{"id":9486,"date":"2019-10-30T12:19:32","date_gmt":"2019-10-30T12:19:32","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9486"},"modified":"2019-10-30T12:19:32","modified_gmt":"2019-10-30T12:19:32","slug":"consideratii-etice-comunicarea-cu-pacientul-oncologic","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/consideratii-etice-comunicarea-cu-pacientul-oncologic\/","title":{"rendered":"Considera\u0163ii etice \u00een comunicarea cu pacientul oncologic"},"content":{"rendered":"<p><em><strong>Autori:<\/strong><\/em><\/p>\n<p><em><strong>Dr. Cornel Petre-Ciudin,<\/strong><\/em><br \/>\n<em> medic primar medicin\u0103 de familie, atestat \u00een \u00eengrijiri paliative<\/em><\/p>\n<p><em><strong>Dr. Loredana Elena Lupu,<\/strong><\/em><br \/>\n<em> medic\u00a0 rezident<\/em><\/p>\n<p><em><strong>Dr. Valentin Petre-Ciudin,<\/strong><\/em><br \/>\n<em> medic resident<\/em><\/p>\n<p style=\"text-align: justify\">Comunicarea este un proces care condi\u021bioneaz\u0103 calitatea rela\u021biilor interumane. Fie c\u0103 este verbal\u0103, \u00een care cuvintele reprezint\u0103 simboluri c\u0103rora le atribuim, voluntar sau nu, \u00een\u021belesuri, fie c\u0103 este non-verbal\u0103, comunicarea are ca scop schimbarea de comportament sau de atitudine. Comunicarea eficient\u0103\u00a0 este fundamental\u0103 pentru s\u0103n\u0103tate, fiind o component\u0103 vital\u0103, inerent\u0103 \u0219i necesar\u0103 a \u00eengrijirilor. Principalele scopuri ale comunic\u0103rii medic-pacient-familia acestuia sunt: s\u0103 \u00een\u021beleag\u0103 natura, evolu\u021bia, tratamentul \u0219i prognosticul bolii; s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 capacitatea de decizie; s\u0103 faciliteze adaptarea la statutul de boal\u0103. Comunicarea \u00eentre medicul clinician \u0219i pacient reprezint\u0103 un concept multidimensional care implic\u0103 con\u021binutul dialogului, componenta afectiv\u0103 precum \u0219i comportamentul non-verbal. \u00cen oncologie ca \u0219i \u00een \u00eengrijirea paliativ\u0103, comunicarea medicului cu pacientul oncologic\u00a0\u0219i cu familia acestuia, este deosebit de important\u0103, care \u00een contextul progreselor diagnostice \u0219i terapeutice de ast\u0103zi, a suferit modific\u0103ri importante de atitudine.\u00a0Numeroasele schimb\u0103ri ap\u0103rute \u00een societate au schimbat paradigma paternalist\u0103 \u00een care pacientul era considerat un participant pasiv, dependent de medicul s\u0103u, considerat ca fiind subiectul activ, care decidea pentru pacient f\u0103r\u0103 a lua \u00een considerare voin\u021ba, valorile personale, culturale \u015fi spirituale ale acestuia, \u00een modelul actual bazat pe cre\u0219terea autonomiei pacientului, \u00een care acesta, \u00een majoritatea cazurilor este un participant activ la decizia medical\u0103\u0219i\u00a0 la strategiile terapeutice. La aceast\u0103 tranzi\u021bie de la modelul tradi\u021bional\u00a0 la cel modern, a contribuit apari\u021bia bioeticii, cu principiile fundamentale ale acesteia.<\/p>\n<p style=\"text-align: justify\"><strong>Pacientul are dreptul de a fi informat asupra:<\/strong>\u00a0st\u0103rii sale de s\u0103n\u0103tate,\u00a0 interven\u0163iilor medicale propuse \u015fi a riscurilor poten\u0163iale ale fiec\u0103rei proceduri,\u00a0alternativelor existente la procedurile propuse,\u00a0neefectu\u0103rii tratamentui \u015fi a nerespect\u0103rii recomand\u0103rilor medicale,\u00a0 date complete despre diagnostic \u015fi prognostic. Pacientul are dreptul de a decide dac\u0103 mai dore\u015fte s\u0103 fie informat \u00een cazul \u00een care acestea iar cauza suferin\u0163\u0103;\u00a0Informa\u0163iile se aduc la cuno\u015ftin\u0163a pacientului intr-un limbaj respectuos, clar, cu minimalizarea terminologiei medicale, \u00een limba matern\u0103 sau \u00een limba care o cunoa\u015fte; Pacientul poate cere \u00een mod expres s\u0103 nu fie informat \u015fi de a alege o alt\u0103 persoan\u0103 care s\u0103 fie informat\u0103 \u00een locul s\u0103u;\u00a0Rudele \u015fi prietenii pot fi informa\u0163i despre evolu\u0163ia investiga\u0163iilor, diagnosticul \u015fi tratament, cu acordul pacientului. Doctrina consim\u021b\u0103m\u00e2ntului informat a catalizat \u0219i a promovat schimb\u0103rile rela\u021biei medic-pacient oncologic referitor la:\u00a0comunicarea adev\u0103rului despre vestea rea \u0219i despre boal\u0103, ob\u021binerea permisiunii \u00een ceea ce prive\u0219te deciziile terapeutice,\u00a0trecerea la \u00eengrijirea paliativ\u0103,\u00a0analizarea obiectivelor planific\u0103rii \u00eengrijirii avansate,\u00a0ordinele de neresuscitare,\u00a0aspecte esen\u021biale \u0219i spirituale,\u00a0conferin\u021bele de familie,\u00a0inutilitatea medical\u0103,\u00a0alte conflicte la sf\u00e2r\u0219itulvie\u021bii,\u00a0participarea la trialuri clinice.\u00a0Pentru modelul de comunicare, sunt considerate esen\u021biale dezvoltarea unor competen\u021be \u00een urm\u0103toarele domenii:\u00a0comunicarea empatic\u0103,\u00a0comunicarea ve\u0219tilor,\u00a0abordarea conspira\u021biei t\u0103cerii.<\/p>\n<p style=\"text-align: justify\"><strong>Reguli generale de comunicare cu pacientul cu boal\u0103 incurabil\u0103 <\/strong>\u2022 Se realizeaz\u0103 un plan de comunicare cu pacientul \u0219i familia sa, \u00eenainte de consulta\u021bie, asigur\u00e2ndu-se un mediu ambiant corespunz\u0103tor; \u2022 I se va oferi posibilitatea de a se prezenta \u00eempreun\u0103 cu familia pentru a-i oferi suportul emo\u021bional; \u2022 Se identific\u0103 dac\u0103 pacientul dore\u0219te s\u0103 fie informat, c\u00e2t de mult dore\u0219te s\u0103 afle despre boala sa; \u2022 Se folose\u0219te comunicarea empatic\u0103: ascultarea, facilitarea exprim\u0103rii pacientului despre ceea ce i se comunic\u0103, posibilitatea exprim\u0103rii emo\u021biilor: fric\u0103, m\u00e2nie, anxietate. \u2022 Comunicarea se face prin limbajul verbal, dar \u0219i non-verbal. \u2022 Trebuie folosit un limbaj adaptat voin\u021bei, preg\u0103tirii, preferin\u021belor culturale \u0219i spirituale, evit\u00e2ndu-se termenii de specialitate, limbajul de tip \u201cjargon\u201d. \u2022 Se evalueaz\u0103 de fiecare dat\u0103 ceea ce a \u00een\u021beles pacientul, \u0219i trebuie repetate informa\u021biile importante. \u2022 Se ofer\u0103 posibilitatea pacientului \u0219i familiei de a adresa \u00eentreb\u0103ri \u0219i a clarifica ceea ce nu a fost suficient \u00een\u021beles. \u2022 Este asigurat pacientul de tot sprijinul profesional \u0219i emo\u021bional al personalului medical. Pentru o interac\u021biune eficient\u0103 \u0219i de calitate, medicul trebuie s\u0103 dispun\u0103 de abilit\u0103\u021bi interpersonale \u0219i rela\u021bionale. <strong>VESTEA PROAST\u0102<\/strong> reprezint\u0103 informa\u021bia care altereaz\u0103 drastic \u0219i nepl\u0103cut planurile de viitor ale pacientului (Robert Buchman, 1998). \u00cen practica medical\u0103 bolnavul are dreptul de a cunoa\u0219te diagnosticul, chiar \u0219i atunci c\u00e2nd este vorba de boal\u0103 incurabil\u0103, (cancer \u00een stadiu avansat), dar nu \u0219i obliga\u021bia de a afla, indiferent dac\u0103 acesta este preg\u0103tit sau nu s\u0103 aud\u0103 un astfel de diagnostic. Scopul comunic\u0103rii despre diagnostic este de a permite bolnavului: s\u0103 \u00een\u021beleag\u0103 realitatea cu care se confrunt\u0103,\u00a0 s\u0103 se autodetermine \u00een aceast\u0103 etap\u0103 a vie\u021bii lui, s\u0103 favorizeze comunicarea bazat\u0103 pe \u00eencredere cu familia, prietenii, cei apropia\u021bi \u0219i personalul medical, s\u0103 ia parte la deciziile terapeutice \u0219i de \u00eengrijire \u00een mod informat \u0219i con\u0219tient, s\u0103 se preg\u0103teasc\u0103 mai bine \u00een ceea ce prive\u0219te desp\u0103r\u021birea de cei dragi, de aceast\u0103 lume. <strong>Reguli de comunicare a ve\u0219tilor rele (apud. Fl. Todose, 2003): <\/strong>\u00a0stabili\u021bi un moment c\u00e2t mai pu\u021bin dureros pentru pacient, comunica\u021bi vestea personal, nu prin alte persoane, prin telefon, \u00een scris, aloca\u021bi timp suficient pentru discu\u021bia \u00een care se vor comunica ve\u0219tile, folosi\u021bi un limbaj adaptat nivelului de \u00een\u021belegere al pacientului, simplu, f\u0103r\u0103 termeni medicali, exprima\u021bi p\u0103reri de r\u0103u pentru ceea ce i se \u00eent\u00e2mpl\u0103 pacientului, urm\u0103ri\u021bi sentimentele pe care pacientul le are dup\u0103 ce a primit ve\u0219tile rele, reasigura\u021bi pacientul c\u0103 \u0219i \u00een continuare sunte\u021bi disponibil cu tot cu ce v\u0103 st\u0103 \u00een putere, comunica\u021bi strategia care ar trebui adoptat\u0103 \u00een continuare \u0219i nu promite\u021bi vindecarea. Robert Buchman \u0219i Walter Baile (2000), au elaborat un ghid de comunicare al ve\u0219tilor proaste \u00een 6 pa\u0219i, scopul acestora fiind realizarea unei fuziuni \u00eentre preocup\u0103rile pacien\u021bilor \u0219i demersurile medicului. Ei au elaborat \u0219i o formul\u0103 mnemotehnic\u0103, SPIKES, pentru a permite medicilor a-\u0219i reaminti strategia. S = setting: se folose\u0219te contextul adecvat, prezenta\u021bi-v\u0103, preciza\u021bi care este rolul dvs. \u00een \u00eengrijirea bolnavului, alege\u021bi un loc retras, lini\u0219tit, f\u0103r\u0103 zgomote, telefoane P = perception: se \u00eencearc\u0103 a se afla ce \u0219tie pacientul \u0219i familia acestuia despre boala lui, despre pronostic.ex. \u201cce a\u021bi \u00een\u021beles despre boala dvs.?, ce v-a spus medicul?\u201d sau \u201csunte\u021bi \u00eengrijorat \u00een leg\u0103tur\u0103 cu boala dumneavoastr\u0103?\u201d, \u201cv-a\u021bi g\u00e2ndit vreodat\u0103 c\u0103 boala dumneavoastr\u0103 este grav\u0103?\u201d I = invitation : \u201ca\u021bi vrea s\u0103 \u0219ti\u021bi am\u0103nunte despre diagnosticul \u0219i tratamentul bolii dvs.?\u201d sau \u201csunte\u021bi genul de om care vrea s\u0103 \u0219tie totul despre boala lui?\u201d K = knowledge: educa\u021bi familia \u0219i pacientul, explica\u021bi pe \u00een\u021belesul lor, discuta\u021bi chestiunile nesigure, clarifica\u021bi prejudec\u0103\u021bile. E = empaty:\u00a0 empatia este cheia planific\u0103rii \u00een avans, dup\u0103 ce v-a\u021bi asigurat c\u0103 au \u00een\u021beles situa\u021bia, trebuie s\u0103 tatona\u021bi c\u00e2t de mult pute\u021bi implica familia (pacientul) \u00een luarea deciziei<\/p>\n<p style=\"text-align: justify\">S = summary and strategy: este esen\u021bial de a se rezuma situa\u021bia \u0219i a stabili un plan \u0219i o dat\u0103 pentru urm\u0103toarea \u00eent\u00e2lnire.<\/p>\n<p style=\"text-align: justify\"><em>Bibliografia se afl\u0103 la autori.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Autori: Dr. Cornel Petre-Ciudin, medic primar medicin\u0103 de familie, atestat \u00een \u00eengrijiri paliative Dr. Loredana Elena Lupu, medic\u00a0 rezident Dr. Valentin Petre-Ciudin, medic resident Comunicarea este un proces care condi\u021bioneaz\u0103 [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,168],"tags":[],"class_list":["post-9486","post","type-post","status-publish","format-standard","category-articole","category-oncologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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