Healthcare is a special service industry, and there is a serious information asymmetry. Taking a step back, as a gastrointestinal surgeon, I basically don't know anything about brain surgery. And vice versa, too. Not to mention a patient and his family who have never studied medicine.
Some people say that if you have a gastrointestinal tumor, you will always have to undergo surgery, and if you don't sign it, you will have to go under surgery. Some people say that by signing before surgery, the doctor is evading responsibility. Not really. After all, surgery is a risky operation, and it must be fully informed and understood before the operation can be carried out. You will not sign off on the risks of rehydration before you see the emergency room unless a specific drug is used and you may sign off on the risks of rehydration. Why? The risk of accidents is small.
Surgery is a double-edged sword, and the surgery itself is traumatic, but overall the benefits outweigh the disadvantages
a) What is a preoperative conversation.
Preoperative talk– The doctor's conversation with the patient and family before the surgery is an essential medical procedure. Doctors have the responsibility and obligation to objectively inform them of the patient's condition, medical risks, complications and prognosis, etc., so that they have a certain understanding of the disease and reach a unified opinion on the surgical measures.
2) The importance of preoperative conversation.
(1) Respect patients' right to know and choose
Doctors have a wealth of medical knowledge and are experts in this field, while patients have little knowledge about diseases and surgeries, and the information on both sides is not equal. The purpose of the preoperative interview is to reduce this asymmetry and respect the right of patients and their families to know.
During the preoperative conversation, the doctor will tell the patient the diagnosis, the surgical plan, the possible risks, and other information. Let the patient know why the surgery should be done, what would happen if the surgery was not done, how to do the surgery, what are the benefits and disadvantages, etc. Then weigh the pros and cons, make a careful choice, if the patient feels that the risk is unacceptable, he can also choose another ** plan without surgery (Alternatives
It is also about surgery, understanding the causes and consequences, and performing the operation clearly; and didn't know why he had surgery, but he just knew that "the doctor asked me to operate", so he lay on the operating table; Patients certainly feel differently.
The author has seen many medical cases where the doctor's fault is to ignore the patient's right to know and choose. The other thing is that the alternatives are not informed. The indications for surgery and the conditions for surgery are generally given more attention by the doctor.
(2) Pay attention to it and let the patient prepare for the operation
During the preoperative conversation, the risks and accidents that may be faced are clearly explained, so that the patient can pay more attention to the surgery, better follow the doctor's instructions, and cooperate with the medical staff to complete the preparations.
Letting patients know how to eat before surgery, what time to sleep, whether they need to take medicine, etc., can adjust the patient's physical condition before surgery better, which is conducive to surgery and postoperativeity.
And tell the patient why he is doing this and what the consequences are if he does not follow the regulations, and the patients understand in their hearts, and they will be better prepared according to the regulations.
For example, there is a patient who is still smoking before the operation, and he has no idea that the lung infection is terrible after the operation!
(3) Prepare patients and their families psychologically
During the operation, if there is a situation that is different from the one envisaged, the patient's family members need to sign and agree to change the surgical plan. Gastrointestinal tumor surgery, intraoperative change of surgical plan is still available. I will ask the patient's family to stay in the waiting area for surgery, and if the family is notified during the operation, most of them will have to change the surgical plan or there will be special circumstances. If there is no notification during the operation, it is generally carried out according to the preoperative plan, that is, it is relatively smooth!
Before the operation, tell the patient's family what may happen, what the alternative plan is, what options the family can make if there is an accident, etc., so that the patient and the family are psychologically prepared.
If there is an emergency, when the family needs to sign to make a decision, it will not panic and delay the opportunity.
A preoperative conversation, the doctor took about half an hour, and finally finished speaking, and the family said, I don't sign, let the patient's ** sign. The doctor fainted, and his heart was rushing for 100,000 ***, and as a talking doctor, he must have encountered it, and he must have to talk about it again. As an old doctor, the first thing I said when I came up: Can you sign on your behalf?
Some people will say that if there is a complication, your doctor has nothing to lose. Wrong! Who will deal with the complications? Surgeon Doctor! Some doctors have complications that lead to poor mood, insomnia, etc.
Everyone understands each other and minimizes the risk of surgery, which is the right thing!
No surgeon wants his patient to have complications from surgery.
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