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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  90
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.
According to the passage, the physician’ s caring relates to______.
选项 A、the needs of the dying patient treated as a whole person
B、the acceptance of medical impotence and failure
C、the exploration of all the intervention options
D、the avoidance of malpractice litigation
答案A
解析 第三段提到the physician’s caring itself，惟一的要求是积极倾听和对病人的仁爱，见证病人的过程can be in itself a potent healing affirmation，言外之意是医生的治疗与病人的需要联系起来，故A项正确。
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