In the face of tumors, should we hide the disease from the patient?

As an oncologist, I often encounter such a problem, during the first period, it is found that the patient is a malignant tumor, and too many family members of the patient still try their best to hide the condition from the patient despite their own pain, and do not hesitate to unite relatives and friends, make up lies, and even full of flaws. In the traditional Chinese concept, it is believed that a serious illness makes a person collapse, and concealment is the salvation. In order to allow patients to cooperate and complete, they cannot know their own condition, so as not to give up due to psychological burden.

Should we hide the disease from the patient? Here are some small examples that we encounter in our daily work.

A female patient who had just been able to go to the ground after breast cancer surgery took advantage of the absence of her accompanying family members to secretly find the doctor's office to review her medical records. The son repeatedly explained before and after the operation, asking the doctor to keep the condition confidential from the patient, but the patient still knew the result, and in a fit of anger, he had a physical conflict with the doctor.

In life, when a patient is found to have a malignant tumor, a high cost, a long time, a poor recovery effect, and a disease that cannot be completely completed, most family members will choose to hide the patient's true condition and replace it with benign tumors, acute inflammation, chronic injuries, etc. Just like the son of the patient in this case, the family is afraid that when the patient learns that he is seriously ill, he will have a nervous breakdown and refuse, which will lead to the deterioration of his condition, the loss of the opportunity, and the accelerated death.

There is another story of a patient who was admitted to the hospital to complete the examination and wait for surgery, thinking that he would be discharged from the hospital after the operation. Who knew that when I talked before the operation, I heard about my condition, what I needed, and what might happen with my family. After hearing all this, the patient immediately asked to give up ** for discharge, and the talking doctor was blindfolded and embarrassed.

It turned out that the patient's husband and son had been hiding their illness from the patient, and it was not until the pre-operative conversation that the patient himself insisted on participating, and she heard about her situation from the doctor. The rational and professional analysis of the talking doctor was a psychological "surprise attack" for the patient, and she couldn't accept the reality and was a little broken on the spot. But fortunately, after the persuasion and patient guidance of the doctor and the family, the patient still underwent surgery in time and had the lesion removed.

In the subsequent ** process, the patient's mood gradually returns to peace and stability.

As can be seen from the above two stories, patients themselves have a need to understand their own conditions. Most patients are eager to know about their condition, the diagnosis made by the doctor, the acceptance of ** and its effects, the medical expenses to be paid and paid, etc., and they have their own ideas about surgeries, special examinations, expensive medicines, special **. At present, more and more family members can discuss the condition and ** with the patient, but there are still a large number of patients' family members who will "wishfully" want to take over the patient's right to know.

These family members think that they are doing everything possible to conceal their illness for the sake of the patient, so that the patient can get better results.

Although this is more kind, it is still necessary to tell the patient his true situation, and the patient has the right to know his physical condition and be able to actively go **. If you don't tell, the patient will guess in the process of **, which may be detrimental to your health.

It should be concealed, because the tumor is difficult to treat and cure, and if you tell them, it will make the patient very scared, affect the mood, and even worsen the condition.

Should. Because if you don't tell them, they will feel unimpressed, and they can also ensure a normal routine and have a particularly good mood, which is very beneficial to the disease.

With the destruction of the natural environment and the excessive physical overdraft of human beings, more and more cancer patients are appearing in hospitals. In the face of cancer, in most people's imagination, the attitude of the person concerned should be fear and sadness. Many doctors choose to hide the patient's condition, so how do we feel about it?

Point of view. First, from a psychological point of view. Most patients fall into despair when they learn that they are terminally ill and even refuse to continue with it**.

However, if the patient is aware of the condition and insists on asking about the condition, the doctor should respect the patient's right to know, tell the patient about the condition in a tactful way, and at the same time provide more guidance to help him overcome the psychological difficulties. In fact, as far as the investigation is concerned, more and more people are beginning to face cancer calmly, so how to lead patients to face and cooperate with ** has become particularly important.

Point of view. 2. First of all, I think that doctors should not hide their illness from their patients, for the simple reason that based on medical ethics, doctors cannot hide their illness. In addition, if you don't tell the patient about your condition, how can you get the patient's cooperation?

Therefore, what kind of way to tell the patient and how to get the patient to actively cooperate is what we should consider more often. It is a very effective way to gradually disclose the condition to the patient in the process. It is also important to adjust the patient's mood.

In order to make the patient have a good mood, we must take the initiative to approach her, establish a good relationship of mutual trust with her, talk with the patient more, patiently answer the patient's various questions, and understand and sympathize with the patient's painful feelings after suffering from cancer. Every action of the patient to defeat cancer and the completion of every best measure should be praised and encouraged, so that the patient can raise the sail of life.

December 3, 2017.

1 If the patient is found to be a tumor, the patient should be told. Time will leak out of the fox's tail.

2 As medical professionals, we deal with different patients and tell them in different ways.

3. First of all, we should first ask the patient's family information, such as: the patient's education level, personality, psychological tolerance and other aspects.

4. If it is an early patient, and at the same time has a strong psychological tolerance, tell the patient as soon as possible that the condition is not serious now, and it will be early ** early**.

However, if the psychological tolerance is weak, you should first find your family to understand the situation, negotiate with your family to cooperate, find a suitable opportunity, and then tell the patient euphemistically.

5. For patients with advanced stages, do not give the patient the death penalty during the conversation. The tone should be mild: Although your condition cannot be cured by a good way, but technology is so advanced, you must believe that your condition can be well controlled.

Our relevant medical staff will discuss, and during the process, the medical staff will monitor your effect at any time, formulate a plan that suits you, and make adjustments accordingly. At the same time, the concern and active encouragement of family members are also necessary.

6 For terminally ill patients, medical staff should explain the situation to the patient as soon as possible, and the companionship and care of family members are very important. In the remaining time, go and finish what you want to do, do it well, and leave no regrets.

You should not hide your illness from cancer patientsIt depends on the situation

ForCancer patientsIn the eyes of many people, cancer means a terminal illness, once diagnosed with cancer, many people feel that death is not far away, some people will not be able to bear it, and their mental state will suddenly collapse to the point of collapse, and some will even refuse to aggravate the condition.

Therefore, for such patients, for patients with poor psychological tolerance and unstable psychological quality, out of the protection of patients, I personally feel that the real condition should be concealed, at least, should not be told immediately, in the future ** process, slowly enlightened, and then gradually tell him the truth, so that he has a buffer process.

WhileFor those early cancers, should tell the truth to the patient as soon as possible, such as thyroid cancer, lung cancer, breast cancer, nasopharyngeal cancer, etc., if it can be detected early, early, these cancers are completely possible, at this time, regardless of the patient's psychological capacity, should be told to the patient as soon as possible, in order to obtain his cooperation, positively, the earlier the cancer is detected, the higher the rate.

For advanced cancerPersonally, I believe that it depends on the patient's psychological tolerance, strong psychological tolerance, positive outlook on life, open-minded, optimistic, and upward people, it is wise to tell him about his illness and obtain his cooperation; On the contrary, for those who are psychologically fragile, concealing their illness is also a helpless move.

My dad was hiding it at the time, at least he was in a bad mood and so nervous, no matter what the disease, he needed a good mood and a stable mood, my dad had surgery, and he lived for another ten years, and he was 82 years old, and my dad's patient was 11 years younger than my dad at the time, and his family told him about his condition, and he passed away less than half a year after the operation.

If the patient is a cheerful person, telling the other person that they have cancer will help the other person**. For people with a dull personality, it is better not to tell the other party about the condition first, so as not to increase the psychological burden.

Personally, I think that this is beneficial to the body of cancer patients, because cancer is particularly affected by the mood of cancer patients, and if you maintain a good attitude, you can make the chance of cancer ** greater.

Of course, there are disadvantages to physical health, because if you don't tell the patient, you can't move on to the next step**, which is not a good thing for physical health.

Of course, there are benefits, after all, knowing that you have a terminal illness, this psychological pressure is also very large, and it will aggravate the condition.

It has been said that patients have the right to know about their condition and should know what they are doing if they have cancer. But in real life, there are many family members who come to the clinic "in advance" with various examinations for the elderly at home, and ask the doctor after understanding the condition to whether they can help hide it from the elderly.

It is common practice in China to conceal the results of a diagnosis from cancer patients so as not to worry them. The reason for withholding the diagnosis is that they believe that the fear raised by the diagnosis may worsen the patient's condition, or that they cannot afford the adequate** cost. This kind of lie is of course a good starting point, but the actual clinical operation is not only difficult, but also a deceptive tort on the legal level for the patients themselves, because they have the right to know the truth.

You know, a lie needs an infinite number of lies to complete. Some family members take the patient to the hospital and say that they are just doing an examination, but they don't know that the patient is uneasy, like hanging boots upstairs, and he doesn't know when to hit the ground. They also have the right to know, they need to arrange their own things, and they need to cooperate with the doctor to do the next ** by knowing the condition, as well as to deal with the problems caused by **, especially the ** with traumatic and toxic side effects.

Cancer is a fatal disease that cannot be guaranteed by current medicine, and the negative psychological impact on people is inevitable. Some patients are optimistic and strong on the surface, but in fact they are extremely afraid in their hearts, but they are unwilling to reveal it, which eventually leads to the crux of the problem becoming deeper and deeper, and it is difficult to extricate themselves. Cancer patients are the main body of cancer and suffer from the pain, but as their relatives and family members, they also suffer unimaginable pain.

They will worry about whether the patient can accept the fact of cancer, whether they can **, whether they can avoid it, etc.

The patient's family members have no less anxiety and depression than the patients themselves. In addition to smiling at the patient every day, he also takes care of the patient's daily life. The fear of death also hangs over them, and they will also experience insomnia, loss of appetite, listlessness, fatigue and other symptoms that affect the body's immunity.

Patients, their families, doctors, and society are a whole system that influences each other, and only by working together to tackle cancer and understanding and supporting each other can we have a better tomorrow.

Hello dear readers, I am a family member of esophageal cancer, I am from the countryside, God played a big joke on me, my father gave me the best things to eat, I grew up to give him to eat, but he couldn't eat, 65 years old this year, very smart, I know a lot about tumors, I dare not take him to the tumor hospital, every time I go to the famous hospital, the countryside generally rarely has a physical examination, I don't eat well, I eat slowly, I didn't find a lesion in the examination three years ago, I haven't done a gastroscopy since that time, I always say it's too uncomfortable, like esophageal tumor, It's hard to find, and I found that most of them are in the middle and late stages, my dad is grumpy, and the doctor gave a plan for gastric leakage, but I didn't rush to tell him, and now I have been using nutrient solution for more than a month. I discussed it with my family, but I didn't want to tell him. Am I too unfilial!

I don't think I should hide my illness. The patient should be informed, and he should be helped to correct his mentality, so that he can actively cooperate**, otherwise when he finds out on his own, it will be even more psychologically unbearable.

Of course they need to be in a good mood. As a good person, I am also happy to bring a good mood. I don't want him to cry, so let's have a short moment together.

No. Because cancer patients have the right to know that they are healthy, and cancer needs to be early**, it must not be delayed.