The Relationship between Pediatric Oncologists and Parents of Their Patients
It is very important for pediatric oncologists to develop a good relationship with the parents of cancer patients. This is because the relationship affects even the family's grieving process if the child does not survive. If the relationship between the oncologists and the parents was good, it...
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Published in | The Japanese Journal of Pediatric Hematology Vol. 16; no. 3; pp. 123 - 128 |
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Main Author | |
Format | Journal Article |
Language | Japanese |
Published |
THE JAPANESE SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY
2002
特定非営利活動法人 日本小児血液・がん学会 |
Subjects | |
Online Access | Get full text |
ISSN | 0913-8706 1884-4723 |
DOI | 10.11412/jjph1987.16.123 |
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Abstract | It is very important for pediatric oncologists to develop a good relationship with the parents of cancer patients. This is because the relationship affects even the family's grieving process if the child does not survive. If the relationship between the oncologists and the parents was good, it is easier for parents to adjust to the death of their child. However, this is not always the situation. In this essay, I discuss several issues that affect this relationship, including the sensitivity with which the first medical consultation is conducted ; how explanations are given to patients ; how much attention is given to family members and siblings ; patient education ; the sharing of deliberations on treatment decisions ; emotional support ; terminal care ; and teamwork. |
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AbstractList | It is very important for pediatric oncologists to develop a good relationship with the parents of cancer patients. This is because the relationship affects even the family's grieving process if the child does not survive. If the relationship between the oncologists and the parents was good, it is easier for parents to adjust to the death of their child. However, this is not always the situation. In this essay, I discuss several issues that affect this relationship, including the sensitivity with which the first medical consultation is conducted ; how explanations are given to patients ; how much attention is given to family members and siblings ; patient education ; the sharing of deliberations on treatment decisions ; emotional support ; terminal care ; and teamwork.
小児がん医療において医師と両親の関係は重要である.その関係のありようは, 子どもが亡くなった後の家族の状態にまで影響を及ぼすほどのもので, これが良い方向に働けば両親の悲嘆からの踏み出しは容易になるが, 実際には反対の状況も起こりうるからである.小稿では両者の関係を育むために大切だと思われる, はじめての医療面談の場での配慮, 病児本人への説明, 家族やきょうだいへの配慮, 患者側の教育, 治療選択のための迷いの共有, 感情面のサポート, ターミナルケアでの役割, チームとしての関わり方などについて述べる. It is very important for pediatric oncologists to develop a good relationship with the parents of cancer patients. This is because the relationship affects even the family's grieving process if the child does not survive. If the relationship between the oncologists and the parents was good, it is easier for parents to adjust to the death of their child. However, this is not always the situation. In this essay, I discuss several issues that affect this relationship, including the sensitivity with which the first medical consultation is conducted ; how explanations are given to patients ; how much attention is given to family members and siblings ; patient education ; the sharing of deliberations on treatment decisions ; emotional support ; terminal care ; and teamwork. |
Author | SAIKI-CRAIGHILL, Shigeko |
Author_FL | 戈木クレイグヒル 滋子 |
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References | 5) 戈木クレイグヒル滋子 : 迷いの共有 : 治療決定のための医師と両親との共同作業.日本保健医療行動科学会年報16 : 152-168, 2001 1) 戈木クレイグヒル滋子 : 闘いの軌跡 : 小児がんによる子どもの喪失と母親の成長 (増補版), 川島書店東京2002 7) 戈木クレイグヒル滋子 : さいこの賭け-第2報 : 治療が失敗しても両親を後悔させないための仕組み.Quality Nursing 8 : 151-159, 2002 4) 戈木クレイグヒル滋子, 児玉千代子, 田中千代, 他 : 未知の世界への導入 : 新たに小児がんと診断された子どもの両親と医師の面談の場でのやりとり.日本保健医療行動科学会年報14 : 109-128, 1999 2) 戈木クレイグヒル滋子 : 環境への適応の努力 : 小児がんの同胞をもつきょうだいの闘病体験.日本保健医療行動科学会年報17 : (印刷中), 2002 3) 戈木クレイグヒル滋子 : 小児がん医療の中の子ども : 子どもの権利は尊重されているか.現代思想28 (9) : 264-277, 2000 6) 戈木クレイグヒル滋子 : さいこの賭け-第1報 : 医師と患者側が造血幹細胞移植に踏み切る状況.Quality Nursing 8 : 57-65, 2002 |
References_xml | – reference: 7) 戈木クレイグヒル滋子 : さいこの賭け-第2報 : 治療が失敗しても両親を後悔させないための仕組み.Quality Nursing 8 : 151-159, 2002 – reference: 2) 戈木クレイグヒル滋子 : 環境への適応の努力 : 小児がんの同胞をもつきょうだいの闘病体験.日本保健医療行動科学会年報17 : (印刷中), 2002 – reference: 1) 戈木クレイグヒル滋子 : 闘いの軌跡 : 小児がんによる子どもの喪失と母親の成長 (増補版), 川島書店東京2002 – reference: 4) 戈木クレイグヒル滋子, 児玉千代子, 田中千代, 他 : 未知の世界への導入 : 新たに小児がんと診断された子どもの両親と医師の面談の場でのやりとり.日本保健医療行動科学会年報14 : 109-128, 1999 – reference: 6) 戈木クレイグヒル滋子 : さいこの賭け-第1報 : 医師と患者側が造血幹細胞移植に踏み切る状況.Quality Nursing 8 : 57-65, 2002 – reference: 3) 戈木クレイグヒル滋子 : 小児がん医療の中の子ども : 子どもの権利は尊重されているか.現代思想28 (9) : 264-277, 2000 – reference: 5) 戈木クレイグヒル滋子 : 迷いの共有 : 治療決定のための医師と両親との共同作業.日本保健医療行動科学会年報16 : 152-168, 2001 |
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Title | The Relationship between Pediatric Oncologists and Parents of Their Patients |
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