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  3. Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal t

Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal t

admin2013-10-31  104
问题     Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal to heal have focused on doing anything and everything to save the patient. Death is treated as the enemy. One might ask, "What use can I be if I cannot fix?" One may be tempted to withdraw. There may be no meaningful closure with a patient other than referral to home care or hospice.
    Feelings evoked by a patient’s dying are also antithetical(对立的)to the original "call" to medicine—the desire to make a difference in people’ s lives and the alleviation of pain and suffering. Over time these inner directives may have been obscured by the rigors of a pressured practice, not to mention the climate of malpractice litigation(诉讼). This threat necessitates obsessive attention to the details of intervention options, possibly at the cost of considering the needs of the whole person at hand.
    So the moment when death raises its specter(恐惧)is a crossroads. Herein lies the opportunity for physicians to go beyond their conventional model of relating to patients. This is when the conventional therapeutic tools can be set aside in favor of the most powerful contribution of all: the physician ’ s caring itself. The only requirement is a willingness to extend conscious listening and basic humanity to the dying patient. The simple act of visitation, of presence, of taking the trouble to witness the patient’s process can be in itself a potent healing affirmation—a sacramental(圣礼的)gesture received by the dying person who may be feeling helpless, diminished, and fearful that they have little to offer others. The patient may also fear that he or she has failed.
    How meaningful it is to be told by my physicians that they are learning from me! I feel honored and joined by my physicians as we participate in these human, vulnerable, and mysterious moments at the end of my life. I and many dying persons would agree that beyond pain control, the three elements we most need are feeling cared about, being respected, and enjoining a sense of continuity, be it in relationships or in terms of spiritual awareness.
Facing a terminally-ill patient, physicians______.
选项 A、have no right to withdraw
B、must save him or her at any cost
C、can do nothing but accept the failure
D、can be caught in the dilemma of cure or care
答案D
解析 第一段指出对于患绝症的人，医师多年的训练和热情使他们focused on doing anythingand everything to save the patient，但是可能除了home care or hospice，所做的一切都没意义，从而让医师觉得进退两难，故D项正确。
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