Caring for oneself to care for others: physicians and their self-care.

Sandra Sanchez-Reilly, Laura J Morrison, Elise Carey, Rachelle Bernacki, Lynn O'Neill, Jennifer Kapo, Vyjeyanthi S Periyakoil, Jane de Lima Thomas
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引用次数: 186

Abstract

It is well known that clinicians experience distress and grief in response to their patients' suffering. Oncologists and palliative care specialists are no exception since they commonly experience patient loss and are often affected by unprocessed grief. These emotions can compromise clinicians' personal well-being, since unexamined emotions may lead to burnout, moral distress, compassion fatigue, and poor clinical decisions which adversely affect patient care. One approach to mitigate this harm is self-care, defined as a cadre of activities performed independently by an individual to promote and maintain personal well-being throughout life. This article emphasizes the importance of having a self-care and self-awareness plan when caring for patients with life-limiting cancer and discusses validated methods to increase self-care, enhance self-awareness and improve patient care.

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照顾自己照顾他人:医生和他们的自我照顾。
众所周知,临床医生在回应病人的痛苦时经历了痛苦和悲伤。肿瘤学家和姑息治疗专家也不例外,因为他们经常经历失去病人的经历,经常受到未经处理的悲伤的影响。这些情绪可能会损害临床医生的个人福祉,因为未经检查的情绪可能会导致倦怠、道德困扰、同情疲劳和不良的临床决策,从而对患者护理产生不利影响。减轻这种伤害的一种方法是自我保健,它被定义为由个人独立进行的一系列活动,以促进和维持个人一生的幸福。本文强调在护理限制生命的癌症患者时制定自我护理和自我意识计划的重要性,并讨论了增强自我护理、增强自我意识和改善患者护理的有效方法。
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