t*******i 发帖数: 60 | 1 是不是所有的急腹症,可能需要手术的都不行?包括阑尾炎,妇科问题,肝胆胃肠?大
概胸痛也不行吧
如果有手术的可能性也不能给喝水?
then how to comfort the patient?
when CAN you give some pain killer? in extremities traumas? headache? | J*J 发帖数: 201 | | q******t 发帖数: 148 | 3 never offer pain killer to SPs. In CS, you do not offer any treatment to
patient. Say to the patient: "Mr./Ms., I understand you are in pain. I will
try my best to help you. but give you pain killer right now is dangerous
before I know more about your pain. I would like to first ask you more
questions and then do a brief physical exam. Once I know better of your pain
, I will give you the best treatment. Is that OK with you?" | t*******i 发帖数: 60 | 4 谢谢JDJ and qiancynt
qiancynt: what you said is perfect at the beginning of encounter. However,
it's like you give the SP a promise for his cooperation. What I'm worried is
after you got the history and PE, it's time for closure, you can't say "we
need to wait again for the test results before giving you anything to help".
shouldn't you give them something to temporarily relieve the pain?
I think we need to offer something to comfort SP, but what can we offer? | q******t 发帖数: 148 | 5 before my CS test, I went to a CS review course. the course director told us
that you do not offer any treatment throughout the entire encounter. If at
the end of encounter, pt. ask for pain killer, the same reply applies.
You say:"Mr./Ms., I can feel your pain and I want to try my best to help you
. Now I have done history taking and physical examination, I still need to a
few tests, for example...., to confirm your diagnosis before offer you the
best treatment. We will do the tests as quickly | h******u 发帖数: 602 | 6 There might be some debate about this. Forgot exactly which case (maybe knee
pain), but in First aid, it is said to give pain killer in a closure.
us
at
you
a
the
【在 q******t 的大作中提到】 : before my CS test, I went to a CS review course. the course director told us : that you do not offer any treatment throughout the entire encounter. If at : the end of encounter, pt. ask for pain killer, the same reply applies. : You say:"Mr./Ms., I can feel your pain and I want to try my best to help you : . Now I have done history taking and physical examination, I still need to a : few tests, for example...., to confirm your diagnosis before offer you the : best treatment. We will do the tests as quickly
| t*******i 发帖数: 60 | 7 yes, harrywfu, in the last FA case MVA, it says in the sample closure:
"we'll also give you something for your pain and will observe xxxxx"
thanks again qiancynt, 看来能不给,尽量不给,最好都不mention. 实在难缠的病人只
能见机行事了 |
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