2015年10月27日 星期二

Relational medicine


簡介(Book Description from Amazon):

In this book, we present a novel framework of high-tech modern medicine. Patients going through major high-tech medical interventions, e.g. Advanced Heart Failure (AdHF) patients undergoing left ventricular assist device (LVAD) implantation and heart transplantation, must integrate scientific and technological advances into personal life, including strong emotional experiences unthinkable thirty years ago, novel to themselves and their caregivers and unknown to physicians. Our book provides a theoretical framework for the patient-centered vision to "heal humankind by improving health, alleviating suffering and delivering acts of kindness, one person at a time". In the book, we develop the theoretical as well as practical concept of the "RelationalAct (RA)" as core concept to engage and participate in modern medicine.

Customer Reviews from Amazon :

Essential Reading for Medical Professionals
Having taught an undergraduate and graduate course for 30 years in Group Processes for helping professionals, I appreciate the important focus of this book on the dyadic encounter between patient and doctor/healthcare caregiver in highly stressful situations. Drs Raia and Deng have captured a unique frame combining medical treatment, linguistics, philosophy, and literature (the Dante references are briiliant) in order to instruct practitioners in the various tools available for world-class care beyond quantitative thinking. Requiring this text (and those I hope will follow) for intern level deliverers would elevate significantly training effectiveness in the USA and globally. Families facing the difficult processes of surgeries for the critically ill are assisted in the decisions only they can make.

This book is a paradigm changer and should be required ...
This book is a paradigm changer and should be required reading for all providers of healthcare! The concepts presented, if integrated into daily practice will change and impact the all-to-common caregiver burnout and strengthen the human connections between providers and recipients of care (also known as patients). This work also firmly establishes the patient as the rightful decision-makers always for themselves and reconfigures the schema of providers to that of expert consultative guides and not decision-makers for patients.

Surviving a radical learning curve
Until I read Drs. Raia and Deng’s eye opening book “Relational Medicine” I didn’t fully understand why my almost daily encounters with Dr. Deng were so stress free. I assumed it was his natural way of dealing with patients, of explaining the gravity of their situation and exuding the confidence that all would again be well with the world. But now I understand it was a well thought out, studied and learned approach that made me, a recent heart transplant recipient, believe that what I was experiencing was simply a temporary setback and my odds of surviving were one hundred per cent. Because of Dr. Deng and his medical team I totally believed I was going to make it through. And I did.
I can’t say the experience was a walk in the park but it was made bearable by the conversations between myself and the medical team that took on the responsibility of keeping me alive. If how they handled my constant questions was a learned method, a planned approach to patient interaction, then “Relational Medicine” should be required reading and possibly an instructional course for all medical providers.
If assuming there are very few, if any, doctors or nurses that are organ transplant recipients, then I would assume correctly none of them know the experience first hand. They are on the outside looking in and their only way to get inside is through verbal and body language communication.
When Dr. Raia talks of dissimilitude I understood the word from two perspectives. From going from a whole human to a barely surviving human cannot be more dissimilar. Your world as you knew it had come unraveled. I understood the word to also refer to the separation of your mind from your body. Your mind is doing everything normally while your body is doing nothing normally. Your mind, totally fine, is dealing with the new reality of a body being constantly poked, prodded, punctured and cut on. I feel Dr. Deng somehow, without ever experiencing anything close, understood this and knew exactly the right thing to say at the right time. That understanding is a big part of the reason Dr. Raia’s book should not only be mandatory reading in med school but expanded upon in years to come.

書名 Relational medicine :personalizing modern healthcare : the practice of high-tech medicine as a RelationaAct
著者 Federica Raia
索書號 WG370/R258/2015
出版者 World Scientific
ISBN 9789814616300
出版年 2015

沒有留言: