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23 When communicating with a patient, the doctor does not always tell him the actual state of his health. This applies primarily to incurable diseases (oncological processes, systemic diseases). Hippocrates also said: «Surround the patient with love and reasonable comfort, but above all, leave him in ignorance of what threat- ens him». Leaving the patient in the dark, the doctor is obliged to bring the whole truth to the next of kin, explaining their proper behavior at the patient’s bedside. The doctor can teach the nurse a lot, but often the average medical worker can significantly expand the knowledge of the doctor. A doctor can receive valuable in- formation from a nurse about changes in the patient’s condition and their reactions to medical factors, since she is constantly at the patient’s bedside, directly cares for him, and performs therapeutic procedures. If necessary, the doctor draws the attention of the nurse to some subjective and objective changes in the patient’s condition, which should be taken into account when preparing and conducting diagnostic and thera- peutic procedures. The nurse should not show the patient documents with the results of laboratory and instrumental studies. She should not discuss research data with the patient, since it is possible that the doctor has already informed the patient about them, and the interpretation of this data by the nurse, which differs from the information given by the doctor, may cause doubt and distrust of the doctor or cause iatrogenia. Thus, the rules of working with patients are determined by deontological prin- ciples, humane, attentive attitude to patients. Feelings of compassion and self-sac- rifice are important conditions for successful medical work. Communication. Types and functions of communication Helping a sick person is impossible without communicating with them. At the same time, the process of communicating with a sick person differs significantly from the process of communicating with a healthy person. In this regard, to establish a trusting relationship with the patient and provide effective assistance to the nurse, it is necessary to know the basic provisions and laws of communication psychology. Communication is a multi-faceted and multi-level process of interaction be- tween people or social groups. The process of communication and interaction between people is influenced by a variety of physiological, psychological and socio-cultural factors, such as: • constitutional type of person, • psychophysiological features, • temperament, • character, • cultural and educational level, • moral qualities of the individual, • values (reference points), • life goals • motivations, incentives,
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