أبريل 13, 2017
One of the responsibilities that the emergency doctor unearths the maximum tough is handling the grief this is continuously being generated by using the difficult issues of emergency medicine. every distinctiveness has its personal precise screw ups, however for emergency remedy it nearly truly is the sense of failure that develops whilst the health practitioner is not able to preven- ting demise. Physicians are so conditioned to questioning that due to the fact they are able to prevent some untimely deaths, they could prevent all deaths. therefore they'll think that the failure to do so is attributed to bad exercise, lack of knowledge or weaknesses of the crew.
One of the responsibilities that the emergency doctor unearths the maximum tough is handling the grief this is continuously being generated by using the difficult issues of emergency medicine. every distinctiveness has its personal precise screw ups, however for emergency remedy it nearly truly is the sense of failure that develops whilst the health practitioner is not able to preven- ting demise. Physicians are so conditioned to questioning that due to the fact they are able to prevent some untimely deaths, they could prevent all deaths. therefore they'll think that the failure to do so is attributed to bad exercise, lack of knowledge or weaknesses of the crew. Physicians also are not taught to manage grief properly, and consequently the challenge is uncom- fortable. They have a tendency to avoid it with the aid of announcing they may be too busy or that it's far the task of the pastors, social workers, nurses, or every body apart from themselves. however, emergency physicians do have the obligation and they can make sure that the grieving manner may be healthy in the event that they technique it efficaciously. in the event that they shun the responsibi- lity, not simplest do they boom the risks of making the grieving technique a pathologic one, but also boom their very own feel of failure, improve the possibilities that their care will be held liable for the final results, and produce troubles wherein they want no longer exist. Many human beings will no longer trust the details of care, nor will they've an capacity to shape a sensible influence of ways their relative or pal has died if they have now not talked to the medical doctor concerned in the care. The suddenness of the illness, the dearth of prior touch with the emergency personnel and the emotional turmoil of desiring to cope with unexpected, un- desired and severe loss conspire to produce a sensitive balance among sadness and rage. The balance can too easily shift toward rage while the process is not understood or handled efficiently. The emergency medical doctor's first obligation is to come back to terms with ones very own mortality. This venture is a great deal easier for older physicians who may additionally have skilled severe private ailment. the more youthful character who can not conceive of private mortality is tons much less willing to just accept the truth that now not all dying is preventable with appropriate hospital treatment. Many gravely ill or injured sufferers are being brought to the emergency department in a critical country due to enhancements in pre-hospital care and the speedy shipping instances now being executed. they have now not completed the act of dying, and because they seem like extreme however salvageable, plenty anger and guilt may be precipitated in the emergency group of workers. each doctor has particular regions of emotional vulnerability; for a few it is able to be mutilating damage, for others demise in formative years. something your vulnerabilities, you may be sure to come across them in a busy emergency department. It does help to think about the ones troubles; to comprehend that other members of the group are likely experiencing similar emotions; and to recognize that the hardened, cynical, seemingly sophisticated façade that the more skilled contributors of the team seem to own is probably a defence against emotions that threaten to be overwhelming. If time permits, discuss emotionally troublesome cases, as well as medically tough ones among personnel. it's far sad that more emergency departments do now not have a structure that lets in such discussion on a regular foundation. try to lessen the psychic pain of loved ones or friends at some point of a resuscitation strive, by means of either the nurse or the health practitioner explaining the gravity of the scenario whilst the attempted resuscitation is going on. even if the family cannot be reached till after the occasion, try and put together them via announcing " i have some very horrific information for you". Even a few moments of coaching is better than nothing. If possible, try now not to tell relatives over the telephone. there may be no true manner to reduce the ache aside from to be direct and clear within the communique. The revel in of grief by no means seems to be absent, even when the patient has died from a long-term and really debilitating contamination. It appears to be an nearly frequent human reaction to demise. one of the additional emotional responses to demise is guilt. We frequently suppose that if we had simply taken the proper movement, we ought to have prevented this from taking place. Deal directly with this guilt as a way to not grow to be misdirected to other individuals of the circle of relatives or the emergency personnel. where doubt approximately guilt exists, inclusive of in suspected baby abuse, it is really helpful to be non-judgmental as the emergency team not often is aware of all the instances. Tailor the statistics to each scenario. Guilt may be changed by means of anger in sure circumstances and this can be misinterpreted through emergency employees. by not understanding and by way of reacting negatively to the anger, the physician or nurse can also cause the relative's grief and anger to be directed closer to themselves. assist the household specific their anger by using permitting some time for ventilation and via cautiously reinforcing that medical responsibilities have been carried out correctly. In most cases, the family will wish to view the frame, which must be accomplished after cleaning up a number of the mess of the attempted resuscitation. regarding the problem of sedatives for grieving people: these typically lengthen the grieving method. there may be no "ordinary" response to grief; a few people will experience insomnia, some sleep more; a few are anorectic, others revel in superb hunger. If sedatives are given, these must generally be for a brief period best. The spouse and children need to continually have a contact individual to whom they are able to go to for any predominant mental trouble thereafter. loved ones regularly specific a worry that a relative who isn't always present is "too ill" to hear horrific news. offer to break the news and inform the household that one can't disguise a dying all the time.
Physicians also are not taught to manage grief properly, and consequently the challenge is uncom- fortable. They have a tendency to avoid it with the aid of announcing they may be too busy or that it's far the task of the pastors, social workers, nurses, or every body apart from themselves.
however, emergency physicians do have the obligation and they can make sure that the grieving manner may be healthy in the event that they technique it efficaciously. in the event that they shun the responsibi- lity, not simplest do they boom the risks of making the grieving technique a pathologic one, but also boom their very own feel of failure, improve the possibilities that their care will be held liable for the final results, and produce troubles wherein they want no longer exist.
Many human beings will no longer trust the details of care, nor will they've an capacity to shape a sensible influence of ways their relative or pal has died if they have now not talked to the medical doctor concerned in the care. The suddenness of the illness, the dearth of prior touch with the emergency personnel and the emotional turmoil of desiring to cope with unexpected, un- desired and severe loss conspire to produce a sensitive balance among sadness and rage. The balance can too easily shift toward rage while the process is not understood or handled efficiently.
The emergency medical doctor's first obligation is to come back to terms with ones very own mortality. This venture is a great deal easier for older physicians who may additionally have skilled severe private ailment. the more youthful character who can not conceive of private mortality is tons much less willing to just accept the truth that now not all dying is preventable with appropriate hospital treatment. Many gravely ill or injured sufferers are being brought to the emergency department in a critical country due to enhancements in pre-hospital care and the speedy shipping instances now being executed. they have now not completed the act of dying, and because they seem like extreme however salvageable, plenty anger and guilt may be precipitated in the emergency group of workers.
each doctor has particular regions of emotional vulnerability; for a few it is able to be mutilating damage, for others demise in formative years. something your vulnerabilities, you may be sure to come across them in a busy emergency department. It does help to think about the ones troubles; to comprehend that other members of the group are likely experiencing similar emotions; and to recognize that the hardened, cynical, seemingly sophisticated façade that the more skilled contributors of the team seem to own is probably a defence against emotions that threaten to be overwhelming.
If time permits, discuss emotionally troublesome cases, as well as medically tough ones among personnel. it's far sad that more emergency departments do now not have a structure that lets in such discussion on a regular foundation.
try to lessen the psychic pain of loved ones or friends at some point of a resuscitation strive, by means of either the nurse or the health practitioner explaining the gravity of the scenario whilst the attempted resuscitation is going on. even if the family cannot be reached till after the occasion, try and put together them via announcing " i have some very horrific information for you". Even a few moments of coaching is better than nothing. If possible, try now not to tell relatives over the telephone. there may be no true manner to reduce the ache aside from to be direct and clear within the communique.
The revel in of grief by no means seems to be absent, even when the patient has died from a long-term and really debilitating contamination. It appears to be an nearly frequent human reaction to demise.
one of the additional emotional responses to demise is guilt. We frequently suppose that if we had simply taken the proper movement, we ought to have prevented this from taking place. Deal directly with this guilt as a way to not grow to be misdirected to other individuals of the circle of relatives or the emergency personnel. where doubt approximately guilt exists, inclusive of in suspected baby abuse, it is really helpful to be non-judgmental as the emergency team not often is aware of all the instances. Tailor the statistics to each scenario.
Guilt may be changed by means of anger in sure circumstances and this can be misinterpreted through emergency employees. by not understanding and by way of reacting negatively to the anger, the physician or nurse can also cause the relative's grief and anger to be directed closer to themselves. assist the household specific their anger by using permitting some time for ventilation and via cautiously reinforcing that medical responsibilities have been carried out correctly.
In most cases, the family will wish to view the frame, which must be accomplished after cleaning up a number of the mess of the attempted resuscitation.
regarding the problem of sedatives for grieving people: these typically lengthen the grieving method.
there may be no "ordinary" response to grief; a few people will experience insomnia, some sleep more; a few are anorectic, others revel in superb hunger. If sedatives are given, these must generally be for a brief period best. The spouse and children need to continually have a contact individual to whom they are able to go to for any predominant mental trouble thereafter. loved ones regularly specific a worry that a relative who isn't always present is "too ill" to hear horrific news. offer to break the news and inform the household that one can't disguise a dying all the time.
Physicians also are not taught to manage grief properly, and consequently the challenge is uncom- fortable. They have a tendency to avoid it with the aid of announcing they may be too busy or that it's far the task of the pastors, social workers, nurses, or every body apart from themselves.
however, emergency physicians do have the obligation and they can make sure that the grieving manner may be healthy in the event that they technique it efficaciously. in the event that they shun the responsibi- lity, not simplest do they boom the risks of making the grieving technique a pathologic one, but also boom their very own feel of failure, improve the possibilities that their care will be held liable for the final results, and produce troubles wherein they want no longer exist.
Many human beings will no longer trust the details of care, nor will they've an capacity to shape a sensible influence of ways their relative or pal has died if they have now not talked to the medical doctor concerned in the care. The suddenness of the illness, the dearth of prior touch with the emergency personnel and the emotional turmoil of desiring to cope with unexpected, un- desired and severe loss conspire to produce a sensitive balance among sadness and rage. The balance can too easily shift toward rage while the process is not understood or handled efficiently.
The emergency medical doctor's first obligation is to come back to terms with ones very own mortality. This venture is a great deal easier for older physicians who may additionally have skilled severe private ailment. the more youthful character who can not conceive of private mortality is tons much less willing to just accept the truth that now not all dying is preventable with appropriate hospital treatment. Many gravely ill or injured sufferers are being brought to the emergency department in a critical country due to enhancements in pre-hospital care and the speedy shipping instances now being executed. they have now not completed the act of dying, and because they seem like extreme however salvageable, plenty anger and guilt may be precipitated in the emergency group of workers.
each doctor has particular regions of emotional vulnerability; for a few it is able to be mutilating damage, for others demise in formative years. something your vulnerabilities, you may be sure to come across them in a busy emergency department. It does help to think about the ones troubles; to comprehend that other members of the group are likely experiencing similar emotions; and to recognize that the hardened, cynical, seemingly sophisticated façade that the more skilled contributors of the team seem to own is probably a defence against emotions that threaten to be overwhelming.
If time permits, discuss emotionally troublesome cases, as well as medically tough ones among personnel. it's far sad that more emergency departments do now not have a structure that lets in such discussion on a regular foundation.
try to lessen the psychic pain of loved ones or friends at some point of a resuscitation strive, by means of either the nurse or the health practitioner explaining the gravity of the scenario whilst the attempted resuscitation is going on. even if the family cannot be reached till after the occasion, try and put together them via announcing " i have some very horrific information for you". Even a few moments of coaching is better than nothing. If possible, try now not to tell relatives over the telephone. there may be no true manner to reduce the ache aside from to be direct and clear within the communique.
The revel in of grief by no means seems to be absent, even when the patient has died from a long-term and really debilitating contamination. It appears to be an nearly frequent human reaction to demise.
one of the additional emotional responses to demise is guilt. We frequently suppose that if we had simply taken the proper movement, we ought to have prevented this from taking place. Deal directly with this guilt as a way to not grow to be misdirected to other individuals of the circle of relatives or the emergency personnel. where doubt approximately guilt exists, inclusive of in suspected baby abuse, it is really helpful to be non-judgmental as the emergency team not often is aware of all the instances. Tailor the statistics to each scenario.
Guilt may be changed by means of anger in sure circumstances and this can be misinterpreted through emergency employees. by not understanding and by way of reacting negatively to the anger, the physician or nurse can also cause the relative's grief and anger to be directed closer to themselves. assist the household specific their anger by using permitting some time for ventilation and via cautiously reinforcing that medical responsibilities have been carried out correctly.
In most cases, the family will wish to view the frame, which must be accomplished after cleaning up a number of the mess of the attempted resuscitation.
regarding the problem of sedatives for grieving people: these typically lengthen the grieving method.
there may be no "ordinary" response to grief; a few people will experience insomnia, some sleep more; a few are anorectic, others revel in superb hunger. If sedatives are given, these must generally be for a brief period best. The spouse and children need to continually have a contact individual to whom they are able to go to for any predominant mental trouble thereafter. loved ones regularly specific a worry that a relative who isn't always present is "too ill" to hear horrific news. offer to break the news and inform the household that one can't disguise a dying all the time.
Eine der Verantwortlichkeiten, die der Notarzt am schwierigsten findet, ist der Umgang mit der Trauer, die ständig durch die schwierigen Probleme der Notfallmedizin erzeugt wird. Jede Spezialität hat ihre eigenen einzigartigen Ausfälle, aber für Notfallmedizin ist es fast sicher das Gefühl des Scheiterns, das sich entwickelt, wenn der Arzt nicht in der Lage ist, den Tod zu verhindern. Ärzte sind so bedingt zu denken, dass, weil sie einige unzeitige Todesfälle verhindern können, können sie alle Todesfälle zu verhindern. Deshalb können sie denken, dass das Versagen, dies zu tun, auf schlechte Praxis, mangelnde Kenntnisse oder Schwächen des Teams zurückzuführen ist.Ärzte sind auch nicht gelehrt, Trauer richtig zu bewältigen, und deshalb ist die Aufgabe unkomfortabel. Sie neigen dazu, es zu vermeiden, indem sie sagen, dass sie zu beschäftigt sind oder dass es die Arbeit der Pastoren, Sozialarbeiter, Krankenschwestern oder irgendjemand anderes als sich selbst ist.Allerdings haben Notfallärzte die Verantwortung und sie können sicherstellen, dass der Trauerprozess gesund sein wird, wenn sie sich richtig nähern. Wenn sie die Verantwortlichkeit beherrschen, erhöhen sie nicht nur die Gefahr, den traurigen Prozess pathologisch zu machen, sondern auch ihr eigenes Gefühl des Scheiterns zu erhöhen, die Perspektiven zu erhöhen, dass ihre Sorge für das Ergebnis verantwortlich gemacht wird und Probleme verursacht Wo sie nicht existieren müssen.Viele Menschen werden nicht glauben, die Details der Pflege, noch werden sie die Fähigkeit haben, einen realistischen Eindruck von, wie ihre Verwandten oder Freund ist gestorben, wenn sie nicht mit dem Arzt in der Obhut beteiligt gesprochen haben. Die plötzliche Erkrankung, das Fehlen eines vorherigen Kontakts mit dem Notfallpersonal und die emotionalen Aufruhr, die mit plötzlichem, unerwünschtem und intensivem Verlust umgehen müssen, verschwinden, um ein heikles Gleichgewicht zwischen Traurigkeit und Wut zu erzeugen. Die Balance kann sich leicht zu Wut verlagern, wenn der Prozess nicht verstanden oder effektiv behandelt wird.Die erste Verantwortung des Notarztes ist, sich mit der eigenen Sterblichkeit auseinanderzusetzen. Diese Aufgabe ist viel einfacher für ältere Ärzte, die schwere persönliche Krankheit erfahren haben können. Die jüngere Person, die sich der persönlichen Sterblichkeit nicht vorstellen kann, ist viel weniger bereit, die Realität zu akzeptieren, dass nicht jeder Tod mit entsprechender medizinischer Versorgung vermeidbar ist. Viele schwere kranke oder verletzte Patienten werden in einem Notfall in einer Notfallabteilung in einem kritischen Zustand gebracht, da Verbesserungen in der Vor-Krankenhaus-Versorgung und die schnellen Transportzeiten jetzt erreicht werden. Sie haben die Tat des Sterbens nicht abgeschlossen, und weil sie scheinen, ernst zu sein, aber rettlos, viel Zorn und Schuld kann in der Notfallpersonal induziert werden.Jeder Arzt hat besondere Bereiche der emotionalen Verwundbarkeit; Für einige kann es verstümmelnde Verletzung sein, für andere Tod in der Kindheit. Was auch immer Ihre Schwachstellen, können Sie sicher sein, sie in einer geschäftigen Notfall-Abteilung zu begegnen. Es hilft, über diese Probleme nachzudenken; Zu erkennen, dass andere Mitglieder des Teams wahrscheinlich ähnliche Gefühle erleben; Und zu erkennen, dass die gehärtete, zynische, scheinbar anspruchsvolle Fassade, die die erfahrenen Mitglieder des Teams zu besitzen scheinen, wahrscheinlich eine Verteidigung gegen Emotionen ist, die zu überwältigen drohen.Wenn es die Zeit erlaubt, diskutieren emotional mühsame Fälle, sowie medizinisch schwierig unter Personal. Es ist traurig, dass mehr Notdienste keine Struktur haben, die eine solche Diskussion regelmäßig erlaubt.Versuch, den psychischen Schmerz von Verwandten oder Freunden während eines Wiederbelebungsversuches zu verringern, entweder durch die Krankenschwester oder den Arzt, der die Schwerkraft der Situation erklärt, während die versuchte Reanimation stattfindet. Auch wenn die Verwandten erst nach dem Ereignis erreicht werden können, versuchen Sie, sie vorzubereiten, indem sie sagen: "Ich habe einige sehr schlechte Nachrichten für Sie". Noch ein paar Momente der Vorbereitung ist besser als gar nichts. Wenn möglich, versuchen Sie nicht, Verwandte über das Telefon zu informieren. Es gibt keinen guten Weg, um den Schmerz anders zu dämpfen, als direkt und klar in der Kommunikation zu sein.Die Erfahrung der Trauer scheint niemals abwesend zu sein, auch wenn der Patient an einer langjährigen und sehr schwächenden Krankheit gestorben ist. Es scheint eine fast universelle menschliche Antwort auf den Tod zu sein.Eine der zusätzlichen emotionalen Reaktionen auf den Tod ist Schuld. Wir denken oft, dass wir, wenn wir gerade eine angemessene Aktion ergriffen hätten, das daran hindern könnten. Deal direkt mit dieser Schuld, damit es nicht zu anderen Mitgliedern der Familie oder dem Notfallpersonal fehlgeleitet wird. Wo Zweifel an der Schuld gibt, wie bei vermutetem Kindesmissbrauch, ist es ratsam, nicht zu beurteilen, da das Notfallteam selten alle Umstände kennt. Schneide die Fakten zu jeder Situation.Die Schuld kann unter bestimmten Umständen durch Zorn ersetzt werden, und dies kann von Notfallpersonal fehlinterpretiert werden. Indem man nicht verständnist und negativ auf die Wut reagiert, kann der Arzt oder die Krankenschwester dazu führen, dass die Verletzte und der Zorn des Verwandten auf sich selbst gerichtet sind. Helfen Sie den Verwandten, ihre Wut auszudrücken, indem Sie einige Zeit für die Belüftung und durch
