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Duy trì một lập trường của sự hợp tác tôn trọng, Nói về bệnh nhân trong con người "thứ ba" trong sự hiện diện của họ, đưa ra những quyết định mà không nói với bệnh nhân, hoặc vi phạm lòng tin thường sẽ leo thang tức giận. 2. Trong một số trường hợp, bệnh nhân sẽ bày tỏ nỗi sợ hãi và tức giận của họ phải đi qua các kinh nghiệm về những người gần nhất | Page 424 understand what is likely to happen to them in the near future the better they are likely to feel. c Maintain a stance of respectful collaboration Talking about patients in the third person in their presence making decisions without telling patients or violating trust will often escalate anger. 2. In some cases patients will express their fears and anger at having to go through the experience on the people nearest them family and staff. Because most health professionals enter the field to be helpful this can be painful and unpleasant. The following interventions are indicated a Set appropriate limits. Abuse of staff should never be tolerated. While most health professionals prefer to avoid confrontation abuse by patients plants the seeds for burnout which both hurts patient care and is expensive. b Unit staff in leadership positions should intervene on behalf of involved staff to set appropriate limits with abusive patients. F. Splits between the team and the family 1. The family is the primary source of support for severely ill patients and are often vital in maintaining the patient s will to survive. 4 2. Parents and family staying at the hospital for extended periods of time during treatment can present the BMT staff with unique challenges. Family members face the overwhelming stress of witnessing a loved one struggle with difficult treatment. Often they show common stress responses including a Insomnia or early morning awakening b Fatigue c Chronic worry5 6 d Forgetfulness e Poor concentration Page 425 3. Staff must sometimes label these symptoms of stress and assist family members in taking care of themselves. The understandable urge to simply remove family members from the unit should be restrained in all but the most detrimental of circumstances. 4. Often the frustrations guilt and fears that family avoid sharing with the patient will be released on the staff. In many cases staff will find it necessary to accept this burden and find ways to help .