Someone asked on the Internet that my mother-in-law has advanced lung cancer with bone metastases, and she has little time left. Do you want to tell the patient about the condition? This problem is actually very common in reality, and it will be different for different people. the opinion of. In general, it is still necessary to treat differently from person to person, after all, each patient’s psychological tolerance, personality, cognitive ability, and cultural level are different. If the psychological quality is relatively poor in normal times, and people who are often unhappy, it is necessary to properly conceal the patient. Otherwise, the patient will be burdened with heavy psychological burden every day because he cannot accept the facts, or even do extreme things. In addition, people with low educational level and poor cognitive ability also try to conceal their illnesses as much as possible, because such patients are relatively easy to conceal, and because they do not understand, he (she) is less likely to ask family members and doctors to find out about their treatment compliance. Better.
Comparatively speaking, some patients with a higher education level, or a strong desire to survive, who are very concerned about their own diseases, are actually very difficult to hide. Blindly using lies to deceive is actually a bit of a cover-up Feel. They will learn about their condition through various medical materials or patient exchanges, and even gossip to doctors.
In foreign countries, patients have the right to know,
The doctor will tell the patient what kind of disease you have. You have the right to choose to tell your family or not to tell your family. You have the right to choose whether or not to have surgery. It’s up to you to decide. In China, on the contrary, people who are sick do not know what disease they have, and they have no right to choose whether to undergo surgery or conservative treatment. Everything is left to the family. Family members play the most important role in a patient’s entire examination, treatment, and communication with doctors. This is also determined by China’s national conditions, and doctors can’t do anything about it. Sometimes the informed consent of patients is actually just empty words. Once, a lung cancer patient accidentally saw the diagnosis on our laboratory test sheet and guessed that he was lung cancer. The family members made a fuss in the office, blaming the doctor for letting the patient know about the condition. Therefore, when a patient is diagnosed with lung cancer, our usual practice is to notify the family first, and the family will inform. For patients transferred from other hospitals, family members and patients will be asked first if they know the condition and to what extent. These must be communicated well in advance.
The World Health Organization’s expert committee says that any attempt to hide cancer is actually harmful and unhelpful. Especially for patients in the early and middle stages, allowing patients to receive painful anti-cancer treatment without knowing the condition is tantamount to trudging through the desert blindfolded. When the patient knows the condition, at least he knows which direction to go, although the road is still difficult. A survey has been done on cancer patients, and most patients are willing to know the truth of their condition and the changes in their condition during the course of the disease. Doing so is conducive to close cooperation with doctors, and is also conducive to arranging and dealing with various matters in work, life and family. The terminally ill patients know their condition, they can arrange their wills in advance, and they cherish the limited happiness of family. Compared with the past, in fact, the situation of completely concealing the disease from the patient has gradually decreased. Now the network information is developed, and everyone’s cognitive ability to the disease is also improving.
Family members should also pay attention to the method of informing the disease. At the appropriate time, they should tell the patient euphemistically, or avoid the important ones, and gradually tell them to let them have a process of acceptance. In short, whether it is necessary to tell the truth to cancer patients cannot be generalized, but depends on the state of the patient.