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  3. Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal t

Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal t

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问题     Confronted with patient facing death, physicians may feel a sense of medical impotence and failure. Years of training and zeal to heal have focused on doing anything and everything to save the patient. Death is treated as the enemy. One might ask, "What use can I be if I cannot fix?" One may be tempted to withdraw. There may be no meaningful closure with a patient other than referral to home care or hospice.
    Feelings evoked by a patient’s dying are also antithetical(对立的)to the original "call" to medicine—the desire to make a difference in people’ s lives and the alleviation of pain and suffering. Over time these inner directives may have been obscured by the rigors of a pressured practice, not to mention the climate of malpractice litigation(诉讼). This threat necessitates obsessive attention to the details of intervention options, possibly at the cost of considering the needs of the whole person at hand.
    So the moment when death raises its specter(恐惧)is a crossroads. Herein lies the opportunity for physicians to go beyond their conventional model of relating to patients. This is when the conventional therapeutic tools can be set aside in favor of the most powerful contribution of all: the physician ’ s caring itself. The only requirement is a willingness to extend conscious listening and basic humanity to the dying patient. The simple act of visitation, of presence, of taking the trouble to witness the patient’s process can be in itself a potent healing affirmation—a sacramental(圣礼的)gesture received by the dying person who may be feeling helpless, diminished, and fearful that they have little to offer others. The patient may also fear that he or she has failed.
    How meaningful it is to be told by my physicians that they are learning from me! I feel honored and joined by my physicians as we participate in these human, vulnerable, and mysterious moments at the end of my life. I and many dying persons would agree that beyond pain control, the three elements we most need are feeling cared about, being respected, and enjoining a sense of continuity, be it in relationships or in terms of spiritual awareness.
During the pressured practice, the feeling evoked by a patient’ s dying______.
选项 A、can lead to a legal suit
B、are likely to be set aside
C、tend to be antithetical to the quality of life
D、urge the physician to save him or her by all means
答案D
解析 文章开头讲到在治疗a patient facing death时，医生会感到医疗水平的不足及挫败感。这是由于他们对于治愈患者的热情使得他们想要doing anything and everything to savethe patient。由此可知濒临死亡的病人会促使医生竭尽全力加以救助。
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