Can Careproviders Still Bond with Patients after They Are Turned Down for a Treatment They Need?

Q3 Medicine Journal of Clinical Ethics Pub Date : 2021-01-01
Edmund G Howe
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引用次数: 0

Abstract

After COVID-19 first began to spread in the United States, dentists developed new guidelines that limited whom they could treat under these emergency conditions. Patients who faced greater limits to accessing treatment included children. Using a case of a child who was not able to access treatment, I discuss how careproviders might best seek to maintain their emotional bonding with patients and their loved ones, even if they must turn them down for an intervention. I also address whether and when to give patients and their loved ones warning that access to treatment could be limited, using illness caused by COVID-19 as an example of how careproviders may better anticipate patients' needs at all times. Finally, I discuss careproviders' needs. I suggest that medical professionals' culture should make it as easy as possible for them to acknowledge their feelings of vulnerability, so that they may better determine, in times of disaster, whether they should treat or triage patients. Careproviders who triage may choose to share with patients and loved ones that they also feel pain when they deny patients an intervention.

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在病人被拒绝接受治疗后,护理人员还能和病人保持联系吗?
在COVID-19首次开始在美国传播后,牙医制定了新的指导方针,限制了他们在这些紧急情况下可以治疗的人。在获得治疗方面面临更大限制的患者包括儿童。以一个无法获得治疗的孩子为例,我讨论了护理人员如何最好地寻求与病人及其亲人保持情感联系,即使他们必须拒绝他们的干预。我还以COVID-19引起的疾病为例,说明护理人员如何更好地随时预测患者的需求,讨论是否以及何时提醒患者及其亲人获得治疗的机会可能受到限制。最后,我讨论了护理人员的需求。我建议,医疗专业人员的文化应该让他们尽可能容易地承认自己的脆弱感,这样他们就可以在灾难发生时更好地决定是应该治疗病人,还是应该对病人进行分类。分诊的护理人员可能会选择与患者和亲人分享,当他们拒绝患者进行干预时,他们也会感到痛苦。
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来源期刊
Journal of Clinical Ethics
Journal of Clinical Ethics Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
31
期刊介绍: The Journal of Clinical Ethics is written for and by physicians, nurses, attorneys, clergy, ethicists, and others whose decisions directly affect patients. More than 70 percent of the articles are authored or co-authored by physicians. JCE is a double-blinded, peer-reviewed journal indexed in PubMed, Current Contents/Social & Behavioral Sciences, the Cumulative Index to Nursing & Allied Health Literature, and other indexes.
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