困难的患者:恶作剧者,假装者,慢性投诉者和真正的骗子
Artun K Kadaster1, Markayle R Schears2, Raquel M Schears3
1Department of Anesthesia, Mayo Clinic -Rochester.
Emergency medicine clinics of North America
|November 17, 2023
概括
恶意诱导,故意制造症状以获得激励,在急诊室很难诊断. 提出了一个框架和NEAL战略,以帮助医生管理疑似模仿病例.
科学领域:
- 紧急医疗 紧急医疗
- 医学伦理 医学伦理
- 精神病学是一个精神病学.
背景情况:
- 恶意欺骗涉及故意伪造或夸大症状以获得外部或内部利益.
- 由于诊断的挑战,在紧急情况下模仿的实际流行程度尚不清楚.
- 它通常是排除的诊断,需要仔细考虑差异诊断.
研究的目的:
- 为紧急医生提供一个框架来诊断伪装.
- 从医学伦理的角度分析疑似模仿的案例研究.
- 提供实用策略来管理疑似模仿的患者.
主要方法:
- 关于模仿诊断和管理的文献综述.
- 对匿名案例研究的分析,这些案例研究涉嫌模仿.
- 为急诊医生开发差异诊断框架.
- 应用NEAL (中立,同情,避免标签) 策略.
主要成果:
- 恶意攻击在急诊室提出了诊断挑战.
- 差异诊断框架可以帮助医生进行鉴定.
- 案例研究强调了在处理疑似模仿行为时的伦理考虑.
- 尼尔战略为患者互动提供了一种实际的方法.
结论:
- 准确的诊断模仿在急诊室是复杂的.
- 结构化的方法和道德考虑是至关重要的.
- 推使用NEAL策略,以提供同情和有效的患者护理.
- 需要进一步的研究来了解模仿的真实发生率和影响.
关键词:
欺骗 欺骗 欺骗 欺骗发电总局的介绍方式过分夸张的价格.个人身份盗窃行为.这是一种激励的激励.马林格勒 (Malinger) 的意思是,马林格勒 (Malinger) 的意思是马林格勒 (Malinger) 的意思.身体症状障碍 身体症状障碍更多相关视频
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