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cover of episode What if palliative care was about living better?

What if palliative care was about living better?

2025/2/28
logo of podcast White Coat, Black Art

White Coat, Black Art

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Brian Goldman医生
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Ken Hages
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Sammy Winemaker医生
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Sammy Winemaker医生:我是一名姑息治疗医生,上门为病人提供护理。姑息治疗并非只针对临终病人,它可以改善患有无法治愈疾病的患者在整个疾病过程中的生活质量。在进行咨询前,我会仔细查看病历,了解病人和医疗服务提供者之间进行过哪些类型的对话,以判断病人及其家人是否已经充分了解病情和预期。我的工作是帮助病人尽力过好生活,平衡希望与现实,确保他们获得所需信息,并以人为本地对待他们。重要的是,病人应该主动询问治疗方案、益处和风险,不要被动接受治疗。拥有更多信息能够帮助病人更好地应对疾病,并避免陷入危机。我拥有丰富的经验,可以为病人提供一个大致的疾病发展路线图,即使我们不知道具体的细节。癌症患者并不一定会经历剧烈的疼痛,姑息治疗可以有效控制症状,帮助病人过上尽可能好的生活。理想情况下,姑息治疗的理念应该融入所有医疗保健提供者的能力中,成为以人为本的关怀的一部分。 Ken Hages:我被诊断出患有第四期前列腺癌。我接受生老病死的现实,我会尽一切努力延长生命,但最终的结果是注定的。我目前感觉良好,对未来信息的需求度不高,但我的家人希望了解更多信息。 Kathy Hages:作为Ken的妻子,我希望了解疾病的整体情况,以便更好地应对。我需要信息来帮助我们更好地规划未来。 Sue Barker:作为Ken的女儿,我认为了解更多的信息有助于我们更好地应对疾病,因为不知道会让人感到更糟糕。 Brian Goldman医生:Sammy医生的工作方式很巧妙,她既尊重病人不想了解预后的意愿,又强调了拥有更多信息对病人有益。她通过解释医学术语,确保病人及其家人了解病情,并帮助他们平衡希望与现实。了解病情能使病人更积极主动地规划时间,做出知情的决定,并拥有更多希望和信心。

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Chapters
This is an introduction to the podcast FrontBurner, which covers Canadian news and politics.
  • FrontBurner is a daily news podcast covering Canadian news and politics.
  • It aims to provide clear explanations of current events.

Shownotes Transcript

Palliative physician Dr. Samantha Winemaker says her line of work has a branding problem. Instead of thinking of it as "the Grim Reaper service" to be called in at the 11th hour, she says patients benefit from a palliative approach as soon as they're faced with a life-limiting illness. "Dr. Sammy" meets a new patient and his family for the first time - showing how her person-centered care treads the fine line between honesty and hope.