Informacion, La Verdad

La verdad y la información en la familia LA FAMILIA ANTE LA ENFERMEDAD AVANZADA I Jornadas sobre Cuidados Paliativos 27-28 noviembre

 Alberto Socorro Socorro García García

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Proceso de comunicación

Paciente

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Implicaciones de las malas noticias   

Comun Comunica icació ción n de dco y/o pco desfa desfavo vorab rable le Modificación radical de la idea de la vida del enfermo y la familia. Valores de la sociedad actual: JUVENTUD, SALUD Y DINERO  



Información: marginación Problema social más que individual

Información: importancia en la ADAPTACIÓN

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La familia y la información

   

Carácter paternalista latino: protección al paciente Miedos a las reacciones Desestru Desestructura cturación ción del ámbito ámbito familia familiar  r  Estudio Canadá-España: 

Información: no queremos informar aunque nos gustaría que nos informaran

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La familia y la información

     

Dudas sobre pronóstico y tratamientos Insuficiente información Dificultad de aceptación de muerte Falta de apoyo de profesionales Incapacidad para la comunicación Cambios en los roles profesionales

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Necesidades del familiar     

Máximo bienestar del paciente Información adecuada  Asesoramiento  Asesoramiento práctico para para el cuidado cuidado  Apoyo emocional emocional  Apoyo social social

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El médico y la información

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El médico y la información

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El médico y la información 

DIFERENTES ESTUDIOS:

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Decir o no la verdad

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Decir o no la verdad 

Partidarios de decir la verdad: 

Clima de hipocresía

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Pacto de silencio 

Estrategia de intervención rechazo de información por parte de la familia 

Objetivos:   



Entender y conocer los miedos Mantener relación de confianza Evitar la incomunicación del paciente/familia/médico paciente/familia/médico

 Actuación: 

Empatizar con sus miedos, “es frecuente”, frecuente”, ¿por ¿por qué? qué?

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Paciente