走向富有同情心的沟通:关于促进痴呆症披露过程的快速审查
Alixe Ménard1,2, Emily Clark3, Leah Hagerman3
1Alzheimer Society of Canada, Toronto, Ontario, Canada.
概括
许多人对痴呆症诊断的披露方式感到不满,缺乏信息和支持. 本综述综合了对更好的痴呆症披露的偏好,强调以人为中心和文化上有能力的沟通.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 痴呆症诊断的披露往往会让患者和护理伙伴因为信息和支持不足而感到不满.
- 医疗保健提供者在有效的沟通和将患者与必要的诊断后资源联系起来方面扎.
- 以人为中心的沟通至关重要,特别是在多样化的社区内.
研究的目的:
- 进行快速的系统审查,巩固对痴呆症诊断披露的偏好.
- 确定痴呆症披露过程中的关键主题和挑战.
- 为改进,文化上有能力的痴呆症披露实践的发展提供信息.
主要方法:
- 从2013年1月到2023年2月,对文献进行快速系统审查.
- 搜索包括MEDLINE,PsycInfo,Emcare以及灰色文学等.
- 对21篇相关文章的分析,重点关注多元人口 (黑人,中国人).
主要成果:
- 出现了四个主要主题:任命设置,任命内容,整体方法和文化能力.
- 识别了SPIKES-D工具,但缺乏现实世界的验证和文化适应.
- 全球超过50%的人报告对痴呆症诊断披露的不满.
结论:
- 针对痴呆症披露的定制工具和标准化指导方针的需求非常大.
- 文化上有能力的痴呆症披露实践对于改善患者和护理合作伙伴的体验至关重要.
- 采用以人为中心的方法对于提高痴呆症披露至关重要.
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
5.4K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
5.4K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
9.0K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
9.0K
Dementia
165
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
165
Therapeutic Communication
5.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
5.4K
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
Ethical Dilemmas II
1.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.3K


