or lightly for superficial visit the end of prayer; because to do so will only make the patient feel caught in a dilemma.
Is the gift of hearing to listen to is the use of such a gift to the release of the patient's minds. Truly listen to is: Care must be suspended thinking, worry, expectations, judgments and memory; At that moment, the patient devotion inner world, exclusively for the patients live.
Listen to patients is to first understand, and then only through their sympathy (empathy). Rather than listen to the patients who experienced the same feelings for the immediate response (sympathy). Especially important to note that perhaps the patient's situation will be brought back to our past, the feelings of the past; but we should not go on when their feelings, into the immediate feelings of the patient. Always have to remember that spiritual care should be taken only whole-heartedly for those patients live.
"First understand the only expression of sympathy" means, it is necessary to timely respond directly (response) the patient's heart knot problem; but not without an attentive listener, Betty Drown touched the hearts to respond (react). Listen to is the use of auditory skills, is the way to comfort people, let us with the hearts of Thanksgiving to use it!
Able to understand the patient's hearing voices, together with an appropriate response; sick mind the plight of / hard knot to release it. Such use of hearing God gift to alleviate the hardship in the way people listen to guitar. Was born hearing, but the use of hearing to help people, certainly in need of some on the listening skills.
The face of advanced cancer patients, doctors need to know how to take care medicine; nursing home care will need to master the road; and spiritual care who must first know how to fine-preferred to listen, to learn how to manage their own inner feelings, In addition, he will have to know how to bring love to listening skills to enter the patient's heart, the final truth, the ability to respond to the plight of the sick to the release of their distress.
In other words, listen to the late cancer must include the following four skills:
Listening carefully to the patient's aspirations to strike a balance between the patient's verbal, emotional and behavior. Different people have different personalities, and their attitude in the face of death threats, and all too often varies from person to person. Therefore, spiritual care need to look closely at the attitude of patients to find out through verbal, emotional and behavior to reveal character, and understand their feelings. Not to be "the heart than the others" to the assumption that the patient's heart; not yet listened to before they made the consolation.
Management to listen to their own inner emotional in the time to visit the patient must be totally put aside his own emotions, to listen wholeheartedly. Care should not go in the visitors who will be past their own feelings into the life that, even crying tears.
Method to follow-up question (verbal following call) into the patient's heart lies knot in order to respond to the patient's verbal, emotional or behavioral, caring needs to follow up this issue or clarify the patient's semantic view to reaching as far as the patient's knot lies. Follow-up methods include:
a. question (furthering) such as: "There are not?", "could speak a little more .."
b. Restatement (paraphrasing) such as: "You just talk about things, is not it so?"
c. in order to "yes" or "no" problem (close-ended question) to clarify the patient's heart; to open-ended questions (open ended question), so that the patient expressed his feelings more.
d. timely pull back to the topic, so that patients can focus on the mind.
e. With regard to the patients make a summary of the mind in order to understand the patient's mind.
Ability to the truth, the release of the patient's best knot after a multi-listen, pray for the patients only after the truth to the Bible's teachings, and prayers for the sick. Avoid in patients unable to fully grasp knot circumstances, hastily made to teach, or lightly for superficial visit the end of prayer; because to do so will only make the patient feel caught in a dilemma.
Is the gift of hearing to listen to is the use of such a gift to the release of the patient's minds. Truly listen to is: Care must be suspended thinking, worry, expectations, judgments and memory; At that moment, the patient devotion inner world, exclusively for the patients live.
Listen to patients is to first understand, and then only through their sympathy (empathy). Rather than listen to the patients who experienced the same feelings for the immediate response (sympathy). Especially important to note that perhaps the patient's situation will be brought back to our past, the feelings of the past; but we should not go on when their feelings, into the immediate feelings of the patient. Always have to remember that spiritual care should be taken only whole-heartedly for those patients live.
"First understand the only expression of sympathy" means, it is necessary to timely respond directly (response) the patient's heart knot problem; but not without an attentive listener, Betty Drown touched the hearts to respond (react). Listen to is the use of auditory skills, is the way to comfort people, let us with the hearts of Thanksgiving to use it!
The challenge of last stage cancer
Care of advanced cancer patients to understand their points in the face of death phase. Care and patients need to take with peers to help him experience life in front of each terminal phase. Earlier introduction of the Kubler-Ross five stages of death and will now discuss with you a more effective theory: Bowman Doctor (Dr. Robert Buckman) On the three stages.
Bowman is the new Toronto hospital in Southern Province, Nanjing Cancer Center doctor. He pointed out that human beings are often at the same time, with a wide range of emotions; he questioned the patient's emotional reaction will be according to a certain degree of logical thinking to develop. Bowman believes that Kubler-Ross's five stages, in fact, five patients of the emotional reaction, rather than five, with the order stage. In other words, these five emotions can be repeated, and even appeared on the same day, during which there is no logic, or the order of succession.
Bowman believes that human life before the end of the road, can be divided into three periods *:
(A) the face of death threats against the reaction period (facing the threat)
Bowman pointed out that in the first phase of patients with very complex emotions. Traditionally consider the patient's emotional flow in isolation and denied that too simple. Bowman believes that the patient's personality, attitude to life, often determines the level of death threats emotions. He believes that that person how to deal with daily life, tend to eventually use the same approach to life challenges in the face of death (most people die as they have lived). If the patient is a person who has faith, he would firmly believe that God, in order to calm the attitude of one joke went life and death. If the patient is a nervous paranoid people, probably he will be in a tense pessimism spent the first period.
(B) The period of the disease (being ill)
Phase II is the period of the disease. Patients have been unable to live independently, need to take care of other people. During this period, the patient's mood will fluctuate with the condition. Feeling of discomfort when the pain was under control, the patient will have more of their confidence, emotional and more easygoing. Instead, the patient's mood turned sour once he and his family, caring person will often conflict. At this moment, the mood of patients will enter a sustained between disappointment and hope; and along with the physical state of the increasingly deteriorated, he began entering the final period.
(C) the final period (the last stage)
Phase III is the final phase. Bowman believes that during this period patients may feel that life is empty and has no choice but to accept the facts. In the emotional, the patient will feel sad and weak. However, due to more acceptance of death, so to calm the heart, the heart is no longer angry. At this stage still resist and even to deny the death of the patient, the patient was obviously physically entering the final period, but psychologically it is still to stay in the second period.
Bowman comprehensive revision to the patient's emotions to the phased that their theory is more in line with the facts, it is worth caring person research applications.
Bowman is the new Toronto hospital in Southern Province, Nanjing Cancer Center doctor. He pointed out that human beings are often at the same time, with a wide range of emotions; he questioned the patient's emotional reaction will be according to a certain degree of logical thinking to develop. Bowman believes that Kubler-Ross's five stages, in fact, five patients of the emotional reaction, rather than five, with the order stage. In other words, these five emotions can be repeated, and even appeared on the same day, during which there is no logic, or the order of succession.
Bowman believes that human life before the end of the road, can be divided into three periods *:
(A) the face of death threats against the reaction period (facing the threat)
Bowman pointed out that in the first phase of patients with very complex emotions. Traditionally consider the patient's emotional flow in isolation and denied that too simple. Bowman believes that the patient's personality, attitude to life, often determines the level of death threats emotions. He believes that that person how to deal with daily life, tend to eventually use the same approach to life challenges in the face of death (most people die as they have lived). If the patient is a person who has faith, he would firmly believe that God, in order to calm the attitude of one joke went life and death. If the patient is a nervous paranoid people, probably he will be in a tense pessimism spent the first period.
(B) The period of the disease (being ill)
Phase II is the period of the disease. Patients have been unable to live independently, need to take care of other people. During this period, the patient's mood will fluctuate with the condition. Feeling of discomfort when the pain was under control, the patient will have more of their confidence, emotional and more easygoing. Instead, the patient's mood turned sour once he and his family, caring person will often conflict. At this moment, the mood of patients will enter a sustained between disappointment and hope; and along with the physical state of the increasingly deteriorated, he began entering the final period.
(C) the final period (the last stage)
Phase III is the final phase. Bowman believes that during this period patients may feel that life is empty and has no choice but to accept the facts. In the emotional, the patient will feel sad and weak. However, due to more acceptance of death, so to calm the heart, the heart is no longer angry. At this stage still resist and even to deny the death of the patient, the patient was obviously physically entering the final period, but psychologically it is still to stay in the second period.
Bowman comprehensive revision to the patient's emotions to the phased that their theory is more in line with the facts, it is worth caring person research applications.
Grasp the mood of late stage of cancer
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.
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.
Listen - to the truth in response to the release of the patient's knot
Spiritual care is actually listened carefully. In the semantic, the listening itself contains a "carefully", "focus" means; I add, in its "carefully" the word only to emphasize that apart from those who care to listen to the patient's aspirations to focus, but also careful to the sake of patients, but the truth is to respond.
The Bible records that Jesus had listened carefully to how to respond to the truth, and finally the release of the patient's knot; heal a broken heart good. Now let us look at the background recorded in this period:
Scripture: Mark recorded in the Bible book.
Date: millennium ago, the Lord Jesus by preaching the third year.
Location: Israel and the foot door, the Lord Jesus has just been demonstrated in the mountains He is the glory of God.
Characters: a father with his epilepsy and was mute ghosts troubled son;
Many onlookers crowd;
Challenge the capacity of disciples rush ghost Bible experts;
Lord Jesus and his disciples.
During this period the beginning of records, and the atmosphere was very tense - a large group of people are gathered with a group of ghosts in time for the failure of his disciples, and a disappointed father and a ghost is still attached, the population flow foam, kids rolling on the floor; situation more people disturbed by the fact that there are some flood of public outcry of religious authorities, accusing his disciples no power to out.
Three days in the preaching, the disciples had a number of successful time for ghosts. Unexpectedly, in this critical juncture in time for the ghosts of failure; and Jesus Christ was also in this awkward moment, which appears in the crowd. If it is Jesus, I will certainly feel the pressure of the failure of subglottic disciples, is the so-called "face death", how could a ghost do not immediately hand out to revive the prestige.
However, the Lord Jesus in this chaotic circumstances, but who is willing to listen carefully to the voice of his father. He knows that it is curable do not believe the whole generation, while another is the father of despair, but faith from generation to generation in the broken tip of the iceberg. Please everyone pay attention to the Bible, the Lord Jesus and his father's dialogue:
Jesus: "He (the child) may have the disease the number of occasions for that purpose?"
Father: "From the time children. Ghost repeatedly throw it in the fire, the water, it is necessary to eliminate him. What you can, ask you to have mercy on us, help us."
Jesus: "You can? In the letter, people who can do everything!"
Shouted the father immediately said (Scrolls have to "immediately cried tears to say"): "I believe, aid I do not believe ah! (See the Bible - Pastor Lu in translation)."
The father is despair, confidence shattered and desperate situation. ghosts were attached to the child, the father again and again with children searching for medical, religious healers, etc. But in reality, disappointed him, and then disappointed. Confidence to seek help, have long been gone! In fact, lack of confidence, not only does the father of the child!
Advanced cancer patients and their families vulnerable to the alternative treatment, physician healers for help in order to bring false hope (false hope); Unfortunately, under the condition deteriorated in the hope that disillusionment, often designed for greater despair. Dry starving people will be able to live a few days; a lack of confidence and despair of the people, is also suffering more than a half-day living. Despair is broken because of the confidence the most fundamental knot. Only truth can heal such a knot, people regain the confidence of a man; as his father before the main treatment in order for children to master life.
Jesus ask the question, the children's father, except to answer a "child childhood disease", he immediately to talk him out of the child, to speak what was the occasion of helplessness and despair. Therefore, it is the tone of his father's desperate for help, is adopting an attitude of leaving it a try; It is precisely because of this despair, let's try one sad emotion, so that a genuine way out for him near the edge, almost missed out.
Fortunately, At this juncture, the Lord Jesus has appropriate response. At that time, the Lord Jesus did not keep the sympathy, comfort that his father; but the challenge is to love him for his father's responsibility. Lord Jesus face to face, he pointed out that confidence has to be done before a person, child's illness have a way out. Therefore, Jesus in that important juncture, intentionally repeat of that semantic father: "You can?" (NIV translation of the Bible, the new: "If you can?")
We need to know to the truth, the patient's ability to release knot, must include: listening, grasp the patient's knot, the search for truth, with the ability to come from to respond to patient needs.
Lord Jesus in the face of a child his father's reaction was strong wronged over the years, but finally came to an end! He immediately cried tears, and issued calls for help. U.S. may wish to look than to the children before and after his father twice for help, what a difference - the first time let the action just holds one test, the attitude of despair; the second time can be cordial to the Grand Master for the call.
At this point, the truth of Jesus in order to respond to medical treatment of his father's knot, do not believe Mongolia generations started treatment, and ultimately also ghosts out, children with medical treatment, to regain their newborn. This shows that is not confined to listen carefully to hear it, but also to respond to the truth, I hope everyone who can understand the concern and care.
The Bible records that Jesus had listened carefully to how to respond to the truth, and finally the release of the patient's knot; heal a broken heart good. Now let us look at the background recorded in this period:
Scripture: Mark recorded in the Bible book.
Date: millennium ago, the Lord Jesus by preaching the third year.
Location: Israel and the foot door, the Lord Jesus has just been demonstrated in the mountains He is the glory of God.
Characters: a father with his epilepsy and was mute ghosts troubled son;
Many onlookers crowd;
Challenge the capacity of disciples rush ghost Bible experts;
Lord Jesus and his disciples.
During this period the beginning of records, and the atmosphere was very tense - a large group of people are gathered with a group of ghosts in time for the failure of his disciples, and a disappointed father and a ghost is still attached, the population flow foam, kids rolling on the floor; situation more people disturbed by the fact that there are some flood of public outcry of religious authorities, accusing his disciples no power to out.
Three days in the preaching, the disciples had a number of successful time for ghosts. Unexpectedly, in this critical juncture in time for the ghosts of failure; and Jesus Christ was also in this awkward moment, which appears in the crowd. If it is Jesus, I will certainly feel the pressure of the failure of subglottic disciples, is the so-called "face death", how could a ghost do not immediately hand out to revive the prestige.
However, the Lord Jesus in this chaotic circumstances, but who is willing to listen carefully to the voice of his father. He knows that it is curable do not believe the whole generation, while another is the father of despair, but faith from generation to generation in the broken tip of the iceberg. Please everyone pay attention to the Bible, the Lord Jesus and his father's dialogue:
Jesus: "He (the child) may have the disease the number of occasions for that purpose?"
Father: "From the time children. Ghost repeatedly throw it in the fire, the water, it is necessary to eliminate him. What you can, ask you to have mercy on us, help us."
Jesus: "You can? In the letter, people who can do everything!"
Shouted the father immediately said (Scrolls have to "immediately cried tears to say"): "I believe, aid I do not believe ah! (See the Bible - Pastor Lu in translation)."
The father is despair, confidence shattered and desperate situation. ghosts were attached to the child, the father again and again with children searching for medical, religious healers, etc. But in reality, disappointed him, and then disappointed. Confidence to seek help, have long been gone! In fact, lack of confidence, not only does the father of the child!
Advanced cancer patients and their families vulnerable to the alternative treatment, physician healers for help in order to bring false hope (false hope); Unfortunately, under the condition deteriorated in the hope that disillusionment, often designed for greater despair. Dry starving people will be able to live a few days; a lack of confidence and despair of the people, is also suffering more than a half-day living. Despair is broken because of the confidence the most fundamental knot. Only truth can heal such a knot, people regain the confidence of a man; as his father before the main treatment in order for children to master life.
Jesus ask the question, the children's father, except to answer a "child childhood disease", he immediately to talk him out of the child, to speak what was the occasion of helplessness and despair. Therefore, it is the tone of his father's desperate for help, is adopting an attitude of leaving it a try; It is precisely because of this despair, let's try one sad emotion, so that a genuine way out for him near the edge, almost missed out.
Fortunately, At this juncture, the Lord Jesus has appropriate response. At that time, the Lord Jesus did not keep the sympathy, comfort that his father; but the challenge is to love him for his father's responsibility. Lord Jesus face to face, he pointed out that confidence has to be done before a person, child's illness have a way out. Therefore, Jesus in that important juncture, intentionally repeat of that semantic father: "You can?" (NIV translation of the Bible, the new: "If you can?")
We need to know to the truth, the patient's ability to release knot, must include: listening, grasp the patient's knot, the search for truth, with the ability to come from to respond to patient needs.
Lord Jesus in the face of a child his father's reaction was strong wronged over the years, but finally came to an end! He immediately cried tears, and issued calls for help. U.S. may wish to look than to the children before and after his father twice for help, what a difference - the first time let the action just holds one test, the attitude of despair; the second time can be cordial to the Grand Master for the call.
At this point, the truth of Jesus in order to respond to medical treatment of his father's knot, do not believe Mongolia generations started treatment, and ultimately also ghosts out, children with medical treatment, to regain their newborn. This shows that is not confined to listen carefully to hear it, but also to respond to the truth, I hope everyone who can understand the concern and care.
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.
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.
And listened carefully to the patient to talk about "pain"
"Pain" is a very common phenomenon, and everyone know that "pain" is. However, advanced cancer patients is the feeling of pain varies from person to person, is not an easily understandable emotional. Therefore, visitors are advised to know:
- Basic knowledge of pain:
First of all we have to the overall comprehensive view of "pain."
The pain of ordinary people, including the following four major parts:
Physiology: Nerve cancer extrusion; the drastic reduction of body weight; other symptoms such as vomiting, nausea and so on.
Psychological: fear, tension; sadness, mourning; resentment, powerlessness.
Interpersonal: autistic, shrink; verbal assault / to please others; to give up.
Mind: survival lost significance; beliefs collapse; sense of loss. *
Many people think that pain is a psychological problem, belonging to doctors and drug control; and visitors is neither a doctor nor a pharmacist, even if the patient came before, and only anxious for their space in the negotiations. Never dreamed that visitors can listen carefully for the majority of patients after the three root causes of pain, timely and appropriate response; original visitors also can provide patients, "pain" does heal!
- With patients about pain skills: with the patient about the purpose of pain is to understand the patient's feelings and emotions, so that patients know that we are willing to hurt their pain, willing to pray together. When the patient's physical pain controlled circumstances, we can and the sick to talk about "pain."
To find out the patient's degree of psychological suffering - we can ask the patient: "If the 0-10 to express the degree of pain increased; then, the extent of your suffering much is that?" We can see from the number of characters high and low, to understand the severity of their suffering.
Identify patients suffering physiological approach - we can ask them, pain is like? Please describe the suffering of the patient's situation. Whether the pain is long-term pain or pains? Crimping is the likelihood of Dayton suffered heavy pain? Pain or acupuncture it? Inquiry is not the purpose of diagnosis of the disease, but rather to allow the patient to tell their painful feelings.
Listened carefully to the tone of the patient revealed to the mood of - interpersonal and spiritual burden, it is necessary to know that this part of the pain is not easy to express. Visitors are advised to view the investigation, giving proof, it is not advisable to get a way to make inquiries as to avoid the patient's resentment. Remember, we have to control their emotions, exclusively for the patient and listen to identify implication to understand the plight of colorectal patients.
Removal of the painkiller misunderstanding - this part is about the Chinese medicine knowledge, visitors are advised from doctors, nurses and pharmacists receive assistance, for the patient to remove all kinds of myths and remove the patient to avoid the physiological "pain" obstacles. Here are some common misconceptions:
• thought that cancer patients will be pain, so patients should resign to fate and accept the pain. (In fact, the cancer does not necessarily lead to pain, it depends on the nervous system lesion touched the case may be.)
• patients that painkillers such as morphine, etc. can easily become addicted. (In fact, suffering from cancer and the patient has pain, the use of painkillers such as morphine is not addictive.)
• increase the patients worried about the same as cancer pain intensified, and thus deliberately deny the fact that increase the pain.
• fear of injections and refuse to use painkillers. (In fact, painkillers can be used oral, or intravenous drug with such means, and do not necessarily have to have an injection.)
• fear of pain medication has side effects too many refuse medication. (It is undeniable that these drugs have side effects, such as the sense of lethargy, drowsiness, constipation and so on. However, some side-effects of the medication will disappear after a week; As constipation issues can consult a doctor to solve.)
Listened carefully to be a starting point, with advanced cancer who talk about pain, it is hard to enter the patient's heart an important stage node. If the skills and wisdom to carry out conversations, we can understand the patient's knot, with patients suffering a common face.
- Basic knowledge of pain:
First of all we have to the overall comprehensive view of "pain."
The pain of ordinary people, including the following four major parts:
Physiology: Nerve cancer extrusion; the drastic reduction of body weight; other symptoms such as vomiting, nausea and so on.
Psychological: fear, tension; sadness, mourning; resentment, powerlessness.
Interpersonal: autistic, shrink; verbal assault / to please others; to give up.
Mind: survival lost significance; beliefs collapse; sense of loss. *
Many people think that pain is a psychological problem, belonging to doctors and drug control; and visitors is neither a doctor nor a pharmacist, even if the patient came before, and only anxious for their space in the negotiations. Never dreamed that visitors can listen carefully for the majority of patients after the three root causes of pain, timely and appropriate response; original visitors also can provide patients, "pain" does heal!
- With patients about pain skills: with the patient about the purpose of pain is to understand the patient's feelings and emotions, so that patients know that we are willing to hurt their pain, willing to pray together. When the patient's physical pain controlled circumstances, we can and the sick to talk about "pain."
To find out the patient's degree of psychological suffering - we can ask the patient: "If the 0-10 to express the degree of pain increased; then, the extent of your suffering much is that?" We can see from the number of characters high and low, to understand the severity of their suffering.
Identify patients suffering physiological approach - we can ask them, pain is like? Please describe the suffering of the patient's situation. Whether the pain is long-term pain or pains? Crimping is the likelihood of Dayton suffered heavy pain? Pain or acupuncture it? Inquiry is not the purpose of diagnosis of the disease, but rather to allow the patient to tell their painful feelings.
Listened carefully to the tone of the patient revealed to the mood of - interpersonal and spiritual burden, it is necessary to know that this part of the pain is not easy to express. Visitors are advised to view the investigation, giving proof, it is not advisable to get a way to make inquiries as to avoid the patient's resentment. Remember, we have to control their emotions, exclusively for the patient and listen to identify implication to understand the plight of colorectal patients.
Removal of the painkiller misunderstanding - this part is about the Chinese medicine knowledge, visitors are advised from doctors, nurses and pharmacists receive assistance, for the patient to remove all kinds of myths and remove the patient to avoid the physiological "pain" obstacles. Here are some common misconceptions:
• thought that cancer patients will be pain, so patients should resign to fate and accept the pain. (In fact, the cancer does not necessarily lead to pain, it depends on the nervous system lesion touched the case may be.)
• patients that painkillers such as morphine, etc. can easily become addicted. (In fact, suffering from cancer and the patient has pain, the use of painkillers such as morphine is not addictive.)
• increase the patients worried about the same as cancer pain intensified, and thus deliberately deny the fact that increase the pain.
• fear of injections and refuse to use painkillers. (In fact, painkillers can be used oral, or intravenous drug with such means, and do not necessarily have to have an injection.)
• fear of pain medication has side effects too many refuse medication. (It is undeniable that these drugs have side effects, such as the sense of lethargy, drowsiness, constipation and so on. However, some side-effects of the medication will disappear after a week; As constipation issues can consult a doctor to solve.)
Listened carefully to be a starting point, with advanced cancer who talk about pain, it is hard to enter the patient's heart an important stage node. If the skills and wisdom to carry out conversations, we can understand the patient's knot, with patients suffering a common face.
Thursday, January 22, 2009
How to help relatives and friends go anticancer Road?
When you know your relatives or friends with cancer, you feel at a loss, but also do not know what to say what to do? You want to help, but we do not know what can be done or how to start? If your relatives or friends of cancer has entered the late heart depressed, frustrated, disappointed, you can do?
You have to become a listen. One listen to the people are not eager to say you want to tell the patient, but is willing to patiently listen to the patients so far that he needs, from where he needs to answer, help him. The following are some of the nature of listening to those who:
The use of open-ended questions, so that patients have the opportunity to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask the patient "is not it? Will not? Pain, not pain?" This question is usually only allowed a very brief answer, such as: "yes" or "no." If you ask him "how do you feel today?" In this way, patients can have the opportunity to say something of his own feelings.
To be sensitive, so listen carefully to the words, to clarify your understanding, and induced the expression of innermost feelings of each other. By listening, you can help patients clearly express his position and feelings, and then help him find a reasonable, workable response.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: the patient to tell you, "I worry about my condition will deteriorate." Do not you just say, "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question .) Perhaps, he is really worried about is the fear of family or household dragged down the economy, fear of pain, or other concerns.
Do not gossip (especially other people's treatment and response). In good faith, and many relatives and friends will be eager to remedy a variety of cancer methods or introduced to the patients or their family members, or even talk to the other person's response and the results of the treatment of children and left patients. This is not considerate and irresponsible, because on the one hand, patients or their family members will be thinking, on the other hand, the treatment of each patient's choice and the response is unique. Outsiders do not have to tell the patient, he should use what remedy or his condition will be how to develop.
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 his own view that a 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.
Respect for cancer patients and their families the rights and privacy. If you feel the need to let others know when the patient's condition, please seek the consent of patients or their families. For example: You would like to ask others to pray for patients, you may seek the views of the patient's consent, and asked him how we want other people to pray for him.
Christians to the patient or family members witness or preach the gospel, we should avoid arguing doctrine. At this point to argue beliefs and teachings, and did not encourage role. Love, care to meet their urgent need is to convey God's love the best, most powerful way.
You have to become a listen. One listen to the people are not eager to say you want to tell the patient, but is willing to patiently listen to the patients so far that he needs, from where he needs to answer, help him. The following are some of the nature of listening to those who:
The use of open-ended questions, so that patients have the opportunity to express himself. Open-ended questions that were asked were not only very brief question and answer sentences. For example: Do not ask the patient "is not it? Will not? Pain, not pain?" This question is usually only allowed a very brief answer, such as: "yes" or "no." If you ask him "how do you feel today?" In this way, patients can have the opportunity to say something of his own feelings.
To be sensitive, so listen carefully to the words, to clarify your understanding, and induced the expression of innermost feelings of each other. By listening, you can help patients clearly express his position and feelings, and then help him find a reasonable, workable response.
Do not interrupt each other, not to deny each other's feelings or the other thesis. For example: the patient to tell you, "I worry about my condition will deteriorate." Do not you just say, "Do not be afraid." You can ask him, "Why do you think so?" (This is an open question .) Perhaps, he is really worried about is the fear of family or household dragged down the economy, fear of pain, or other concerns.
Do not gossip (especially other people's treatment and response). In good faith, and many relatives and friends will be eager to remedy a variety of cancer methods or introduced to the patients or their family members, or even talk to the other person's response and the results of the treatment of children and left patients. This is not considerate and irresponsible, because on the one hand, patients or their family members will be thinking, on the other hand, the treatment of each patient's choice and the response is unique. Outsiders do not have to tell the patient, he should use what remedy or his condition will be how to develop.
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 his own view that a 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.
Respect for cancer patients and their families the rights and privacy. If you feel the need to let others know when the patient's condition, please seek the consent of patients or their families. For example: You would like to ask others to pray for patients, you may seek the views of the patient's consent, and asked him how we want other people to pray for him.
Christians to the patient or family members witness or preach the gospel, we should avoid arguing doctrine. At this point to argue beliefs and teachings, and did not encourage role. Love, care to meet their urgent need is to convey God's love the best, most powerful way.
The importance of "Medical care advance directives ADVANCE HEALTH CARE DIRECTIVE"
In early 2005 the United States has a national sensation of social news, that is, who lives in Florida because of Terri Schiavo in a 26-year-old at the time of the accident, coma asphyxia than 15 years, makes her husband and her parents in court on the controversial question of whether or not to provide nutrients, moisture and maintenance of the tube pulled out of her life. The results in the court ordered the removal of this tube after a living, Terri finally March 31, 2005 passed away at the age of 41 years.
The reason why this incident caused such a stir nationwide social news, one of the reasons is that if Terri Schiavo has never been a vegetative state when she became, she wanted to or not to use any means to maintain her life. And these decisions in advance can be a legitimate document accountable clear. This document is the "health care advance directives Advance Health Care Directive" or referred to as "advance directives Advance Directive".
California's Silicon Valley according to a number of 800 Chinese elderly informal survey indicates that about 95 percent of Chinese, or do not know, or know that there is no right to use the patients to fill out a "medical care advance directives. " This is not only caused by individuals in the medical decision on the wishes can not be achieved, while the family or difficult to let go because of family ties, or at a loss as a result of the various contradictions and guilt.
What is "medical care advance directives Advance Health Care Directive"?
"Medical care advance directives" are you writing or orally, to allow medical staff to understand when you unconscious, coma or seriously ill and unable to communicate with people, you are willing or unwilling to accept medical care. You can also designate a person you trust your agent to do medical care decisions.
Legally, you have the right to send a copy of the instructions to your health care workers or your trusted agent. If you choose to be represented by an agent to make decisions for you, the person's responsibility is to ensure that medical care you desire to achieve, and this document so that he (she) has the responsibility and rights.
Why do we need a "health care advance directive"?
Ready for a "health care advance directive", have the following benefits:
1. To protect you would like to express their acceptance of and which do not want to accept the rights and interests of medical care;
2. To make your family, friends and health care workers could be more clearly know that you care about the will and choice;
3. Reduced because of differences of opinion between friends and relatives caused by conflict;
4. Reduce the families and caregivers do for you the decision between life and death, the heart may have anxiety and guilt;
5. To avoid unnecessary treatment of you and the families of the financial burden;
6. Alleviation you are "over-treatment" fear;
7. If you wish, you can also specify donate.
When you fix the "health care advance directive", you can also change the content at any time, as long as you let your agent or health care workers know that your new wishes. In addition, you can also change your agent.
The reason why this incident caused such a stir nationwide social news, one of the reasons is that if Terri Schiavo has never been a vegetative state when she became, she wanted to or not to use any means to maintain her life. And these decisions in advance can be a legitimate document accountable clear. This document is the "health care advance directives Advance Health Care Directive" or referred to as "advance directives Advance Directive".
California's Silicon Valley according to a number of 800 Chinese elderly informal survey indicates that about 95 percent of Chinese, or do not know, or know that there is no right to use the patients to fill out a "medical care advance directives. " This is not only caused by individuals in the medical decision on the wishes can not be achieved, while the family or difficult to let go because of family ties, or at a loss as a result of the various contradictions and guilt.
What is "medical care advance directives Advance Health Care Directive"?
"Medical care advance directives" are you writing or orally, to allow medical staff to understand when you unconscious, coma or seriously ill and unable to communicate with people, you are willing or unwilling to accept medical care. You can also designate a person you trust your agent to do medical care decisions.
Legally, you have the right to send a copy of the instructions to your health care workers or your trusted agent. If you choose to be represented by an agent to make decisions for you, the person's responsibility is to ensure that medical care you desire to achieve, and this document so that he (she) has the responsibility and rights.
Why do we need a "health care advance directive"?
Ready for a "health care advance directive", have the following benefits:
1. To protect you would like to express their acceptance of and which do not want to accept the rights and interests of medical care;
2. To make your family, friends and health care workers could be more clearly know that you care about the will and choice;
3. Reduced because of differences of opinion between friends and relatives caused by conflict;
4. Reduce the families and caregivers do for you the decision between life and death, the heart may have anxiety and guilt;
5. To avoid unnecessary treatment of you and the families of the financial burden;
6. Alleviation you are "over-treatment" fear;
7. If you wish, you can also specify donate.
When you fix the "health care advance directive", you can also change the content at any time, as long as you let your agent or health care workers know that your new wishes. In addition, you can also change your agent.
If the cancer treatment ineffective, how should I do?
Cancer patients or their families face the most difficult moments, in addition to cancer recurrence or metastasis, the doctor told patients that he had no longer be able to provide effective treatment programs. Many people will be very disappointed, because they often hold a glimmer of hope that the doctors there are always ways to solve all problems. Some people think that can finally breathe a sigh of relief, because the treatment does not need to face the inconvenience and harm to the body. But there is no treatment or a result of being physically too weak and can no longer receiving treatment, they mean a serious condition; At that time, patients and their families how to do?
At this point even if the doctor can not continue to provide effective health care program, he is still able to provide appropriate recommendations. You can openly discuss with his follow-up medical care and so on. Usually he would suggest home or palliative care (home or palliative care), or palliative care (Hospice Services) (hospice care). These two programs seem very similar to the surface, but differ widely in real terms.
"Home or palliative care" as its name suggests is in the home care of patients by family members, and then by the home care agency to assist some of the basic care. This program services provided by the content or medical equipment covered by the project according to the National Health Insurance payment. Its biggest benefit is the patient can still see a doctor or hospital emergency room; However, these movements are to no avail. Because of a terminally ill patient to see a doctor or hospital emergency room, but no real increase in torment and medical role.
"Palliative care" is specifically for medical and life of the latepatients to provide professional care institutions. Their expertise is to help families deal with the symptoms of patients that may occur and pain. In addition to professional palliative care nurse regularly to observe the home care patients and their families to answer the questions, they also have other professionals to provide services, such as: Care and file to help clean up the patient's physical, social workers for the provision of community resources and contacts of patients with insurance companies, Good Hope to provide spiritual counseling. The use of palliative care, the patients and their families can call to contact the nurse on duty asked about ways to deal with the situation; therefore, can reduce heart patients and their families a sense of helplessness and anxiety. In addition to patient services, palliative care is also provided with the necessary equipment, such as: hospital beds, oxygen cylinders / machine, urinals, wheelchairs and so on, and dealing with symptoms related to drugs and painkillers. Those who have not experienced the hospice, this is a best option. General health insurance are usually covered by palliative care, but patients without health insurance, it may find a non-profit hospice care agencies to provide help. If families can not afford care because of special circumstances for terminally ill patients, they can be discussed with the social workers find the appropriate provision of care for nursing homes. Unfortunately, the Chinese care for terminally-ill patients, some misconceptions, so understanding and use of palliative care patients are not many, or until a few days before dying patients rush to join.
In fact, in the face of life's end with the birth of the baby's face is similar, it can look forward to and prepared. When a person can face the end of their life when perhaps he could be more easily arranged for some medical care thing. Chapter 3 of Ecclesiastes in the Bible 1-2 festival said, "everything has from time to time, and the world have regularly Treasury million. Health Sometimes, sometimes death ..." 11 said, "God created all things, each according to become better again eternal life was placed in the world. However, throughout the act of God, people can not. "14 said" I know God will have everything done by perpetuating anything to add, nothing to reduce. God this line is He kept in front of dignitaries in the heart of fear. "Indeed, human life is a mystery of things, even people like a cloud, like life, there a moment and disappeared. But if we have the opportunity throughout his life to create awareness of the universe the only true God, and fear Him, to comply with his wishes, he would look after our life and soul of it!
Jesus Christ said, "Let not your heart be troubled, you believe in God, now trust in Me. In my Father's house there are many accommodation; If not, I already told you; I went to was originally a place to prepare for you. If I to prepare a place for you, then you come back to me where to go; where I told you was there. "Jesus said," I am the way, the truth and the life; not by me, no one can to the Father. "
At this point even if the doctor can not continue to provide effective health care program, he is still able to provide appropriate recommendations. You can openly discuss with his follow-up medical care and so on. Usually he would suggest home or palliative care (home or palliative care), or palliative care (Hospice Services) (hospice care). These two programs seem very similar to the surface, but differ widely in real terms.
"Home or palliative care" as its name suggests is in the home care of patients by family members, and then by the home care agency to assist some of the basic care. This program services provided by the content or medical equipment covered by the project according to the National Health Insurance payment. Its biggest benefit is the patient can still see a doctor or hospital emergency room; However, these movements are to no avail. Because of a terminally ill patient to see a doctor or hospital emergency room, but no real increase in torment and medical role.
"Palliative care" is specifically for medical and life of the latepatients to provide professional care institutions. Their expertise is to help families deal with the symptoms of patients that may occur and pain. In addition to professional palliative care nurse regularly to observe the home care patients and their families to answer the questions, they also have other professionals to provide services, such as: Care and file to help clean up the patient's physical, social workers for the provision of community resources and contacts of patients with insurance companies, Good Hope to provide spiritual counseling. The use of palliative care, the patients and their families can call to contact the nurse on duty asked about ways to deal with the situation; therefore, can reduce heart patients and their families a sense of helplessness and anxiety. In addition to patient services, palliative care is also provided with the necessary equipment, such as: hospital beds, oxygen cylinders / machine, urinals, wheelchairs and so on, and dealing with symptoms related to drugs and painkillers. Those who have not experienced the hospice, this is a best option. General health insurance are usually covered by palliative care, but patients without health insurance, it may find a non-profit hospice care agencies to provide help. If families can not afford care because of special circumstances for terminally ill patients, they can be discussed with the social workers find the appropriate provision of care for nursing homes. Unfortunately, the Chinese care for terminally-ill patients, some misconceptions, so understanding and use of palliative care patients are not many, or until a few days before dying patients rush to join.
In fact, in the face of life's end with the birth of the baby's face is similar, it can look forward to and prepared. When a person can face the end of their life when perhaps he could be more easily arranged for some medical care thing. Chapter 3 of Ecclesiastes in the Bible 1-2 festival said, "everything has from time to time, and the world have regularly Treasury million. Health Sometimes, sometimes death ..." 11 said, "God created all things, each according to become better again eternal life was placed in the world. However, throughout the act of God, people can not. "14 said" I know God will have everything done by perpetuating anything to add, nothing to reduce. God this line is He kept in front of dignitaries in the heart of fear. "Indeed, human life is a mystery of things, even people like a cloud, like life, there a moment and disappeared. But if we have the opportunity throughout his life to create awareness of the universe the only true God, and fear Him, to comply with his wishes, he would look after our life and soul of it!
Jesus Christ said, "Let not your heart be troubled, you believe in God, now trust in Me. In my Father's house there are many accommodation; If not, I already told you; I went to was originally a place to prepare for you. If I to prepare a place for you, then you come back to me where to go; where I told you was there. "Jesus said," I am the way, the truth and the life; not by me, no one can to the Father. "
How to determine cancer treatment strategies
Cancer treatment involves many factors, including the patient's age and physical health, cancer site, stage, you can use methods of treatment and side effects of the impact on patients and so on. Typically, the oncologist will do a series of test patients in order to suggest possible treatment options. And he will explain the pros and cons of various treatment programs, effective rate of side effects and so on. Therefore, the patients if there is enough time and knowledge, he can read the relevant information in order to discuss and doctors, and then select one as he thinks fit treatment. Usually, each of a treatment program or drug use in different patients have different time for effectiveness; some people will be very effective, some people slightly effective, some people is totally futile. Doctors will use "effective probability" (Response Rate) to explain his proposal to use a certain program or the causes of drug. For example, doctors may recommend the use of a drug in the past experience, 60 percent of the patients with effective, so the drug "effective probability" is 60%.
Doctors usually use for patients with cancer "effective rate of" higher or drug treatment programs. Or drug use of the program several times, doctors would once again be tested in patients, if the patient's tumor shrinkage or reduction of the proliferation of sites, doctors will be able to take patients with physical conditions to continue to use the drug to achieve the symptoms completely remove (Total Remission ) purposes. If the drugs or the program does not work, doctors will try other drugs or treatment.
During treatment of patients with their own bodies should pay attention to the situation changes, if any abnormal pain, fever, cough, bleeding, tired of such a phenomenon should tell their doctor immediately in order to identify the causes and take appropriate response measures. Even patients with symptoms have been the elimination of time, he should also be subject to regular inspections to cancer recurrence or metastasis will be able to detect the early stages. Patients to be active in the face of cancer, while not taken lightly, because most patients know their own bodies and changes in circumstances.
If a doctor a few trial programs or drugs are not effective, doctors may recommend the use of clinical trials (Clinical Trials). At this time, patients and doctors should discuss the pros and cons of clinical trials, treatment on the body, whether the local hospitals can be conducted, and whether insurance companies pay and other issues. Although the clinical trial does not guarantee an effective, but at least it is a feasible method. At this point, to other tumor specialist to seek a second opinion (Second Opinion) on the very important. Patients should keep an open mind and a doctor together to face these important decisions.
During cancer treatment, patients may be recommended by many friends and relatives to try complementary and alternative therapies. For example, someone will introduce prescriptions, diet, health, drugs, or practicing qigong and other methods. These have not been scientifically proven methods most use of personal witness to attract patients. In some cases, patients or their family in the mentality of thinking under the will of his hopes on the way these are not confirmed, even to a point away from the orthodox treatment. This "hope that any treatment not miss the opportunity to" mentality is not unusual, but the wisdom to distinguish patients should do, so keep the hearts of luck but the loss of opportunities for cancer treatment and death of people or financial break. Taiwan's de peach Cancer Information Network http://www.cancer.org.tw/Library/content4.asp some alternative therapies on the Chinese articles for reference. U.S. National Center for complementary and alternative medicine (National Center for Complementary and Alternative Medicine) is also available in English website http://nccam.nih.gov information for readers to understand the English query. If patients complementary and alternative therapies have any questions, to take the initiative to discuss with the attending physician.
Cancer treatment is a science is also an art. The course of treatment for each patient is unique, so patients and cancer specialists to cope with, and actively participate in his treatment. Even when treatment fails, patients may still choose to palliative care (Hospice Service) in the health care workers and under the care of their families safe and sound through a lifetime. Cancer likely to harm the physical or killed, but the letter of the person of Jesus and his colleagues hope grant eternal life, she can have real peace.
Doctors usually use for patients with cancer "effective rate of" higher or drug treatment programs. Or drug use of the program several times, doctors would once again be tested in patients, if the patient's tumor shrinkage or reduction of the proliferation of sites, doctors will be able to take patients with physical conditions to continue to use the drug to achieve the symptoms completely remove (Total Remission ) purposes. If the drugs or the program does not work, doctors will try other drugs or treatment.
During treatment of patients with their own bodies should pay attention to the situation changes, if any abnormal pain, fever, cough, bleeding, tired of such a phenomenon should tell their doctor immediately in order to identify the causes and take appropriate response measures. Even patients with symptoms have been the elimination of time, he should also be subject to regular inspections to cancer recurrence or metastasis will be able to detect the early stages. Patients to be active in the face of cancer, while not taken lightly, because most patients know their own bodies and changes in circumstances.
If a doctor a few trial programs or drugs are not effective, doctors may recommend the use of clinical trials (Clinical Trials). At this time, patients and doctors should discuss the pros and cons of clinical trials, treatment on the body, whether the local hospitals can be conducted, and whether insurance companies pay and other issues. Although the clinical trial does not guarantee an effective, but at least it is a feasible method. At this point, to other tumor specialist to seek a second opinion (Second Opinion) on the very important. Patients should keep an open mind and a doctor together to face these important decisions.
During cancer treatment, patients may be recommended by many friends and relatives to try complementary and alternative therapies. For example, someone will introduce prescriptions, diet, health, drugs, or practicing qigong and other methods. These have not been scientifically proven methods most use of personal witness to attract patients. In some cases, patients or their family in the mentality of thinking under the will of his hopes on the way these are not confirmed, even to a point away from the orthodox treatment. This "hope that any treatment not miss the opportunity to" mentality is not unusual, but the wisdom to distinguish patients should do, so keep the hearts of luck but the loss of opportunities for cancer treatment and death of people or financial break. Taiwan's de peach Cancer Information Network http://www.cancer.org.tw/Library/content4.asp some alternative therapies on the Chinese articles for reference. U.S. National Center for complementary and alternative medicine (National Center for Complementary and Alternative Medicine) is also available in English website http://nccam.nih.gov information for readers to understand the English query. If patients complementary and alternative therapies have any questions, to take the initiative to discuss with the attending physician.
Cancer treatment is a science is also an art. The course of treatment for each patient is unique, so patients and cancer specialists to cope with, and actively participate in his treatment. Even when treatment fails, patients may still choose to palliative care (Hospice Service) in the health care workers and under the care of their families safe and sound through a lifetime. Cancer likely to harm the physical or killed, but the letter of the person of Jesus and his colleagues hope grant eternal life, she can have real peace.
When you suffer from cancer or serious illness, how to communicate with their families?
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.
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.
How doctors and medical staff to communicate
Chinese doctors have a general attitude of reverence, it met with the doctors as primary and secondary school students to see the same principals, I do not know what to do. In fact, doctors and other medical staff are professionals who help patients, they need your initiative and active participation in order to help you. In fact, if the patient to his correct understanding of the disease, he can make the most appropriate medical decisions.
Communication between doctors and patients of other obstacles, including: the language barrier, do not understand the health care system, do not understand the patient's interest, lack of medical knowledge, are not familiar with medical terminology, and do not know how to communicate. Let us explain them one by one and to seek appropriate solutions.
The language barrier: If you do not know English or English is not fluent, you can find friends and relatives in advance to help you pass your hospitals require a language interpreter. Act now California hospitals need to provide translators. Otherwise, you can find a fluent English relatives clinics or hospitals to help you translate.
Do not understand the health care system: Patients usually look at the family doctor or physician, if a doctor suspected or diagnosed cancer patients, he will be patient referral to a surgeon (surgery) or other specialists (for further diagnosis). Doctors may have to be patient in order to accept the inspection confirmed. Some patients need surgery, if the post-operative patients need to receive other forms of treatment, then referral to a radiation oncologist or GP. In the benefits of the hospital is that these different specialists and testing will be in the same place, the patient does not need to different clinics, testing or treatment. In private clinics or therapeutic benefit is the patient and doctor relationship may be more direct, or close proximity without long-distance travel.
Do not understand the patient's interest: The United States federal "consumer protection and quality of medical advisory committee" (Advisory Commission on Consumer Protection and Quality in the Health Care Industry) following patient's rights and responsibilities of regulations to protect consumers.
Patients have the right to clearly understand the medical diagnosis, and assistance for the medical program, medical personnel, and medical institutions decision.
Patients have the right to choose the institutions or the provision of medical staff and obtain high-quality medical care.
Patients have the right to receive emergency medical services.
The patient himself or his agent has the power and responsibility to participate in medical decisions.
In any case, all medical staff must be based on respect and considerate attitude towards patients.
Medical institutions should be conservative and patient privacy. Patients have the right to view, copy of his medical records or request to correct errors.
Patients the right to appeal and may be a fair and efficient assessment.
When the patient responsibilities in order to meet with the medical staff to achieve the best results.
Lack of medical knowledge, or are not familiar with medical terminology: You may want a medical certificate to the medical staff would like to ask a friend for your note. When necessary, the angle the sound of cancer care may request the tumor specialist for you to explain the contents of a medical certificate, please contact (408) 263-8585 ext 102. You can also go to the library or reliable computer Web site to find reliable information. See the first article listed some of Kok cancer information website in Chinese and English. Kok voice cancer care have been produced in both Chinese and English vocabulary commonly used in medicine and cancer are available.
Communication: When you and your family to read cancer information, you will come up with some problems. You can find a durable notebook to write down these problems, next time see a doctor when asked about his 11. You can also put all the important information relating to cancer, such as: medical certificate, inspection reports, test reports, medical programs, drug name and how to use side-effects or pain occurred at a time and processing methods, and information on this notebook Lane. When you put together such information, you will easily find what you need.
Most doctors clinics to follow the process of a program: (1) exchanged greetings, (2) asked about the condition, (3) inspection or testing, (4) diagnosis, (5) proposed treatment recommendations or methods, (6) end. You can put forward at the appropriate time you think of the problem in advance. You can use the following sentence began to ask questions. "Doctor, I can ask you a question? Doctor, may I have a question?" In addition, doctors usually ask the patient "Do you have any other problems you? Do you have any other questions?" At this time, you can think of will be temporarily problems, doubts or concerns raised. Do not feel embarrassed to ask questions to doctors. You with a doctor to try to establish a positive and appropriate communication, so that can help you to your doctor have a sense of trust and confidence. Patients should also be asked about the doctor, if there is a special situation, it should be contact with doctors and medical staff's name and contact telephone numbers registered in the notebook Lane.
You can ask the doctor the following information about the diagnosis and general treatment of the problem:
Why is my diagnosis? What is my diagnosis?
Whether the cancer has been transferred? If so, where? I belong to what period? Has the cancer spread? If so, where? What is the stage of the disease?
Cancer treatment to achieve? I can accept what treatment? Do you suggest I choose what kind of treatment? Why? What is the goal of treatment? What are my treatment choices? Which do you recommend for me? Why?
Each of the expected results of treatment for that? What are the expected benefits of each kind of treatment?
Each of the risk of treatment and potential side-effects are? Going to deal with the side effects? What are the risks and possible side effects of each treatment? How can side effects be managed?
I would like to receive treatment for what to do to prepare? What can I do to prepare for treatment?
My treatment of how to proceed? How long for the first time? To be long? How do I get my treatment? How often will I have treatments? How long will my treatment last?
I need to change their daily routine for it? If you want to, the duration? Will I have to change my normal activities? If so, for how long?
About how much the cost of treatment? Does my medical insurance pay? What is the treatment likely to cost? Will my insurance cover the costs?
Are there new treatments? Clinical trials suitable for me? What new treatments are under study? Would a clinical trial be appropriate for me?
Communication between doctors and patients of other obstacles, including: the language barrier, do not understand the health care system, do not understand the patient's interest, lack of medical knowledge, are not familiar with medical terminology, and do not know how to communicate. Let us explain them one by one and to seek appropriate solutions.
The language barrier: If you do not know English or English is not fluent, you can find friends and relatives in advance to help you pass your hospitals require a language interpreter. Act now California hospitals need to provide translators. Otherwise, you can find a fluent English relatives clinics or hospitals to help you translate.
Do not understand the health care system: Patients usually look at the family doctor or physician, if a doctor suspected or diagnosed cancer patients, he will be patient referral to a surgeon (surgery) or other specialists (for further diagnosis). Doctors may have to be patient in order to accept the inspection confirmed. Some patients need surgery, if the post-operative patients need to receive other forms of treatment, then referral to a radiation oncologist or GP. In the benefits of the hospital is that these different specialists and testing will be in the same place, the patient does not need to different clinics, testing or treatment. In private clinics or therapeutic benefit is the patient and doctor relationship may be more direct, or close proximity without long-distance travel.
Do not understand the patient's interest: The United States federal "consumer protection and quality of medical advisory committee" (Advisory Commission on Consumer Protection and Quality in the Health Care Industry) following patient's rights and responsibilities of regulations to protect consumers.
Patients have the right to clearly understand the medical diagnosis, and assistance for the medical program, medical personnel, and medical institutions decision.
Patients have the right to choose the institutions or the provision of medical staff and obtain high-quality medical care.
Patients have the right to receive emergency medical services.
The patient himself or his agent has the power and responsibility to participate in medical decisions.
In any case, all medical staff must be based on respect and considerate attitude towards patients.
Medical institutions should be conservative and patient privacy. Patients have the right to view, copy of his medical records or request to correct errors.
Patients the right to appeal and may be a fair and efficient assessment.
When the patient responsibilities in order to meet with the medical staff to achieve the best results.
Lack of medical knowledge, or are not familiar with medical terminology: You may want a medical certificate to the medical staff would like to ask a friend for your note. When necessary, the angle the sound of cancer care may request the tumor specialist for you to explain the contents of a medical certificate, please contact (408) 263-8585 ext 102. You can also go to the library or reliable computer Web site to find reliable information. See the first article listed some of Kok cancer information website in Chinese and English. Kok voice cancer care have been produced in both Chinese and English vocabulary commonly used in medicine and cancer are available.
Communication: When you and your family to read cancer information, you will come up with some problems. You can find a durable notebook to write down these problems, next time see a doctor when asked about his 11. You can also put all the important information relating to cancer, such as: medical certificate, inspection reports, test reports, medical programs, drug name and how to use side-effects or pain occurred at a time and processing methods, and information on this notebook Lane. When you put together such information, you will easily find what you need.
Most doctors clinics to follow the process of a program: (1) exchanged greetings, (2) asked about the condition, (3) inspection or testing, (4) diagnosis, (5) proposed treatment recommendations or methods, (6) end. You can put forward at the appropriate time you think of the problem in advance. You can use the following sentence began to ask questions. "Doctor, I can ask you a question? Doctor, may I have a question?" In addition, doctors usually ask the patient "Do you have any other problems you? Do you have any other questions?" At this time, you can think of will be temporarily problems, doubts or concerns raised. Do not feel embarrassed to ask questions to doctors. You with a doctor to try to establish a positive and appropriate communication, so that can help you to your doctor have a sense of trust and confidence. Patients should also be asked about the doctor, if there is a special situation, it should be contact with doctors and medical staff's name and contact telephone numbers registered in the notebook Lane.
You can ask the doctor the following information about the diagnosis and general treatment of the problem:
Why is my diagnosis? What is my diagnosis?
Whether the cancer has been transferred? If so, where? I belong to what period? Has the cancer spread? If so, where? What is the stage of the disease?
Cancer treatment to achieve? I can accept what treatment? Do you suggest I choose what kind of treatment? Why? What is the goal of treatment? What are my treatment choices? Which do you recommend for me? Why?
Each of the expected results of treatment for that? What are the expected benefits of each kind of treatment?
Each of the risk of treatment and potential side-effects are? Going to deal with the side effects? What are the risks and possible side effects of each treatment? How can side effects be managed?
I would like to receive treatment for what to do to prepare? What can I do to prepare for treatment?
My treatment of how to proceed? How long for the first time? To be long? How do I get my treatment? How often will I have treatments? How long will my treatment last?
I need to change their daily routine for it? If you want to, the duration? Will I have to change my normal activities? If so, for how long?
About how much the cost of treatment? Does my medical insurance pay? What is the treatment likely to cost? Will my insurance cover the costs?
Are there new treatments? Clinical trials suitable for me? What new treatments are under study? Would a clinical trial be appropriate for me?
I heard that you had just been diagnosed with cancer
Dear friends, when you had just been diagnosed with cancer, you may not be able to immediately accept this fact. Even your doctor would think that the inspection reports of other people linked to your name. This "denies the facts" attitude is a kind of self-protection measures, so that your brains have a chance to adjust to face approach. Perhaps you may feel "very angry" because you feel you should not have the disease. Sometimes, you will feel "very depressed" because of this disease will give you and your family a great deal of impact, and you do not know how to face it. Sometimes, you will want to own "isolated", and not let any friends know that you are afraid they will thesis. Even you, with God "bargaining" in the hope he give you a number of years so that you may wish to complete certain. But you must be eventually had to "accept the truth" in the face of it. Such thoughts will occur repeatedly, does not necessarily follow a certain order. Even if you accept the fact, you may still have in front of any state of mind. But the most important thing is that you should have a positive attitude to face. When you to face, you will be able to participate in your health care decisions; you have autonomy, you will not have the feeling at the mercy of others.
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