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(DNR) orders (1/2) Appropriate setting Privacy, sitting sown, adequate time, prevent interruptions, Introduction . We need to discuss something that we discuss with all patients admitted Find out what the patient understand . What do you understand about your current medical problems ? Find out what the patient expects, what their goals are do you see happening in the future ? 第二十九頁,共三十二頁。 Discussing DoNotResuscitate (DNR) orders (2/2) Discuss DNR order in the context of the patient’s view of their future have told me you would like to …so CPR would not seem appropriate If necessary, discuss Futility of CPR (chances of surviving to discharge) Indignity of CPR Being on respirator in ICU and unable to municate. Response sympathetically to emotional reactions. Reassure patient that all other medical care will continue 第三十頁,共三十二頁。 謝謝指教 ! 攜手合作 ! 第三十一頁,共三十二頁。 內(nèi)容總結(jié) 安寧緩和醫(yī)學(xué)。強(qiáng)調(diào)家屬與病患的親情與照顧??紤]生理、心理、社會(huì)、靈性等層面。國內(nèi)醫(yī)院附設(shè)之安寧療護(hù)病房 (3/3)。人員 :不能致選擇有愛心 /感動(dòng)者 ,要有瞭解 ,忍耐 ,期待。病人對病情的了解程度 :(請告訴我病是怎樣開始的。攜手合作 第三十二頁,共三十二頁。