Sunday, July 29, 2012

Critically ill notice to want down lay it protect patient protect doctor even

Critically ill notice to want, down, lay it protect patient protect doctor even
City several large hospital respond the intersection of this newspaper and report, think, finish doctors and patients, communicate, patient and relative will not be scared
Being in hospital, patient may receive, let the intersection of people and all of jump critically ill notice easy. This is that the hospital shirks responsibility on purpose, even so as to make money? The relatives that this newspaper publishes on the 21st query the report that a doctor made the critically ill notice arbitrarily, cause the social strong response.
Yesterday, participated in " L Two Conferences " R Several say though have clearly until how not to if you can't lay Chinese Health Ministry by notices critically ill, last regulation, but the critically ill notice is not the excuse that the doctor shirks responsibility, it is not to want to be left and is left. A critically ill notice is to patient, relative, doctor " Stereoscopic" R Protect, serve as the function of the bridge between the three, citizens should adopt a correct attitude towards.
Member of the municipal CPPCC, Li Qiu, Vice President of children's hospital, think, queries to the critically ill notice of family members of the patient, under the the intersection of doctors and patients and contradictory fierce current situation, the intersection of doctors and patients and the intersection of information and reciprocal the intersection of one and behavior. In addition, patient and relative can not know high to medical knowledge, has formed understanding to the critically ill notice what leant towards difference. Think that it is critically ill to leave, the patient will face the death threat; Secondly, the expenses will increase greatly.
" In fact, a critically ill notice is only a kind of doctor's order, play a role in linking up among relative, doctor, patient. " Li Qiu claims, first, tell the patient, badly sick, should cooperate with the doctor actively; Second, tell relatives, patient's condition state, there is accurate understanding; Third, tell the doctors and nurses relieving personnel, should highly pay attention to the patient, trying hard to reduce the medical accident.
" Besides keeping the relative, patient, communication between the doctors, the conspicuous era of the contradictions of doctors and patients at present, it is a doctor to one's own a kind of protection too to play critically ill. " The Liangping director of department of nerve internal medicine of children's hospital of city says frankly, the doctor's pressure is too large now, you will suffer relatives' suspicion if you are careless.
He claim several years ago, one infant diagnose as into round worm of biliary tract, doctors thought that also erupted other diseases simultaneously while checking for example, but not opened the critically ill doctor's order, infant's unexpected death after 6 hours finally. It regard there is no critically ill noticing as relative from,last trouble of doctor various means.
The deputy to the National People's Congress of the city, market the fifth director of the People's Hospital obstetrical department Yang Yan in Chongqing express, to how about make the critically ill notice, Ministry of Public Health has not unified the regulation clearly, but the medical practitioner can change condition to worsen the direction and develop the critically ill notice at present according to condition of patient, this is the right that practicing qualification entrusts.
" But critically ill notice want, down, down right away, must go on according to the development of condition. " L It will last excuse where doctor shirk responsibility to claim by notice is it critically ill Yang Yan or " The umbrella " ,Or the accident that if make mistake in the medical behavior, patients can seal the case up for safekeeping to sue, the doctor is unable to shirk responsibility.
" So long as be a good doctors and patients and communicate, patient and relative will understand correctly, will not be scared. " Fang Wang, director of obstetrical department, deputy to the National People's Congress of city and first-aid centre of city say, make critically ill notice tell relative disease of patient to develop, worsen situation actually, let them have enough psychological preparation, are responsible for patient and relative.
Critically ill notices concentrate large hospitals
Reporter investigate find the critically ill notice has own one's own characteristics, concentrate the loud hospital on mainly, and say, the seriously ill one will not come, do not dare to accept either, can not open one to the hospital at the basic level.
" Take up a job as a doctor for more than 20 years, the critically ill notice under me, can describe with tens of thousands of. " The Liangping director of department of nerve internal medicine of children's hospital of city reveals, every infant who enters this department, mostly serious, a lot of infant other hospitals do not dare to accept for medical treatment, after entering the children's hospital, it is certain to receive a critically ill notice.
Large the intersection of level ground and the intersection of hospital and the intersection of wound and department the intersection of group and famous the intersection of operation and expert where open the intersection of senior statesman and Professor call outside the brain, especially internal organs operations such as the brain, heart and lungs,etc., the operating table on patient one, the doctors will all assign the critically ill notice, once the condition breaks away from the life danger steadily, will stop the critically ill doctor's order. Count he take up a job as a doctor critically ill notice that assign in more than 40 years, can spend " L Surprising" R Two words are come to describe.
Heavy medicine is enclosed to a high aim directors of two courtyard infectious disease departments and introduced, this department nearly accepts the whole city and serious disease hepatopathy patient of a district of southwest for medical treatment, calculating according to 1000 persons of every month, 30% of the patients among them can receive the critically ill notice because of the condition, calculate so, there are 4000 the annual critically ill notice quantity drawn of this department alone.
Expert
These diseases are apt to make the critically ill notice
Large the intersection of level ground and the intersection of hospital and the intersection of wound and department He QiYuan, expert of group, recommend outside the brain, in clinical medicine, the following patients are aptest to receive the critically ill notice.
A lot of old men of the elderly have outmoded diseases such as heart disease, hypertension, coronary heart disease and always prop up slowly,etc., once have illness coming on, the condition is changed fast.
Infant and pre-school children, to the baby infant, especially diseases such as high fever,etc., the onset is fast, will probably cause the lung to be infected with etc. and erupted disease simultaneously.
The traffic accident may injure the wounded wound of falling of height positions such as causing in the cranium, internal organs,etc. are damaged, generally over time, the condition is serious progressively.
Lying-in woman of massive haemorrhage and unexpected knife thorn are wounded, once bleed without end, will lead to the fact functions such as the heart,etc. are depleted.
Suffering from this kind of patients of many kinds of disease patients once have illness coming on, it is very apt to cause to be infected with etc. and erupted disease simultaneously, cause organs such as the heart and lungs,etc. to damage, and jeopardize the life.
Citizens
The doctor should explain the reason patiently
" The doctor should understand relatives' psychology too, since relatives do not understand, doctors should explain patiently. " Citizens Zhou Yus claim newly, a few days ago, his father is in hospital for more than ten days because of pneumothorax, the hospital has assigned the critically ill notice. He inquired critically ill reason many times at that time, but doctors explained very impatiently, he does not know .
Ms. Chen of Jiangbei District claim one's own the intersection of husband and angina pectoris in hospital, doctors have assigned the critically ill notice book too, give her too many reason either, let her steady and sure on the heart.
" Since doctors and patients have so fierce contradiction, should communicate with each other, understand. " The reporter finds while interviewing, most citizens hope, in the course of seeking medical advice, in the face of not understanding, relatives with doubt, the doctor should be patient.
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