Lege Artis Medicinae

[Conversation with the relatives]

ZELENA András, MONOSTORI Dóra

OCTOBER 20, 2016

Lege Artis Medicinae - 2016;26(09-10)

[In our strong opinion in hospitals the efficient conversation among staff and patient and/or relatives is important. We try to draw attention to the psychosocial aspects of pediatric intensive care and the complex and special case of relative-staff communication via the introduction of a clinical case. Various medical experts were involved in the treatment of the infant and all participants witnessed the 4 months long life and the death of the newborn. The case of the intubed patient was painful and stressful for the medical staff. With our case-report, we try to present the spectrum, which forms during the treatment of a sickly born infant and the changes of the relationship of the medical staff and relatives as well as the engrossment of their interpersonal relationship along with the center of their communication problems and solution-finding. Our paper is centered around the psychosocial aspect of the clinical case and we would like to call the attention on how the medical experts communicated with the parents of the infant. ]

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[“Yesterday no longer exists either…” - End-of-life ethical issues in the care of dementia patients]

HEGEDÛS Katalin

[The number of dementia patiens is rising. Most of them die in various institutions, often after many years of care. The long process of nursing and care entails particular ethical requirements that are built primarily on vulnerability, dignity, and dia-logue. The dialogue, however, is often absent from the care of dementia patients. Do we find - as physicians, patients, relatives - that specific time when the patients can still make decisions about end-of-life treatments in a good mental state? Most patients would like to participate in these decisions. Talking about these issues in the early stage of dementia may help in the great emotional burden of family members and caregivers. Therefore the ethical aim is the ad­vance care planning (ACP) of the end-of-life treatments. The study reviews the latest scientific results, with special regard to resources that may be helpful in the course of conversations between doctor and patient on end-of-life preferences, and in the preparation for decision making. ]

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